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印度南部医生关于青光眼的知识、认知及自我护理实践的横断面研究

A Cross-Sectional Study on Knowledge, Awareness, Self-Care Practices About Glaucoma Among Doctors in South India.

作者信息

Tellakula Adithya, M Meera Devasena, Cyriac Rejo Varkey

机构信息

Ophthalmology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

出版信息

Cureus. 2024 Jun 10;16(6):e62043. doi: 10.7759/cureus.62043. eCollection 2024 Jun.

Abstract

Introduction Glaucoma is the major cause of irreversible blindness worldwide. Glaucoma affects the optic nerve head in the posterior segment of the eye and the defects lead to permanent blindness if left untreated. Poor knowledge about this disease is strongly correlated with delayed diagnosis. This study aimed to evaluate doctors' knowledge and self-care practices about glaucoma at a tertiary care hospital in Chennai, presuming that healthcare professionals constitute an effective conduit between the population at risk and ophthalmologists. Methods We carried out this cross-sectional survey among 252 doctors practicing allopathic medicine in a tertiary care hospital in Chennai from July 2022 to December 2022. We have collected 252 samples by simple random sampling method. We have excluded doctors who have a degree in ophthalmology or practicing it. The data collection was interview-based using a pre-designed, structured questionnaire that contained questions on sociodemographic characteristics age, gender, and specialty in medicine. It also included questions assessing knowledge and self-care practices about glaucoma among doctors of various specialties other than ophthalmology. We entered the collected data into Microsoft Excel (Microsoft Corporation, Redmond, WA), cleaned it, and analyzed it using SPSS version 16. Results The mean age of the doctors was 33.24 ± 10.90 years in this study. About 132 (52.4%) of the study participants were females. Only 91 (36.1%) of respondents knew that glaucoma may permanently impair vision, but nearly 240 (95.2%) believed that it could be treated. Two hundred seventeen (86.1%) participants were aware that glaucoma runs in families. About 218(86.5%) doctors were aware that glaucoma destroys the optic nerve in the eye, and 171 (67.9%) knew that peripheral vision loss happens before central vision loss. Only 146 (57.9%) of physicians had their eye pressure examined. About 232(92.1%) doctors had their eyes checked routinely. Only 42 (16.7%) of physicians took part in glaucoma awareness campaigns. Nearly 199 (79%) of those surveyed thought it was required to check a patient's family members for glaucoma. We note that among doctors, the knowledge and practice score of correct replies was strongly connected with work experience (P value = 0.035). Conclusion The need for extensive eye health education and information distribution for healthcare workers should be stressed. Teaching the hospital staff about the symptoms and prognosis of this "silent thief of sight" might be a crucial first step in providing preventive ophthalmic treatment.

摘要

引言

青光眼是全球不可逆性失明的主要原因。青光眼影响眼球后段的视神经乳头,如果不治疗,这些缺陷会导致永久性失明。对这种疾病的了解不足与诊断延迟密切相关。本研究旨在评估钦奈一家三级护理医院医生对青光眼的知识和自我护理实践情况,假定医疗保健专业人员是高危人群与眼科医生之间的有效桥梁。

方法

我们于2022年7月至2022年12月在钦奈一家三级护理医院对252名从事全科医学的医生进行了这项横断面调查。我们通过简单随机抽样方法收集了252个样本。我们排除了拥有眼科专业学位或从事眼科工作的医生。数据收集采用基于访谈的预先设计的结构化问卷,该问卷包含有关社会人口统计学特征(年龄、性别和医学专业)的问题。它还包括评估除眼科以外各专业医生对青光眼的知识和自我护理实践的问题。我们将收集到的数据录入Microsoft Excel(微软公司,华盛顿州雷德蒙德),进行清理,并使用SPSS 16版进行分析。

结果

本研究中医生的平均年龄为33.24±10.90岁。约132名(52.4%)研究参与者为女性。只有91名(36.1%)受访者知道青光眼可能会永久性损害视力,但近240名(95.2%)认为它可以治疗。217名(86.1%)参与者意识到青光眼具有家族遗传性。约218名(86.5%)医生知道青光眼会破坏眼球内的视神经,171名(67.9%)知道周边视力丧失先于中央视力丧失。只有146名(57.9%)医生检查过眼压。约232名(92.1%)医生定期检查眼睛。只有42名(16.7%)医生参加过青光眼宣传活动。近199名(79%)受访者认为需要检查患者的家庭成员是否患有青光眼。我们注意到,在医生中,正确回答的知识和实践得分与工作经验密切相关(P值=0.035)。

结论

应强调对医护人员进行广泛的眼部健康教育和信息传播的必要性。向医院工作人员传授这种“视力无声窃贼”的症状和预后可能是提供预防性眼科治疗的关键第一步。

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