糖尿病患者对糖尿病眼部并发症的认知与需求调查

Investigation on diabetic patients＇ cognition and demand to ocular complications

目的调查糖尿病患者对眼部并发症的知识、态度、行为及其需求。方法采用自设问卷，对58例有眼病及51例无眼病的门诊糖尿患者进行调查。结果50％以上的患者对糖尿病眼病的危险因素认识不足；80％以上认为糖尿病患者需要定期进行眼科检查；无眼病组患者中，82．4％出现过一种或几种眼部症状，且近10％经常出现症状，但52．4％的患者不做任何处理；80％以上的患者希望获得糖尿病眼病的相关知识。其现有知识和希望获得途径均为眼科医生、媒体、内科医生、其他糖尿病患者等，从护士获得知识的比例非常低。结论多数糖尿病患者对糖尿病眼病的危险因素认识不足，未形成良好的定期眼科检杏的保健行为，今后需加强内科医牛、护士在糖尿病眼病健康官教中的作用。

Objective To investigate the diabetic patients＇ cognition, attitude, behavior and needs to ocular complications. Methods 58 diabetic patients with ocular complications and 51 diabetic patients without ocular complications were investigated using a self-designed questionnaire. Results 1/2 to 2/3 of the diabetic patients were lacking in the understanding to the risk of ocular complications. More than 80 percent diabetic patients thought that they should periodically receive an ophthalmologic examination, but less than 1/3 diabetic patients did it. Among the diabetic patients without ocular complications, 82.4 percent appeared one or several eye disease symptoms, and nearly 10 percent frequently appeared eye disease symptoms, but 52.4 percent had no any processing. Over 80 percent diabetic patients hoped for acquiring relevant knowledge of diabetic eye disease. Generally they obtained the knowledge from oculists, media, internists and other diabetic patients, but seldom from nurses. Conclusions Most diabetic patients are lacking in the understanding to the risk of ocular complications, and don＇ t develop a periodical ophthalmologic examination habit. In future, the function of the physicians and nurses should be strengthened in the publicity and the education of the diabetes ophthalmopathy.