新冠疫情期间的眼部护理：患者认知与体验报告，亚洲视角
Eye Care During the COVID-19 Pandemic: A Report on Patients' Perceptions and Experiences, an Asian Perspective.
作者信息
Low Rebecca, Lee Jia Min, Lai Ser Sei, Rousselot Andrés, Agarwal Manisha, Agrawal Rupesh
机构信息
National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, 308433, Singapore.
Consultorios Oftalmologicos Benisek Ascarza, Buenos Aires, Argentina.
出版信息
Ophthalmol Ther. 2022 Feb;11(1):403-419. doi: 10.1007/s40123-021-00444-0. Epub 2021 Dec 22.
INTRODUCTION
To elucidate the perceptions on eye care of patients affected by the disruption of outpatient and surgical ophthalmological services during the COVID-19 pandemic.
METHODS
A cross-sectional questionnaire-based survey was conducted during the reopening of outpatient services at two tertiary eye care centres in Singapore and North India. Consecutive patients were recruited from general and specialist eye clinics in June 2020.
RESULTS
A total of 326 patients were recruited, 200 patients from Singapore and 126 patients from New Delhi, India. The most common eye conditions were diabetic retinopathy and uveitis or ocular inflammatory conditions in the Indian centre, whereas the most common in the Singaporean centre were cataract in the pre- or postoperative stage and glaucoma. For patients from the Indian centre, 61.9% felt that COVID-19 had negatively impacted their eye disease, 58.7% were more distressed by their eye disease, 70.8% could not access appropriate eye care, 66.6% were afraid of contracting COVID-19 in the clinic, and 61.9% were accepting of teleconsultations. For patients from the Singaporean centre, 13.5% felt that COVID-19 had negatively impacted their eye disease, 19.5% were more distressed by their eye disease, 21.5% could not access appropriate eye care, 35% were afraid of contracting COVID-19 in the clinic, and only 31% were accepting of teleconsultations.
CONCLUSION
Patients from India appear to have been more negatively affected by the pandemic compared to patients from Singapore. This study highlights patients' perceptions of the impact of COVID-19 on eye care, perceived risks, ease of access to care and attitudes towards eye care during the pandemic. Patients' perceptions are integral in developing strategies for the best care possible. There were heterogeneous responses amongst our patients; hence, there may be a role for more individualized healthcare strategies in the future.
引言
为阐明在新冠疫情期间，受门诊和眼科手术服务中断影响的患者对眼保健的看法。
方法
在新加坡和印度北部的两家三级眼科护理中心重新开放门诊服务期间，开展了一项基于问卷调查的横断面研究。2020年6月，从普通眼科诊所和专科眼科诊所连续招募患者。
结果
共招募了326名患者，其中200名来自新加坡，126名来自印度新德里。印度中心最常见的眼部疾病是糖尿病性视网膜病变和葡萄膜炎或眼部炎症性疾病，而新加坡中心最常见的是术前或术后白内障和青光眼。对于印度中心的患者，61.9%的人认为新冠疫情对其眼病产生了负面影响，58.7%的人因眼病而更加苦恼，70.8%的人无法获得适当的眼保健，66.6%的人担心在诊所感染新冠病毒，61.9%的人接受远程会诊。对于新加坡中心的患者，13.5%的人认为新冠疫情对其眼病产生了负面影响，19.5%的人因眼病而更加苦恼，21.5%的人无法获得适当的眼保健，35%的人担心在诊所感染新冠病毒，只有31%的人接受远程会诊结论：与新加坡患者相比，印度患者似乎受疫情的负面影响更大。本研究突出了患者对新冠疫情对眼保健的影响、感知风险、获得护理的难易程度以及疫情期间对眼保健态度的看法。患者的看法对于制定尽可能最佳的护理策略至关重要。我们的患者反应存在差异；因此，未来可能需要更多个性化的医疗保健策略。
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