摘要
目的调查2型糖尿病(T2DM)患者对糖尿病视网膜病变(DR)的认知情况,并分析其影响因素。方法选取2017年3月至2019年3月上海宝山区仁和医院确诊为T2DM的617例患者为研究对象,以问卷的方式对其展开调查,问卷回收率为100%。统计患者一般资料及对DR各项相关知识了解情况,同时经单因素及多因素分析影响DR认知度的相关因素。结果T2DM患者对空腹血糖正常值、是否可以避免DR引起的失明的知晓率较高,其知晓率分别为79.42%和61.43%,而对DR的治疗方法及应何时进行激光治疗的知晓率较低,其知晓率只有12.32%和13.29%;617例T2DM患者DR认知度评分16~81分,平均(48.19±20.39)分;经单因素分析发现,年龄较低、文化程度较高、合并DR及参加DM讲座的患者认知度明显较高(P<0.05);经多因素分析发现,年龄、文化程度、合并DR及参加DM讲座均是影响DR认知度的独立因素(P<0.05)。结论T2DM患者对DR认知度普遍偏低,而DR认知度与T2DM患者年龄、文化程度、是否合并DR、是否参加DM讲座密切相关;应加强DR健康宣教,并重点关注年龄高、文化程度低、未合并DR及未参与DM讲座者。
Objective To investigate the cognition of patients with type 2 diabetes mellitus(T2DM)on diabetic retinopathy(DR)and analyze its influencing factors.Methods A total of 617 patients diagnosed with T2DM in Renhe Hospital of Shanghai Baoshan District from March 2017 to March 2019 were selected as the study objects.Questionnaires were used for investigation,and the questionnaire response rate was 100%.The general information of patients and the scores of DR related knowledge were statistically analyzed,and the related factors that affect DR cognition were analyzed by univariate analysis and multivariate analysis.Results T2DM patients had a higher awareness rate of normal value of fasting blood glucose(79.42%)and whether blindness caused by DR can be avoid(61.43%),while had a lower awareness rate of DR treatment(12.32%)and when to perform laser treatment(13.29%).The DR cognition score of 617 T2DM patients was 16 to 81 points,with an average of(48.19±20.39)points.After univariate analysis,the cognition was significantly higher in patients with lower age,higher education level,combined DR and attending DM lectures(P<0.05).Multivariate analysis showed that age,education level,combined DR,and attending DM lectures were all independent factors that affect DR cognition(P<0.05).Conclusion T2DM patients generally have low DR cognition,and DR cognition is closely related to age,education level,whether they have combined DR,and whether they participate in DM lectures.Therefore,DR health education should be strengthened,and focus on patients with advanced age,low education level,no combination of DR,and not attending DM lectures.
作者
吴丽萍
胡春玲
张悦
张玮
WU Li-ping;HU Chun-ling;ZHANG Yue;ZHANG Wei(Department of Ophthalmology,Renhe Hospital of Shanghai Baoshan District,Shanghai 200431,CHINA)
出处
《海南医学》
CAS
2021年第17期2272-2274,共3页
Hainan Medical Journal
关键词
2型糖尿病
视网膜病变
认知度
问卷调查
影响因素
Type 2 diabetes mellitus
Retinopathy
Cognition
Questionnaire investigation
Influencing factors
