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Level of Individuals’ Knowledge About Age-Related Macular Degeneration

Year 2019, Volume: 13 Issue: 1, 1 - 7, 11.03.2019
https://doi.org/10.21763/tjfmpc.527942

Abstract

Background: Age-Related Macular
Degeneration "AMD" is the most common cause of central vision loss in
developed countries over 65 years of age. It is of importance to know the risk
factors and regulate life style. Aim:
To evaluate the level of individuals ‘knowledge and raise their awareness. Method: The present study is planned as
a cross-sectional descriptive study. A questionnaire form composed of questions
about the socio-demographic data and the level of knowledge about AMD was
applied to the patients18 years and over who were admitted to Family Medicine
outpatient clinic due to any reasons between December 2015 and March 2016 with
face-to-face interviews. SPSS 15.0 program was used for statistical analysis, a
p level of <0,05 was considered statistically significant. Results: Of the 451 participants 242
(53.7%) were female. 55.4% had heard of AMD. About 27% of the patients who
heard of AMD reported that they heard from the people around, 25% from radio,
television, magazines, newspapers and 24% from health care workers. Questions
about AMD were scored so as the correct answer to have 1 point. The mean score
was 5,2±4,8 (Min.0-Max.19). Those who have heard about AMD and whose relatives
had been diagnosed with AMD had higher scores. When the knowledge scores were
compared, there was a statistically significant difference in age, marital
status, educational status, working status and daily life using sunglasses (p
<0.05). Conclusion: The present
study has revealed that level of knowledge about AMD was insufficient. Ratio of
the patients who heard about AMD was higher than those who did not. Radio,
television, magazines, newspapers and health care workers were found as the
most common source of knowledge. Knowledge and awareness of individuals can be
improved trough more effective use of audio visual media. Family physicians who
are the first point of medical contact with patients, can play an important
role fır prevention of age-related macular degeneration-related loss of vision.
Regular screening and increased public awareness can facilitate early diagnosis.


Giriş: Yaşa Bağlı Maküla Dejenerasyonu “YBMD”, gelişmiş ülkelerde 65 yaş ve
üzeri kişilerde santral görme kaybının en sık nedenidir. Bireylerin risk
faktörlerini bilmesi, yaşam tarzını düzenlemesi önem taşımaktadır. Amaç: Bireylerin YBMD hakkındaki bilgi
düzeylerini ölçmek ve farkındalığını artırmak. Yöntem: Çalışmamız kesitsel tanımlayıcı bir araştırma olarak
planlanmıştır. Aile Hekimliği polikliniğine Aralık 2015-Mart 2016 tarihlerinde
herhangi bir nedenle başvuran 18 yaş ve üstü bireylere sosyo-demografik veriler
ve sarı nokta hastalığı hakkındaki bilgi düzeyinin sorgulandığı soruların
bulunduğu anket formu yüz yüze görüşme yöntemiyle uygulanmıştır. İstatistiksel
analizlerde SPSS 15.0 programı kullanılmış, p<0,05 anlamlı kabul edilmiştir.
Bulgular: Araştırmaya katılan 451
kişinin 242 (%53,7)’si kadındı. Katılımcıların %55,4'ü sarı nokta hastalığını
duymuştu. Sarı nokta hastalığını duyan bireylerin %27'si çevresindeki
insanlardan, %25'i radyo, televizyon, dergi, gazeteden, %24'ü sağlık
çalışanlarından duyduğunu belirtmiştir. Sarı nokta ile ilgili bilgi soruları
doğru yanıt 1 puan olacak şekilde puanlanmıştır. Katılımcıların ortalama puanı
5,2±4,8 (Min.0-Maks.19) idi. Sarı nokta hastalığını duyanlarla, tanıdığında
sarı nokta hastalığı olanlar daha yüksek puan almıştı. Bilgi puanları
karşılaştırıldığında yaş, medeni durum, eğitim durumu, çalışma durumu ve günlük
yaşamında güneş gözlüğü kullananlar arasında istatistiksel olarak anlamlı fark
vardı (p<0,05).  Sonuç: Bu araştırmada bireylerin sarı nokta hastalığı hakkında ki
bilgi düzeylerinin düşük olduğu belirlenmiştir. Sarı nokta hastalığını
duyanların oranı duymayanlara göre daha fazlaydı. Duyan bireyler ise en fazla
çevresindeki insanlardan, radyo, televizyon, dergi, gazeteden ve sağlık
çalışanlarından duymuştu. Görsel ve işitsel iletişim araçları daha etkin
kullanılarak bireylerin bilgi düzeyi ve farkındalığı artırılabilir. Hastalarla
ilk tıbbi temas noktasını oluşturan aile hekimleri, yaşa bağlı maküla
dejenerasyonu ilişkili görme kaybını önlemede önemli bir rol oynayabilir.
Düzenli tarama ve artmış kamu bilinci erken tanıyı kolaylaştırabilir. 

