Pasagian-Macaulay A, Basch C E, Zybert P, Wylie-Rosett J
The Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh, School of Medicine, Pennsylvania (Dr Pasagian-Macaulay)
The Department of Health Education and Nutrition Sciences, Columbia University, Teachers College, New York, New York (Drs Basch and Zybert)
Diabetes Educ. 1997 Jul-Aug;23(4):433-7. doi: 10.1177/014572179702300408.
Many patients with diabetes do not obtain the recommended annual dilated eye exam that is necessary for early detection of diabetic retinopathy. In this study, 150 suburban, low-income women with diabetes were interviewed using a structured telephone questionnaire that included subscales of ophthalmic knowledge and beliefs regarding barriers, benefits, concerns, and self-efficacy related to receiving recommended ophthalmic screening. The data revealed significant gaps in knowledge about diabetes-related eye complications. More than half of the subjects did not know that eye complications may be asymptomatic and that there are ways to lower the risk of eye problems. Over three quarters did not mention having drops put in their eyes as part of an eye exam, one fifth did not know what type of health provider should perform an eye exam, and 17% did not know that annual eye exams were recommended. Subjects were concerned about eye complications associated with diabetes, were aware of the benefits of eye exams, and reported high levels of self-efficacy for receiving an annual eye exam.
许多糖尿病患者未进行推荐的年度散瞳眼部检查，而这对于早期发现糖尿病视网膜病变是必要的。在本研究中，使用结构化电话问卷对150名郊区低收入糖尿病女性进行了访谈，问卷包括关于眼部知识以及与接受推荐的眼部筛查相关的障碍、益处、担忧和自我效能的分量表。数据显示，在与糖尿病相关的眼部并发症知识方面存在显著差距。超过一半的受试者不知道眼部并发症可能无症状，也不知道有降低眼部问题风险的方法。超过四分之三的受试者未提及眼部检查时会滴眼药水，五分之一的受试者不知道应由哪种医疗服务提供者进行眼部检查，17%的受试者不知道推荐进行年度眼部检查。受试者担心与糖尿病相关的眼部并发症，意识到眼部检查的益处，并报告接受年度眼部检查的自我效能水平较高。
