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在费莱格·希沃特专科医院就诊的糖尿病患者中,与糖尿病视网膜病变筛查及定期眼部检查行为相关的因素。

Factors associated with diabetic retinopathy screening and regular eye checkup practice among diabetic patients attending Felege Hiwot Specialized Hospital.

作者信息

Fekadu Sofonias Addis, Seid Mohamed Abdu, Akalu Yonas, Gela Yibeltal Yismaw, Diress Mengistie, Getnet Mihret, Dagnew Baye, Belsti Yitayeh

机构信息

Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar P.O.BOX 196, Ethiopia.

Unit of Human Physiology, Department of Biomedical Science, College of Health Sciences, Debre Tabor University, Debre Tabor P.O.BOX 272, Ethiopia.

出版信息

Int J Ophthalmol. 2022 Nov 18;15(11):1829-1836. doi: 10.18240/ijo.2022.11.14. eCollection 2022.

Abstract

AIM

To identify associated factors of diabetic retinopathy (DR) screening and ey e check-up practice among diabetes mellitus (DM) patients attending Felege Hiwot Specialized Hospital.

METHODS

An institution-based cross-sectional study was applied from October 4, 2019 to January 12, 2020 at Felege Hiwot Specialized Hospital. A systematic random sampling technique was used to recruit participants and an interviewer-administered questionnaire was employed to collect the data. The collected data were entered into Epi Info version 7 and transposed to SPSS version 24 for statistical analysis. Descriptive statistics were executed and associated factors were identified using binary logistic regression. The strength of association between the independent and the outcome variable was determined using an adjusted odds ratio (AOR) with 95% confidence interval (CI).

RESULTS

Four hundred and six participants partake with a response rate of 95.7% and a mean age of 47±11.5y. The magnitude of DR screening was 308 (75.9%, 95%CI: 71.5%, 79.8%). Higher educational level (AOR=3.25; 95%CI: 1.40, 8.78), good knowledge of DR (AOR=2.50; 95%CI: 1.55, 4.46), and family history of DM (AOR=2.15; 95%CI: 1.41, 3.85) were significantly associated with DR screening. On the other side, rural residence [AOR=3.11 (1.89, 5.02)] and undesirable attitudes toward DR [AOR=5.65 (3.14, 8.76)] were significantly associated with poor regular eye checkup practice.

CONCLUSION

Most of the participants are screened for DR. Higher education, family history, and good knowledge are associated with DR screening. In addition, rural residence and undesirable attitudes toward DR are associated with regular eye checkup practice.

摘要

目的

确定费莱格·希沃特专科医院糖尿病(DM)患者中糖尿病视网膜病变(DR)筛查及眼部检查的相关因素。

方法

2019年10月4日至2020年1月12日在费莱格·希沃特专科医院开展了一项基于机构的横断面研究。采用系统随机抽样技术招募参与者,并使用访谈式问卷收集数据。收集到的数据录入Epi Info 7版本,然后转换到SPSS 24版本进行统计分析。进行描述性统计,并使用二元逻辑回归确定相关因素。使用调整后的优势比(AOR)及95%置信区间(CI)确定自变量与结果变量之间的关联强度。

结果

406名参与者参与,应答率为95.7%,平均年龄为47±11.5岁。DR筛查率为308例(75.9%,95%CI:71.5%,79.8%)。受教育程度较高(AOR=3.25;95%CI:1.40,8.78)、对DR有良好认知(AOR=2.50;95%CI:1.55,4.46)以及有DM家族史(AOR=2.15;95%CI:1.41,3.85)与DR筛查显著相关。另一方面,农村居民身份[AOR=3.11(1.89,5.02)]以及对DR的不良态度[AOR=5.65(3.14,8.76)]与定期眼部检查不佳显著相关。

结论

大多数参与者接受了DR筛查。较高的教育水平、家族史和良好的认知与DR筛查相关。此外,农村居民身份和对DR的不良态度与定期眼部检查相关。

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