普通眼科门诊青光眼认知度的调查  

The randomly sampling survey of glaucoma awareness in general clinic

作　　者：陈晓勇[1] 杨静[1] 张纯[1] 王薇[1] 

机构地区：[1]北京大学第三医院眼科中心,100083

出　　处：《眼科研究》2009年第5期425-428,共4页Chinese Ophthalmic Research

基　　金：北京大学第三医院种子基金资助(YZZ08-9-14)

摘　　要：目的提高公众对青光眼的认知度及青光眼患者的检出率。方法采用问卷随机抽样调查646例普通眼科门诊就诊者。所有数据用χ2检验和多因素logistic回归分析处理数据。结果66.6%的受访者表示对青光眼不了解,其中51.61%为已确诊的青光眼患者。青光眼的认知与性别、服用糖皮质激素史、高血压、糖尿病以及近视均无相关性(P>0.05),与年龄、教育程度、具有卫生部门工作经历、定期眼科检查、曾经接受散瞳检查、具有青光眼家族史等显著相关。心血管患者及服用降血压药物的受访者对青光眼的认知度高于其他人群。结论青光眼认知度问卷调查为青光眼患者的宣教和知识普及提供了目标人群,使早期防治有所提示。近视患者、糖皮质激素服用者、高龄人群、低教育程度者、糖尿病及高血压患者、无定期眼科保健者以及部分对青光眼缺乏认识的青光眼患者,是今后加强宣教的目标人群。Objective Glaucoma is a leading cause of blindness in worldwide. To enhance the education of prevention and treatment of glaucoma is very important for improving the awareness ability for glaucoma in target population. Present paper was a survey to determine the glaucoma awareness in a population visiting a general eye clinic. Methods A questionnaire about glaucoma was designed and administrated in general eye clinic patients（ n = 646）. Chi-square and multivariate logistic regression was used to determine the influence of demographic and clinical features on awareness of glaucoma. Results The patients with glaucoma unawareness overall were identified in 66.6% of the total population, and 51.61% of them was the patients with suffering from glaucom. There were no significant differences were found in glaucoma awareness between male and female,with and without steroid, with and without systemic hypertension, with and without diabetes, with and without myopia （ P 〉 0. 05 ）. However,obvious differences were seen in glaucoma awareness among different ages, education backgrounds, specialties in the health field ,with and without regular ocular examination, with and without the history of dilated pupils, with and without family history of glaucoma（P 〈 0.05 ）. The glaucoma awareness ability was enhanced in the population with cardiovascular disease and administration of medication for high blood pressure. The positive correlation was indicated between glaucoma awareness ability and the factors mentioned above. Conclusion This outcome implies that the population with myopia, usage of steroid, systemic hypertension, diabetes, lower education background, less eye care, and even small amount of glaucoma patients are more likely to be unfamiliar with glaucoma knowledge, so they will be the target population for social education in glaucoma awareness ability. The regular eye examination, society, information exchange are necessary for glaucoma patients.

关 键 词：青光眼认知度 普通眼科门诊 随机抽样调查 

分 类 号：R775.01[医药卫生—眼科]