Courtright P, Kanjaloti S, Lewallen S
International Centre for Eye Health, London, United Kingdom.
Trop Geogr Med. 1995;47(1):15-8.
The objective of this research was to assess the barriers to cataract surgical acceptance by blind rural Malawians recognized and referred for surgical correction at district hospitals. Cataract blind recognized and referred for surgery by the ophthalmic assistants in Chikwawa and Nsanje Districts were interviewed 9-12 months after enrolment to determine if they had undergone cataract surgery and to assess factors associated with surgical acceptance. There were significant gender-specific baseline differences between men and women presenting to the ophthalmic assistants. Patients living near the district hospital were also most likely to present to the ophthalmic assistant. Men with lower socioeconomic status were more likely to accept surgery than men with higher socioeconomic status. Men and women who either talked to someone about cataract surgery or knew another aphakic patients were more likely to accept surgery. The best approaches to improving cataract acceptance given existing resources might be to encourage patients undergoing cataract surgery to educate and motivate others to accept surgery and to train existing village level health staff in cataract recognition and referral. Economic barriers and lack of family support are likely to continue to impede improved cataract surgical acceptance, especially among women.
本研究的目的是评估马拉维农村地区盲人白内障手术接受率的障碍，这些盲人在地区医院被识别并转诊接受手术矫正。奇夸瓦和恩桑杰地区的眼科助理识别并转诊接受手术的白内障盲人患者，在登记9至12个月后接受访谈，以确定他们是否接受了白内障手术，并评估与手术接受率相关的因素。向眼科助理就诊的男性和女性在基线时存在显著的性别差异。居住在地区医院附近的患者也最有可能向眼科助理就诊。社会经济地位较低的男性比社会经济地位较高的男性更有可能接受手术。与他人谈论过白内障手术或认识其他无晶状体患者的男性和女性更有可能接受手术。在现有资源条件下，提高白内障接受率的最佳方法可能是鼓励接受白内障手术的患者教育和激励他人接受手术，并培训现有的村级卫生人员进行白内障识别和转诊。经济障碍和缺乏家庭支持可能会继续阻碍白内障手术接受率的提高，尤其是在女性中。
