Maluleke Khisimusi Debree, Mahomed Saajida
School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Department of Health, Limpopo Province, Sekororo District Hospital, Durban, South Africa.
Front Med (Lausanne). 2025 Aug 7;12:1536822. doi: 10.3389/fmed.2025.1536822. eCollection 2025.
BACKGROUND: Diabetic retinopathy (DR) is a leading cause of preventable vision loss worldwide. Early screening and diagnosis are critical in mitigating vision loss in patients with diabetes. This review aims to analyze existing research on healthcare professionals' (HCPs) knowledge, attitudes, and practices regarding DR screening. METHODS: A literature search was performed using four electronic databases: Medline, Google Scholar, Science Direct, and EBSCOhost. The search terms included synonyms connected by the Boolean operator "OR." This search covered quantitative, qualitative, and mixed-methods research studies. The appraisal was done using the Joanna Briggs Institute's critical tool. A total of 59 published articles were analyzed. RESULTS: Forty-seven articles (79.7%) assessed knowledge of HCPs, 30 (50.8%) assessed attitudes, and 42 (71.2%) assessed practices related to DR screening and referrals. The studies reveal significant differences in knowledge, attitudes, and practices regarding DR among various HCPs. There was variation in levels of knowledge amongst various categories of HCPs, with nine studies reporting 100% knowledge of DR. Positive attitudes ranged from 13 to 100%. Similar variations were reported regarding practices, with many HCPs not screening patients for DR. Inadequate training, lack of screening resources like an ophthalmoscope, dilating eye drops, and being inundated with other responsibilities were common reasons for the gaps in knowledge and practices. CONCLUSION: Non-ophthalmic HCPs' knowledge, attitudes, and practices (KAP) regarding DR screening were unsatisfactory. The HCPs with an ophthalmic background had varying levels of KAP regarding DR, with some having good knowledge and others having deficiencies in applying screening guidelines and providing patient education. Regular in-service training is needed, particularly for non-ophthalmic HCPs, and resources should be available for screening at the primary care level.
背景:糖尿病视网膜病变(DR)是全球可预防视力丧失的主要原因。早期筛查和诊断对于减轻糖尿病患者的视力丧失至关重要。本综述旨在分析现有关于医护人员(HCPs)对DR筛查的知识、态度和实践的研究。 方法:使用四个电子数据库进行文献检索:Medline、谷歌学术、科学Direct和EBSCOhost。检索词包括由布尔运算符“OR”连接的同义词。该检索涵盖了定量、定性和混合方法的研究。使用乔安娜·布里格斯研究所的关键工具进行评估。共分析了59篇已发表的文章。 结果:47篇文章(79.7%)评估了医护人员的知识,30篇(50.8%)评估了态度,42篇(71.2%)评估了与DR筛查和转诊相关的实践。研究揭示了不同医护人员在DR知识、态度和实践方面存在显著差异。不同类别的医护人员知识水平存在差异,有9项研究报告称对DR的知晓率为100%。积极态度的比例从13%到100%不等。在实践方面也报告了类似的差异,许多医护人员未对患者进行DR筛查。培训不足、缺乏检眼镜和散瞳眼药水等筛查资源以及被其他职责缠身是知识和实践方面存在差距的常见原因。 结论:非眼科医护人员对DR筛查的知识、态度和实践(KAP)不尽人意。有眼科背景的医护人员在DR方面的KAP水平各不相同,一些人知识良好,而另一些人在应用筛查指南和提供患者教育方面存在不足。需要定期进行在职培训,尤其是针对非眼科医护人员,并且应在初级保健层面提供筛查资源。
Front Med (Lausanne). 2025-8-7
JBI Database System Rev Implement Rep. 2016-4
Cochrane Database Syst Rev. 2015-1-7
Cochrane Database Syst Rev. 2011-7-6
Cochrane Database Syst Rev. 2024-6-4
J Pharm Bioallied Sci. 2024-2
Front Med (Lausanne). 2023-11-22