Adherence to periodic dilated eye examinations and its determinants among Nepalese patients with diagnosed diabetes.
Suwal,Barsha.
Adherence to periodic dilated eye examinations and its determinants among Nepalese patients with diagnosed diabetes. - c2022. - vi,24p.
Research Report.
SUMMARY:
The global prevalence of diabetic retinopathy among people with diabetes has been reported to be 34.6% and 19-47% in Nepal. Despite several advances in the treatment of both Diabetes Mellitus and Diabetic Retinopathy, the incidence of Diabetes Mellitus is increasing, so is blindness associated with it. Eighty percent of people with diabetes live in Low-Middle Income Countries, and it has the capacity to become a leading cause of blindness in the next 20 years, indicating an urgent need to search for measures to overcome the existing barriers that are responsible, individually or collectively, for many diagnosed Diabetes Mellitus cases failing to receive needed eye care. Despite recommendations to have regular Dilated Eye Examinations that allow for early detection and timely treatments that are 90% effective in reducing the likelihood of severe vision loss, it is reported that only half of those diagnosed with diabetes receive an annual eye exam in the western world which is expected to be even low in Low and Middle-Income Countries, including Nepal. Therefore, we aimed to find out the adherence to periodic dilated eye examinations and its determinants among patients with diagnosed diabetes in Bhaktapur using a Cross-sectional descriptive study among patients with diagnosed diabetes in diabetes care facilities. Adherence to Dilated Eye Examination, including its determinants was assessed using quantitative study methods. The barriers and facilitators of people with diagnosed diabetes for a periodic dilated eye examination were assessed using a questionnaire developed on a 5-point Likert's scale based on Health Belief Model. Descriptive data regarding demographic characteristics tabulated overall and stratified by patients with and without dilated eye examination adherence. Data was analyzed using Statistical package for social science version 26. Continuous variables were presented in mean (SD) and categorical variables were presented in frequency and percentage. The comparisons were performed using t-tests and chi-square tests. Among the 165 participants included in the study, majority (58.8%) were male. The mean (SD) age of the participants was 56.81(13.29) years. Almost 20% have never done dilated eye examination. The adherence to DEE was found among 62.4 (95% CI: 55.0%-69.8%). Participants adherent to DEE have significantly higher benefit score and significantly lower barrier score. Having Diabetic Retinopathy; family history of Diabetic Retinopathy; receiving advice for eye screening by their physicians; treatment for DM; and duration of Diabetes Mellitus were were significantly associated with adherence to dilated eye examination. Awareness program focused on benefit of adherence seems to be helpful to increase adherence to dilated eye examination.
Eye examinations.
Diabetic retinopathy.
Diagnosed diabetes.
Nepal.
RES-01114
Adherence to periodic dilated eye examinations and its determinants among Nepalese patients with diagnosed diabetes. - c2022. - vi,24p.
Research Report.
SUMMARY:
The global prevalence of diabetic retinopathy among people with diabetes has been reported to be 34.6% and 19-47% in Nepal. Despite several advances in the treatment of both Diabetes Mellitus and Diabetic Retinopathy, the incidence of Diabetes Mellitus is increasing, so is blindness associated with it. Eighty percent of people with diabetes live in Low-Middle Income Countries, and it has the capacity to become a leading cause of blindness in the next 20 years, indicating an urgent need to search for measures to overcome the existing barriers that are responsible, individually or collectively, for many diagnosed Diabetes Mellitus cases failing to receive needed eye care. Despite recommendations to have regular Dilated Eye Examinations that allow for early detection and timely treatments that are 90% effective in reducing the likelihood of severe vision loss, it is reported that only half of those diagnosed with diabetes receive an annual eye exam in the western world which is expected to be even low in Low and Middle-Income Countries, including Nepal. Therefore, we aimed to find out the adherence to periodic dilated eye examinations and its determinants among patients with diagnosed diabetes in Bhaktapur using a Cross-sectional descriptive study among patients with diagnosed diabetes in diabetes care facilities. Adherence to Dilated Eye Examination, including its determinants was assessed using quantitative study methods. The barriers and facilitators of people with diagnosed diabetes for a periodic dilated eye examination were assessed using a questionnaire developed on a 5-point Likert's scale based on Health Belief Model. Descriptive data regarding demographic characteristics tabulated overall and stratified by patients with and without dilated eye examination adherence. Data was analyzed using Statistical package for social science version 26. Continuous variables were presented in mean (SD) and categorical variables were presented in frequency and percentage. The comparisons were performed using t-tests and chi-square tests. Among the 165 participants included in the study, majority (58.8%) were male. The mean (SD) age of the participants was 56.81(13.29) years. Almost 20% have never done dilated eye examination. The adherence to DEE was found among 62.4 (95% CI: 55.0%-69.8%). Participants adherent to DEE have significantly higher benefit score and significantly lower barrier score. Having Diabetic Retinopathy; family history of Diabetic Retinopathy; receiving advice for eye screening by their physicians; treatment for DM; and duration of Diabetes Mellitus were were significantly associated with adherence to dilated eye examination. Awareness program focused on benefit of adherence seems to be helpful to increase adherence to dilated eye examination.
Eye examinations.
Diabetic retinopathy.
Diagnosed diabetes.
Nepal.
RES-01114