印度尼西亚首都雅加达初级保健中心全科医生对糖尿病视网膜病变筛查的知识、态度和实践模式。
Knowledge, attitude, and practice pattern towards diabetic retinopathy screening among general practitioners in primary health centres in Jakarta, the capital of Indonesia.
机构信息
Ophthalmology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
出版信息
BMC Prim Care. 2023 May 11;24(1):114. doi: 10.1186/s12875-023-02068-8.
BACKGROUND
Diabetic retinopathy (DR) is an emerging cause of visual impairment and blindness and is often detected in the irreversible stage. General practitioners (GPs) play an essential role in the prevention of DR through diabetes control, early detection of retinal changes, and timely referral to ophthalmologists. This study aimed to determine the knowledge, attitude, and practice (KAP) towards DR screening among GPs in the district primary health centres (PHCs) in Jakarta, Indonesia.
METHODS
A cross-sectional study was conducted between April 2021 and February 2022 in 17 randomly selected district PHCs. A validated online questionnaire was then distributed. Good knowledge was defined when the correct response rate was > 75%, positive attitude was indicated when desired attitudes were found in more than half of the items (> 50%), and good practice was defined when more than half of the practice items (> 50%) were performed.
RESULTS
A total of 92 GPs, with a response rate of 60.1%, completed the questionnaire. Seventy-nine respondents (85.9%) were female with a median (range) age of 32 (24-58) years. Among the respondents, 82 (89.1%) had good knowledge and all showed positive attitude on DR screening. However, only four (4.3%) demonstrated good practices. We found a weak positive correlation (r = 0.298, p = 0.004) between attitude and practices.
CONCLUSION
GPs in Jakarta showed good knowledge and positive attitude on DR screening. However, they did not show good practice. There was a positive correlation between attitude and practice.
背景
糖尿病视网膜病变（DR）是视力损害和失明的一个新兴原因，且常发生于不可逆转阶段。全科医生（GP）在通过控制糖尿病、早期发现视网膜变化以及及时转介给眼科医生来预防 DR 方面发挥着至关重要的作用。本研究旨在确定印度尼西亚雅加达地区初级卫生保健中心（PHC）的全科医生对 DR 筛查的知识、态度和实践（KAP）情况。
方法
2021 年 4 月至 2022 年 2 月期间，在随机选择的 17 个地区 PHC 中进行了一项横断面研究。然后分发了一份经过验证的在线问卷。当正确回答率>75%时，定义为具有良好的知识；当超过一半的项目（>50%）表现出期望的态度时，定义为具有积极的态度；当超过一半的实践项目（>50%）得到执行时，定义为具有良好的实践。
结果
共有 92 名 GP 完成了问卷，应答率为 60.1%。79 名应答者（85.9%）为女性，中位数（范围）年龄为 32（24-58）岁。在应答者中，82 名（89.1%）具有良好的知识，且所有人对 DR 筛查均表现出积极的态度。然而，仅有 4 名（4.3%）表现出良好的实践。我们发现态度和实践之间存在弱正相关（r=0.298，p=0.004）。
结论
雅加达的 GP 对 DR 筛查具有良好的知识和积极的态度，但他们的实践表现不佳。态度和实践之间存在正相关。
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