乌干达穆拉戈国家转诊医院成年患者白内障手术延迟接受的相关因素。
Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda.
机构信息
Department of Ophthalmology, College of Health Sciences, Makerere University, Kampala, Uganda.
ChildFund International, Kampala, Uganda.
出版信息
Afr Health Sci. 2021 Sep;21(3):1259-1265. doi: 10.4314/ahs.v21i3.36.
BACKGROUND
Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery.
OBJECTIVES
This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult patients seen at Mulago National Referral Hospital eye clinic in Uganda.
METHODS
Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impairment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined questionnaire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients.
RESULTS
Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of participants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision.
CONCLUSIONS
Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors associated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education.
背景
白内障是全球致盲的主要原因。许多发展中国家的白内障患者会延迟接受白内障手术。
目的
本研究旨在确定乌干达穆拉戈国家转诊医院眼科诊所就诊的成年白内障患者延迟接受白内障手术的相关因素。
方法
采用基于医院的横断面研究，招募患有白内障且有中度视力障碍或失明的成年患者。使用预定的问卷评估与手术延迟相关的患者相关因素。使用 stata 版本 14.2 分析数据。使用逻辑回归确定这些患者中与白内障手术延迟相关的因素。
结果
评估了 82 名可手术白内障患者。女性 44 名（54%），参与者的平均年龄为 67 岁。53 名（65%）延迟接受白内障手术。白内障患者延迟接受白内障手术的相关因素是经济拮据、认为无需手术以及单侧视力良好。
结论
经济拮据、对白内障手术无需求以及单侧视力良好是白内障患者延迟接受白内障手术的相关因素。我们建议在偏远地区开展白内障手术外展服务和健康教育。
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