References

  • 1. Haab O. Erkrankungen der Maculalutea. Centralblat Augenheilkd 1885;9:384-91.
  • 2. Atmaca LS. Senil dissiform makula dejeneresansı. Turaçlı ME, editör. Maküla Hastalıkları, retina arter ven tıkanıklıkları, Ankara: IV. Ulusal Oftalmoloji Kursu; 1984. S. 23-35.
  • 3. Gass JMD. Pathogenesis of disciform detachment of the neuro epithelium: (1. General conseptsand classification. III. Senile disciform macular degeneration.) Am J Opthalmol. 1967;63:573-85.
  • 4. Leibowitz HM, Krueger DE, Maunder LR, Milton RC, Kini MM, Kahn HA, et al. The Framingham Eye Study Monograph: an ophthalmological and epidemiological study of cataract, glaucoma, diabeticretinopathy, maculardegeneration, andvisualacuity in a general population of 2631 adults, 1973-1975. SurvOphthalmol. 1980;24(Suppl.):335-610.
  • 5. Klein R, Klein BE, Jensen SC, Meuer SM. Thefive-year incidence and progression of agerelated maculopathy: the Beaver Dam Eye Study. Ophthalmology 1997;104(1):7-21.
  • 6. Rahmani B, Tielsch JM, Katz J, Gottsch J, Quigley H, Javitt J, et al. Thecause-specific prevalence of visual impairment in an urban population .The Baltimore Eye Survey. Ophthalmology 1996;103(11):1721-6.
  • 7. Gass JDM. Stereoscopic atlas of maculardiseases; diagnosis and treatment, 4th edn. St Louis: CV Mosby; 1997.p.70-2.
  • 8. Lotery A, Xu X, Zlatava G, Loftus J. Burden of illness, visual impairment and Health resource utilisation of patients with neovascularage-related macular degeneration: results from the UK cohort of a five-countrycross-sectionalstudy. Br J Ophthalmol. 2007;91(10):1303-7.
  • 9. Liu TY, Shah AR, Del Priore LV. Progression of lesion size in untreated eyes with exudative age-related macular degeneration a meta-analysis using Lineweaver–Burk plots. JAMA Ophthalmol. 2013;131(3):335-40.
  • 10. Odwyer PA. ve Akova YA. Temel göz hastalıkları. 3.Baskı. Ankara:Güneş Tıp Kitabevleri;2015.p.677-685.
  • 11. KanskiJJ. and Bowling B. Klinik Oftalmoloji-Sistemik Yaklaşım. Akkova YA, çeviri editörü.7. Baskı. Ankara:Güneş Tıp Kitabevleri; 2015.p.611-617.
  • 12. Candemir B. Yaş tip yaşa bağlı maküla dejenerasyonunda görme keskinliğinin, Floresein Anjiografi ve Optik Koherens Tomografi bulguları ile ilişkisi.T.C.S.B. Göztepe Eğitim ve Araştırma Hastanesi Göz Hastalıkları Uzmanlık Tezi. İstanbul: 2009:8-12.
  • 13. Barthelmes D, Campain A, Nguyen P, Arnold JJ, McAllister IL, Simpson JM, et al. Blindness! Project Investigators. Effects of switching from ranibizumab to aflibercept in eyes with exudativeage-related macular degeneration. Br J Ophthalmol.2016;100:1640-5.
  • 14. Burgmüller M, Cakmak N, Weingessel B, Vécsei C, Vécsei-MarlovitsetPV.Patient knowledge concerning age-related macular degeneration: an AMD questionnaire. Wien Klin Wochenschr, 2017;129:345-50.
  • 15. Sanjay S, Chin YC, Teo HT, Ong SX, Toh SHF, KhongMH. A follow-upsurvey on the knowledge of age-related macular degeneration and its risk factors among Singapore residents after 5 years of nation-wide awareness campaigns. Ophthalmic Epidemiology 2014;21(4):230-6.
  • 16. Stevens R,Bartlett H, Walsh R, CookeetR. Age-related macular degeneration patients’ awareness of nutritional factors. British Journal of Visual Impairment, 2014;32(2):77-93.
  • 17. Cimarolli VR, Laban-Baker A, Hamilton WS, Stuenet C. Awareness, knowledge, and concern about age-related macular degeneration. Educational Gerontology 2012;38(8):530-8.
  • 18. Kornbluth, JG,Wu G, RosenthalJ, YoonY, MossyA, ChowanadisaiM, WongM, EstreicherM.B. Using a Questionnaire to Assess Knowledge of Age Related Macular Degeneration in a Clinical Practice Setting. Investigative Ophthalmology & Visual Science 2003;44(13):1808-1808.
  • 19. Zhang CX, Zhang GM, Ma N, Xia S, Yang JY, Chen YX. Awareness of Age-related Macular Degeneration and Its Risk Factors among Beijing Residents in China. Chin Med J 2017;130:155-9.
  • 20. Bressler NM. Early detection and treatment of neovascular age-related macular degeneration. J Am Board FamPract 2002;15(2):142-52.
  • 21. http://www.woncaeurope.org/sites/default/files/documents/WONCAdefinitionTurkishversion.pdf Accessed:21.08.2015
Year 2019, Volume: 13 Issue: 1, 1 - 7, 11.03.2019
https://doi.org/10.21763/tjfmpc.527942

