深圳市社区糖尿病患者视网膜病变防治知识知晓度及影响因素分析  

A survey of awareness of retinopathy among diabetic patients in communities of Shenzhen

作　　者：彭云[1] 郭千千 刘军安[2] 郭慧[1] 王媛[1] 姚媛媛[1] 叶琳[1] Peng Yun;Guo Qianqian;Liu Jun'an;Guo Hui;Wang Yuan';Yao Yuanyuan;Ye Lin(Shenzhen Eye Hospital,Affiliated Shenzhen Eye Hospital of Jinan University,Shenzhen Oculopathy Control Institute,Shenzhen 518040,China;School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]深圳市眼科医院暨南大学附属深圳眼科医院深圳市眼病防治研究所,518040 [2]华中科技大学同济医学院公共卫生学院,武汉430030

出　　处：《中华眼底病杂志》2021年第1期21-26,共6页Chinese Journal of Ocular Fundus Diseases

基　　金：深圳市糖尿病视网膜病变筛查及随访研究(SZLY2017026);深圳市三名工程项目(szsm201512039)。

摘　　要：目的调查深圳市社区糖尿病患者糖尿病视网膜病变(DR)防治知识知晓情况,分析其影响因素。方法采用整群随机抽样方法抽取深圳市2个行政区6家社区卫生服务中心确诊的糖尿病患者904例纳入研究。对患者进行问卷调查,了解其对DR防治知识的知晓度。采用多因素logistic回归分析法分析DR防治知识知晓度相关影响因素。结果 904例患者中,DR防治知识总知晓144例(15.93%,144/904)。"糖尿病会影响视力,甚至导致失明"知晓率最高(88.60%,801/904);"DR治疗方法"知晓率最低(6.20%,56/904);"糖尿病应定期检查眼底"和"糖尿病患者检查眼底间隔时间"知晓率均低于50.00%。多因素logistic回归分析结果显示,性别[比值比(OR)=1.595 ]、受教育程度(OR=2.963、3.937 )、月收入水平(OR=3.871、4.675 )、糖尿病病程≥15年(OR=1.829 )、治疗措施(OR=3.318、4.512)及是否患有DR (OR=1.605)等是影响DR防治知识知晓度达标的重要因素(P<0.05 )。结论深圳市社区糖尿病患者DR防治知识总体知晓度较低;男性、受教育程度和收入水平较低是其主要影响因素。Objective To investigate the awareness of diabetic retinopathy(DR)prevention and treatment knowledge of diabetic patients in the community of Shenzhen,and analyze its influencing factors.Methods A cluster random sampling method was used to select 904 patients with diabetes diagnosed in 6 community health service centers in 2 administrative districts of Shenzhen and included in this study.Questionnaire survey of patients were performed to understand their knowledge of DR prevention and treatment.The multi-factor logistic regression analysis method was used to analyze the related influencing factors of DR prevention knowledge awareness.Results Among 904 patients,144 patients(15.93%,144/904)knew about DR prevention and treatment knowledge.The highest awareness rate were about"Diabetes can affect vision and even cause blindness"(88.60%,801/904).The lowest awareness rate(6.20%,56/904)were about"DR treatment methods".About"diabetes requires regular fundus examinations"and"diabetics",the awareness rate of fundus examination interval were less than 50.00%.The results of multivariate logistic regression analysis showed that gender[odds ratio(OR)=1.595],education level(OR=2.963,3.937),monthly income level(OR=3.871,4.675),diabetes course≥15 years(OR=1.829),treatment measures(OR=3.318,4.512).Whether people had DR(OR=1.605)were important factors that affected the awareness of DR prevention and treatment knowledge(P<0.05).Conclusions The overall awareness of DR prevention and treatment knowledge among diabetic patients in the community of Shenzhen is relatively low.Males,low education and income levels are the main influencing factors.

关 键 词：糖尿病视网膜病变 健康教育 预防医学 影响因素分析 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学] R193[医药卫生—临床医学]