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2023年埃塞俄比亚西北部贡德尔中区初级卫生保健工作者的白内障转诊实践及相关因素

Cataract referral practice and associated factors among primary healthcare workers in Central Gondar Zone, Northwest Ethiopia, 2023.

作者信息

Bogale Zinachew Mulat, Tegegne Mebratu Mulusew, Zeleke Tarekegn Cheklie

机构信息

Department of Optometry, School of Medicine, University of Gondar, Comprehensive Specialized Hospital, Gondar, Ethiopia.

出版信息

Int Ophthalmol. 2025 May 29;45(1):217. doi: 10.1007/s10792-025-03580-9.

Abstract

PURPOSE

The main purpose of this study was to assess the level of Cataract Referral Practice And Associated Factors Among Primary Healthcare Workers in Central Gondar Zone, Northwest Ethiopia,2023.

METHODS

A cross sectional study was conducted on 284 primary health care workers selected through systematic random sampling from June to August, 2023. Data were collected using a pre-tested, self-administered questionnaire. The data were entered into EPI Info version 7 and exported to SPSS version 20 for analysis. A binary logistic regression model was used to identify out enabling factors for referral practice. The strength of association was expressed by odds ratios with a 95% confidence interval, and factors with a p- value less than 0.05 were considered as statistically significant.

RESULTS

Among 284 primary health care workers, 96.1% (273) participated in the study with an average age of 30 years. Thirty-seven(13.6%) had received inservice training about cataracts. The proportion of good referral practice was 21.9% [95% CI (17.4-27.2.0)]. It was significantly associated with insevice training about cataract [AOR = 3.13, 95%CI (1.31-7.45)].

CONCLUSION

The study revealed that only a few study participants demonstrated good referral practice, which was linked to recieving training. It is better to increase efforts of practice by giving inservice eye care training to primary health care workers on the cataract referral scheme.

摘要

目的

本研究的主要目的是评估2023年埃塞俄比亚西北部贡德尔中部地区初级卫生保健工作者的白内障转诊实践水平及相关因素。

方法

于2023年6月至8月对通过系统随机抽样选取的284名初级卫生保健工作者进行了横断面研究。使用经过预测试的自填式问卷收集数据。数据录入EPI Info 7版本,并导出到SPSS 20版本进行分析。采用二元逻辑回归模型确定转诊实践的促成因素。关联强度用比值比和95%置信区间表示,p值小于0.

05的因素被认为具有统计学意义。

结果

在284名初级卫生保健工作者中,96.1%(273名)参与了研究,平均年龄为30岁。37名(13.6%)接受过白内障在职培训。良好转诊实践的比例为21.9% [95%置信区间(17.4 - 27.2)]。它与白内障在职培训显著相关 [调整后比值比 = 3.13,95%置信区间(1.31 - 7.45)]。

结论

研究表明,只有少数研究参与者表现出良好的转诊实践,这与接受培训有关。最好通过对初级卫生保健工作者进行白内障转诊方案的在职眼保健培训来加大实践力度。

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