Abstract

References

  • 1. Haab O. Erkrankungen der Maculalutea. Centralblat Augenheilkd 1885;9:384-91.
  • 2. Atmaca LS. Senil dissiform makula dejeneresansı. Turaçlı ME, editör. Maküla Hastalıkları, retina arter ven tıkanıklıkları, Ankara: IV. Ulusal Oftalmoloji Kursu; 1984. S. 23-35.
  • 3. Gass JMD. Pathogenesis of disciform detachment of the neuro epithelium: (1. General conseptsand classification. III. Senile disciform macular degeneration.) Am J Opthalmol. 1967;63:573-85.
  • 4. Leibowitz HM, Krueger DE, Maunder LR, Milton RC, Kini MM, Kahn HA, et al. The Framingham Eye Study Monograph: an ophthalmological and epidemiological study of cataract, glaucoma, diabeticretinopathy, maculardegeneration, andvisualacuity in a general population of 2631 adults, 1973-1975. SurvOphthalmol. 1980;24(Suppl.):335-610.
  • 5. Klein R, Klein BE, Jensen SC, Meuer SM. Thefive-year incidence and progression of agerelated maculopathy: the Beaver Dam Eye Study. Ophthalmology 1997;104(1):7-21.
  • 6. Rahmani B, Tielsch JM, Katz J, Gottsch J, Quigley H, Javitt J, et al. Thecause-specific prevalence of visual impairment in an urban population .The Baltimore Eye Survey. Ophthalmology 1996;103(11):1721-6.
  • 7. Gass JDM. Stereoscopic atlas of maculardiseases; diagnosis and treatment, 4th edn. St Louis: CV Mosby; 1997.p.70-2.
  • 8. Lotery A, Xu X, Zlatava G, Loftus J. Burden of illness, visual impairment and Health resource utilisation of patients with neovascularage-related macular degeneration: results from the UK cohort of a five-countrycross-sectionalstudy. Br J Ophthalmol. 2007;91(10):1303-7.
  • 9. Liu TY, Shah AR, Del Priore LV. Progression of lesion size in untreated eyes with exudative age-related macular degeneration a meta-analysis using Lineweaver–Burk plots. JAMA Ophthalmol. 2013;131(3):335-40.
  • 10. Odwyer PA. ve Akova YA. Temel göz hastalıkları. 3.Baskı. Ankara:Güneş Tıp Kitabevleri;2015.p.677-685.
  • 11. KanskiJJ. and Bowling B. Klinik Oftalmoloji-Sistemik Yaklaşım. Akkova YA, çeviri editörü.7. Baskı. Ankara:Güneş Tıp Kitabevleri; 2015.p.611-617.
  • 12. Candemir B. Yaş tip yaşa bağlı maküla dejenerasyonunda görme keskinliğinin, Floresein Anjiografi ve Optik Koherens Tomografi bulguları ile ilişkisi.T.C.S.B. Göztepe Eğitim ve Araştırma Hastanesi Göz Hastalıkları Uzmanlık Tezi. İstanbul: 2009:8-12.
