L. Cushley, K. Curran, Nicola B. Quinn, Aaron Bell, A. Muldrew, U. Graham, D. McCance, Qing Wen, T. Peto
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引用次数: 4
摘要
该研究的目的是调查12-26岁糖尿病患者参加北爱尔兰糖尿病眼筛查项目(DESPNI)的特点、障碍和促进因素。采用回顾性分析和前瞻性、基于问卷的数据收集的混合方法。数据分析采用有序逻辑回归。一份问卷收集了参加DESPNI的障碍和促进因素的信息。年龄、糖尿病病程、糖尿病门诊就诊和较低的HbA1c值与较好的出勤率显著相关。12-15岁的人比16-26岁的人更有可能参加筛查,优势比(OR) 4.01。诊断时间少于5年的受试者比糖尿病病程较长的受试者更有可能参加治疗(OR = 2.52, p =< 0.001)。参加糖尿病诊所的受试者更有可能参加筛查(OR = 1.89, p =< 0.001),并且HbA1c较低(OR = 1.46, p =< 0.001)。问卷调查显示,就诊的主要障碍包括预约时间不方便、缺乏通道和沟通不畅。虽然许多受试者意识到糖尿病对眼睛的影响,但许多人对筛查知之甚少。这项研究为年轻人参加眼科筛查提供了潜在障碍和促进因素的关键信息。我们建议适当的改变,如方便的预约时间,更清晰的沟通和一站式诊所可以提高出勤率。
Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years
The study aim is to investigate characteristics, barriers and enablers for attendance at the Diabetic Eye Screening Programme Northern Ireland (DESPNI) among people with diabetes aged 12–26 years. A mixed-methods approach with retrospective analysis and prospective, questionnaire-based data collection was completed. Data were analysed using ordinal logistic regression. A questionnaire collected information on barriers and enablers to attending DESPNI. Age, diabetes duration, attendance at diabetes clinic and lower HbA1c values were significantly associated with better attendance. Those aged 12–15 were more likely to attend screening than 16–26 years, odds ratio (OR) 4.01. Subjects diagnosed less than 5 years were more likely to attend than those with longer diabetes duration (OR = 2.52, p =< 0.001). Subjects who attended diabetes clinics were more likely to attend screening (OR = 1.89, p =< 0.001) and have a lower HbA1c (OR = 1.46, p =< 0.001). Questionnaires revealed major barriers to attendance which included inconvenient appointment times, lack of access and poor communication. While many subjects were aware of the impact of diabetes on the eye, many had little understanding of screening. This study provides pivotal information on potential barriers and enablers for young people attending eye screening. We suggest modest changes such as convenient appointment times, clearer communication and one-stop clinics could improve attendance.
期刊介绍:
Journal of International Translational Medicine (JITM, ISSN 2227-6394), founded in 2012, is an English academic journal published by Journal of International Translational Medicine Co., Ltd and sponsored by International Fderation of Translational Medicine. JITM is an open access journal freely serving to submit, review, publish, read and download full text and quote. JITM is a quarterly publication with the first issue published in March, 2013, and all articles published in English are compiled and edited by professional graphic designers according to the international compiling and editing standard. All members of the JITM Editorial Board are the famous international specialists in the field of translational medicine who come from twenty different countries and areas such as USA, Britain, France, Germany and so on.