Bradley Elinor Rhian, Delaffon Vijay
Ashford Community Mental Health Trust, Kent and Medway NHS and Social Care Partnership Trust, Ashford, UK.
Willow Suite, Kent and Medway NHS and Social Care Partnership Trust, Dartford, UK.
BMJ Open Ophthalmol. 2020 Jun 2;5(1):e000437. doi: 10.1136/bmjophth-2020-000437. eCollection 2020.
People living with severe mental illness (SMI) have an increased risk of developing diabetes and are less likely to spontaneously report physical health concerns; they may therefore derive greater benefit from attending screening to prevent diabetic retinopathy. We conducted a literature review to consider the uptake of diabetic retinopathy screening (DRS) in people with mental illness. People with a diagnosis of SMI and those with self-reported mental ill-health have reduced attendance at DRS, within the context of poorer compliance with general diabetic care. Anxiety and depression were noted as barriers in attending DRS. People living with SMI require additional support to benefit from preventative health programmes such as DRS. Further research could support a better understanding of barriers to attendance, allowing effective support systems to be developed.
患有严重精神疾病（SMI）的人患糖尿病的风险增加，且不太可能自发报告身体健康问题；因此，他们可能会从参加筛查以预防糖尿病性视网膜病变中获得更大益处。我们进行了一项文献综述，以研究精神疾病患者对糖尿病性视网膜病变筛查（DRS）的接受情况。在对一般糖尿病护理依从性较差的背景下，被诊断为SMI的人和自我报告有精神健康问题的人参加DRS的比例较低。焦虑和抑郁被认为是参加DRS的障碍。患有SMI的人需要额外的支持，才能从DRS等预防性健康计划中受益。进一步的研究可以有助于更好地理解影响参与率的障碍，从而开发出有效的支持系统。