  • 13. Barthelmes D, Campain A, Nguyen P, Arnold JJ, McAllister IL, Simpson JM, et al. Blindness! Project Investigators. Effects of switching from ranibizumab to aflibercept in eyes with exudativeage-related macular degeneration. Br J Ophthalmol.2016;100:1640-5.
  • 14. Burgmüller M, Cakmak N, Weingessel B, Vécsei C, Vécsei-MarlovitsetPV.Patient knowledge concerning age-related macular degeneration: an AMD questionnaire. Wien Klin Wochenschr, 2017;129:345-50.
  • 15. Sanjay S, Chin YC, Teo HT, Ong SX, Toh SHF, KhongMH. A follow-upsurvey on the knowledge of age-related macular degeneration and its risk factors among Singapore residents after 5 years of nation-wide awareness campaigns. Ophthalmic Epidemiology 2014;21(4):230-6.
  • 16. Stevens R,Bartlett H, Walsh R, CookeetR. Age-related macular degeneration patients’ awareness of nutritional factors. British Journal of Visual Impairment, 2014;32(2):77-93.
  • 17. Cimarolli VR, Laban-Baker A, Hamilton WS, Stuenet C. Awareness, knowledge, and concern about age-related macular degeneration. Educational Gerontology 2012;38(8):530-8.
  • 18. Kornbluth, JG,Wu G, RosenthalJ, YoonY, MossyA, ChowanadisaiM, WongM, EstreicherM.B. Using a Questionnaire to Assess Knowledge of Age Related Macular Degeneration in a Clinical Practice Setting. Investigative Ophthalmology & Visual Science 2003;44(13):1808-1808.
  • 19. Zhang CX, Zhang GM, Ma N, Xia S, Yang JY, Chen YX. Awareness of Age-related Macular Degeneration and Its Risk Factors among Beijing Residents in China. Chin Med J 2017;130:155-9.
  • 20. Bressler NM. Early detection and treatment of neovascular age-related macular degeneration. J Am Board FamPract 2002;15(2):142-52.
  • 21. http://www.woncaeurope.org/sites/default/files/documents/WONCAdefinitionTurkishversion.pdf Accessed:21.08.2015
There are 21 citations in total.

Details

Primary Language Turkish
Subjects ​Internal Diseases
Journal Section Orijinal Articles
Authors

Aslıhan Çiflik Bolluk

Volkan Bolluk This is me

Nilgün Özçakar

Publication Date March 11, 2019
Submission Date June 11, 2018
Published in Issue Year 2019 Volume: 13 Issue: 1

Cite

Vancouver Çiflik Bolluk A, Bolluk V, Özçakar N. Level of Individuals’ Knowledge About Age-Related Macular Degeneration. TJFMPC. 2019;13(1):1-7.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.