Retinopathy knowledge, attitude and behavior of inpatients with diabetes mellitus and their correlation factors

Dong-yan Yang, Yujie Wang, Ge Liang, Chunmei Cai, Si-En Fan, Lin Wei, Junna Ma, Q. Lu
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Abstract

Objective To explore the retinopathy knowledge, attitude and behavior of inpatients with diabetes mellitus and their correlation factors and analyzed the influencing factors. Methods This study was cross-sectional. From December 2018 to June 2019, a total of 392 inpatients with diabetes mellitus at a Class Ⅲ hospital were selected by convenience sampling and their knowledge, attitude, behavior and retinopathy were investigated with the diabetic retinopathy knowledge, attitude and behavior questionnaire and the color fundus photograph. Results Among 392 diabetic inpatients, 267 diabetic inpatients with retinopathy and 123 of them needed treatment. There were 20.9% (82/392) of patients with high-level of retinopathy knowledge, 10.5% (41/392) of them with the positive attitude and 7.9% (31/392) of them with good behavior. Multiple regression analysis showed that the related factors of the total scores of retinopathy knowledge, attitude and behavior were the retinopathy stage and diabetic course (P<0.01) ; knowledge related factors were the genders and retinopathy stage (P<0.01) ; attitude related factors were the treatment methods of diabetes mellitus, retinopathy stage and diabetic course (P<0.01) ; behavior related factor was the retinopathy stage (P<0.01) . Conclusions Inpatients with diabetes mellitus have the low levels of retinopathy knowledge, attitude and behavior which points out that medical staff should pay more attention to the improvement of the retinopathy knowledge, attitude and behavior, especially in the patients with the low levels of diabetic knowledge, family incomes monthly, short diabetic courses and without severe retinopathy. Medical staff should also make diabetic knowledge popular and improve the patients' attitudes with regular fundus examination for diabetic retinopathy to promote the good fundus examination behavior. Key words: Diabetes mellitus; Retinopathy; Knowledge; Attitude; Behavior; Influencing factors
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糖尿病住院患者视网膜病变知识、态度、行为及其相关因素分析
目的探讨住院糖尿病患者视网膜病变知识、态度、行为及其相关因素,分析影响因素。方法本研究为横断面研究。从2018年12月至2019年6月,采用方便抽样方法,选取某三甲医院392例糖尿病住院患者,采用糖尿病视网膜病变知识、态度、行为问卷和眼底彩色照片对其知识、态度和行为、视网膜病变进行调查。结果392例糖尿病住院患者中,267例糖尿病视网膜病变住院患者,其中123例需要治疗。有20.9%(82/392)的患者具有高水平的视网膜病变知识,10.5%(41/392)的患者态度积极,7.9%(31/392)患者行为良好。多元回归分析显示,视网膜病变知识、态度和行为总分的相关因素为视网膜病变分期和糖尿病病程(P<0.01);与知识相关的因素为性别和视网膜病变分期(P<0.01);态度相关因素为糖尿病的治疗方法、视网膜病变分期和糖尿病病程(P<0.01);结论住院糖尿病患者视网膜病变知识、态度和行为水平较低,提示医务人员应重视视网膜病变知识和态度行为的提高,尤其是糖尿病知识水平较低的患者,家庭月收入,糖尿病病程短,无严重视网膜病变。医务人员还应普及糖尿病知识,提高患者对糖尿病视网膜病变的定期眼底检查态度,促进良好的眼底检查行为。关键词:糖尿病;视网膜病变;知识;态度;行为;影响因素
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