FACTORS ASSOCIATED WITH COMPLIANCE FOLLOWING DIABETIC EYE SCREENING
FACTORS ASSOCIATED WITH COMPLIANCE FOLLOWING DIABETIC EYE SCREENING
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DOI：
10.1016/0891-6632(90)90058-d
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发表时间：
1990-01-01
期刊：
影响因子：
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通讯作者：
KLEIN R
中科院分区：
文献类型：
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作者：
NEWCOMB P A;KLEIN R
对以人群为基础的糖尿病个体样本进行眼科检查后，对筛查建议的依从性进行了评估（威斯康星糖尿病视网膜病变流行病学研究）。在819名检查时发现视网膜病变的研究对象中，研究了某些特征与依从眼科随访护理建议之间的关系。所有受试者中有77%的人遵守筛查建议，而在年龄较大的非胰岛素服用受试者中最低（65%）。眼科护理史对依从性有很大影响。从未看过眼科医生的受试者遵循建议的可能性（50%）远低于在前两年看过眼科医生的受试者（87%）。先前的视网膜病变诊断和更严重的视网膜病变是胰岛素依从性的决定因素。糖尿病持续时间的增加也是一个重要的预测因素。在接受推荐的眼科随访的受试者中，血糖控制更好的情况更为常见。某些人口因素，如年龄增长、高等教育和女性，与年轻发病组的依从性有关。在年龄较大的未服用胰岛素的受试者中，如果受试者是城市居民，依从性更大。为了优化糖尿病眼病筛查方案的有效性，本研究的结果可能用于确定筛查后可能不太可能接受适当诊断和治疗的受试者。
Compliance with screening recommendations was evaluated following an eye examination administered to a population-based sample of diabetic individuals (The Wisconsin Epidemiologic Study of Diabetic Retinopathy). The relationship between certain characteristics and compliance with a recommendation to seek ophthalmologic follow-up care was examined among 819 study subjects found to have retinopathy at examination. Compliance with the screening recommendations was reported by 77% of all subjects, and was lowest among older-onset non-insulin taking subjects (65%). A history of opthalmologic care strongly influenced compliance. Subjects who had never seen an ophthalmologist were far less likely to follow the recommendation (50%) than were those who had seen an opthalmologist in the previous two years (87%). A previous diagnosis of retinopathy, and more severe retinopathy, were determinants of compliance among subjects taking insulin. Increasing duration of diabetes was also an important predictor. Better blood glucose control was found more frequently among subjects who received the recommended opthalmologic follow-up. Certain demographic factors, such as increasing age, higher education, and being a woman, were associated with compliance in the younger-onset group. Among older-onset non-insulin taking subjects, compliance was more likely if subjects were urban residents. In order to optimize the effectiveness of a screening program for diabetic eye disease, the results of this study might be used to identify subjects who may be unlikely to receive appropriate diagnosis and treatment following screening.