Almouqati Fouziah, Daire Judith, Catanach Catherine, deSousa Jean-Louis, Quill Sam, Estai Mohamed
School of Population Health, Faculty of Health Sciences, Curtin University, Bentley 6102, Australia.
North Metropolitan TAFE, Mt Lawley 6050, Australia.
Nurs Rep. 2025 Jan 14;15(1):23. doi: 10.3390/nursrep15010023.
Despite the availability of screening services, the rate of diabetic retinopathy (DR) screening continues to be suboptimal in Australia, necessitating improvement. However, improving DR screening rates requires a more comprehensive understanding of the factors influencing adherence to the screening recommendations. This study aimed to explore the factors that influence adherence to DR screening among people with diabetes attending a community screening clinic in Australia. This qualitative study included purposively patients with diabetes recruited from a nurse-led community screening clinic in Australia. Semi-structured interviews were conducted to explore barriers and enablers impacting patient adherence to DR screening recommendations. The interview data were analyzed thematically using NVivo based on the socio-ecological model, with salience identified by the frequency of the theme. A total of 22 participants completed the interview, including 10 females with a mean age of 60 ± 16.2 years. The interviews identified several factors that improved adherence to DR screening guidelines, including (a) knowledge of the connection between DR and diabetes and the importance of the screening, (b) the care provider's recommendations, and (c) pre-booked appointments and automatic invitations. Beyond these factors, clinic staff interactions, family support, fear of vision loss, flexible clinic hours, and transportation accessibility also facilitate DR screening adherence. The present study identified key multi-level factors influencing adherence to DR screening. While these findings from a single clinic provide valuable insights to inform screening strategies, larger multi-center studies are needed to validate their broader applicability across diverse healthcare settings and populations.
尽管有筛查服务，但澳大利亚糖尿病视网膜病变（DR）的筛查率仍不理想，需要改进。然而，提高DR筛查率需要更全面地了解影响遵循筛查建议的因素。本研究旨在探讨影响澳大利亚一家社区筛查诊所糖尿病患者遵循DR筛查的因素。这项定性研究特意纳入了从澳大利亚一家由护士主导的社区筛查诊所招募的糖尿病患者。进行了半结构化访谈，以探讨影响患者遵循DR筛查建议的障碍和促成因素。基于社会生态模型，使用NVivo对访谈数据进行了主题分析，通过主题出现的频率确定其显著性。共有22名参与者完成了访谈，其中包括10名女性，平均年龄为60±16.2岁。访谈确定了几个提高遵循DR筛查指南的因素，包括（a）对DR与糖尿病之间联系以及筛查重要性的了解，（b）医护人员的建议，以及（c）预先预约的就诊和自动邀请。除了这些因素外，诊所工作人员的互动、家庭支持、对视力丧失的恐惧、灵活的诊所营业时间和交通便利性也有助于提高DR筛查的遵循率。本研究确定了影响遵循DR筛查的关键多层次因素。虽然来自单一诊所的这些发现为制定筛查策略提供了有价值的见解，但需要更大规模的多中心研究来验证其在不同医疗环境和人群中的更广泛适用性。
