Department of Glaucoma, Sadguru Netra Chikitsalaya and Postgraduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India.
Department of Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Postgraduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India.
Indian J Ophthalmol. 2023 Feb;71(2):580-584. doi: 10.4103/ijo.IJO_1766_22.
To determine the level of awareness and knowledge about glaucoma surgery and post-surgery counseling amongst paramedical staff at a tertiary eye-care hospital.
This observational cross-sectional study included a random sample of 94 hospital personnel: 37 general nurse midwives, 47 ophthalmic assistants, and 10 patient caretakers (PCTs). Participants were administered a questionnaire about glaucoma surgery and post-surgery counseling of patients.
The study included 41 (43.6%) females and 53 (56.4%) males. The mean age of the participants was 24.85 ± 4.54 years. All participants were aware of trabeculectomy surgery in glaucoma (100%). A total of 95.7% knew that surgery helps in controlling IOP, of whom 57 (60.6%) participants got information during their course of learning. Overall 53 (56.4%) believed that surgery is done when medication failure occurs, and 58 (61.7%) knew that surgery helps in preserving vision. A total of 63 (67.0%) participants knew to counsel patients to visit an ophthalmologist when called for and take the treatment as advised, whereas 74 (78.7%) correctly said to visit an ophthalmologist immediately if pain/diminution of vision/discharge occurs. Overall, PCTs were found to be having significantly better knowledge (P = 0.01) compared to others and they also reported ophthalmologists as the chief source of information.
This study revealed that paramedical staff had an excellent awareness of trabeculectomy surgery. However, the knowledge and counseling parts of the questionnaire revealed less than satisfactory responses. So, there is a need to continuously educate paramedical staff members so that they can help in propagating information about the role of glaucoma surgery and the importance of proper follow-up.
评估一家三级眼科医院的辅助医务人员对青光眼手术及术后咨询的认知水平和知识储备。
这是一项观察性的横断面研究，纳入了 94 名医院工作人员的随机样本：37 名普通护士助产士、47 名眼科助理和 10 名患者护理员（PCT）。参与者接受了一份关于青光眼手术和患者术后咨询的问卷。
研究包括 41 名（43.6%）女性和 53 名（56.4%）男性。参与者的平均年龄为 24.85±4.54 岁。所有参与者都了解青光眼的小梁切除术（100%）。总共 95.7%的人知道手术有助于控制眼压，其中 57 人（60.6%）是在学习过程中获得的信息。总的来说，53 人（56.4%）认为手术是在药物治疗失败时进行的，58 人（61.7%）知道手术有助于保持视力。共有 63 人（67.0%）知道在需要时告知患者去看眼科医生并按建议接受治疗，而 74 人（78.7%）知道如果出现疼痛/视力下降/分泌物时应立即去看眼科医生。总的来说，与其他人员相比，PCT 人员的知识水平显著更高（P=0.01），他们还表示眼科医生是信息的主要来源。
本研究表明，辅助医务人员对小梁切除术有很好的认识。然而，问卷调查的知识和咨询部分的回答并不令人满意。因此，需要不断对辅助医务人员进行教育，以便他们能够帮助传播关于青光眼手术的作用和适当随访的重要性的信息。
