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在一家眼科转诊中心,对已诊断和未诊断青光眼的墨西哥患者的青光眼知识和认知情况。

Knowledge and awareness of glaucoma in Mexican patients with and without glaucoma diagnosis in an Ophthalmology Referral Center.

作者信息

Becerril-Ledezma Valeria, Alvarez-Ascencio Daniela, Del Hierro-Gutiérrez Clarisa Esther, Hernandez-Oteyza Alejandra, Jiménez-Román Jesús

机构信息

Association to Prevent Blindness in Mexico, Private Assistance Institution (APEC), Mexico City 04030, Mexico.

出版信息

Int J Ophthalmol. 2022 Jun 18;15(6):990-996. doi: 10.18240/ijo.2022.06.18. eCollection 2022.

Abstract

AIM

To assess and compare knowledge and awareness of glaucoma in subjects with and without glaucoma diagnosis attending an Ophthalmology Referral Center.

METHODS

This cross-sectional study was conducted at Asociación Para Evitar la Ceguera in Mexico City, using a questionnaire formulated by a group of experts following the Delphi panel rules, and pre-tested in a pilot study. The questionnaire was applied and compared between: glaucoma patients, relatives of glaucoma patients and patients without glaucoma. Socio-demographic data was collected to assess correlation with the level of knowledge using Logistic regression models, estimating the odds ratios (OR), 95% confidence intervals, and <0.05.

RESULTS

Three hundred and ninety-four subjects were enrolled; with a median age of 61y. One hundred and thirty-four (34%) were patients with glaucoma, 152 (38.6%) patients without glaucoma, and 108 (27.4%) relatives of patients with glaucoma. Two hundred and ninety-one (73.9%) participants were aware of the term "glaucoma". Regarding knowledge 46.7% had moderate knowledge, 37.8% had poor knowledge, and 15.5% good knowledge. Overall, relatives of glaucoma patients had the highest scores, and patients without glaucoma got the lowest scores. A positive correlation was found between better knowledge and frequent ophthalmological examinations OR 2.24 (=0.02), higher education level OR 4.17 (=0.00) and having a family member with glaucoma OR 3.28 (=0.00).

CONCLUSION

Awareness and knowledge of glaucoma in subjects attending an Ophthalmology Referral Center is predominantly moderate or poor. This has important implications regarding attitudes that can result in lack of follow up in ophthalmological care.

摘要

目的

评估和比较在眼科转诊中心就诊的已诊断青光眼患者和未诊断青光眼患者对青光眼的知识和认知情况。

方法

这项横断面研究在墨西哥城的预防失明协会开展,采用一组专家按照德尔菲小组规则制定的问卷,并在一项试点研究中进行了预测试。该问卷应用于以下三组人群并进行比较:青光眼患者、青光眼患者的亲属以及无青光眼患者。收集社会人口统计学数据,使用逻辑回归模型评估与知识水平的相关性,估计比值比(OR)、95%置信区间,P<0.05。

结果

共纳入394名受试者;中位年龄为61岁。其中134名(34%)为青光眼患者,152名(38.6%)为无青光眼患者,108名(27.4%)为青光眼患者的亲属。291名(73.9%)参与者知晓“青光眼”一词。在知识方面,46.7%的人知识水平中等,37.8%的人知识水平较差,15.5%的人知识水平良好。总体而言,青光眼患者的亲属得分最高,无青光眼患者得分最低。发现知识水平较高与频繁进行眼科检查(OR=2.24,P=0.02)、高等教育水平(OR=4.17,P=0.00)以及有青光眼家族成员(OR=3.28,P=0.00)之间存在正相关。

结论

在眼科转诊中心就诊的受试者对青光眼的认知和知识水平主要为中等或较差。这对于可能导致眼科护理随访缺失的态度具有重要影响。

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