BibTex RIS Cite

Awareness of Diabetic Retinopathy on Patients Visiting Endocrinology Clinic

Year 2007, Volume: 14 Issue: 4, 245 - 249, 01.08.2007

Emrah Kan Elif Kılıç Kan Ülkü Çeliker Ramis Çolak Mehmet Küçüksu

Abstract

Aim: Surveying patients with diabetes asking them questions about diabetic retinopathy to evaluate their awareness on the illness and to investigate the factors influencing their awereness. Material and Methods: We distrubuted a specifically prepared questionnaire to randomly selected patients who visited the endocrinology clinic. The questionnaire consisted of three main sections including questions about demographic characteristics, risk factors for diabetic retinopathy and awareness of diabetic retinopathy Results: We evaluated a total of 118 completed forms in our study. The results indicated that 8.5 % of the subjects were unaware of diabetic retinopathy. Although awereness of the patients on diabetic retinopathy increased with education level, the observation wasn't statically significant. The results also indicated that 32.4% of the remaining 108 patients, who were aware of the eye complications of diabetes, preferred not to have regular eye examinations. While 106 patients were educated about diabetic eye complications by a doctor of internal medicine, none of them were found to be informed about diabetic retinopathy by media (newspapers, broadcasting, etc.). 20 out of 94 subjects, who had an eye examination by an ophthalmologist for diabetic retinopathy, were unaware if they had diabetic retinopathy or not. Conclusion: We found a high retinopathy awareness (%91) among patients with diabetes but most of these patients preferred not to have regular eyes examinations. The doctors together with the media should play a more important role in educating patients with diabetes about diabetic retinopathy and its complications due to late diagnosis. Key words: Diabetes, diabetic retinopathy awareness, complications of diabetes

Keywords

Diabetes diabetic retinopathy awareness complications of diabetes

References

  • Hattat N: Diabet retinopatisinin etyopatogenezi. Türkiye Klinikleri Oftalmoloji 1993; 2:13-5.
  • Grey RHB, Burns C, Hughes A. Blind and partial sight registration in Avon. Br J Ophthalmol 1989; 73:88-94.
  • Hemman VH, Teutsch SM, Sepe SJ, Sinnack P, Klein R. An approach to the prevention of blindnees in diabetes. Diabetes Care 1983; 6:608-13.
  • Bayraktar Z. Diabetik retinopati epidemiyolojisi. 2. Baskı. İstanbul: Dilek Ofset:2000. p.1-9.
  • Karasik A, Modan M, Haklin H, Treister G, Fuchs Z, Lusky G. Senil cataract and glucose intolerance the Israel study of glucose intolerance obesity and hypertension. Diabetes Care 1984; 7:52-6 .
  • Diabetic Retinopathy Study Research Group. Preliminary reports of effects of photocoagulation therapy. Am J Ophthalmol. 1976; 81:383-96.
  • American Diabetes Association. Diabetic retinopathy. Diabetes Care. 2002;25(suppl 1) :S90 –3.
  • Porta M, Allione A. Current approaches and perspectives in the medical treatment of diabetic retinopathy. Pharmacol Ther 2004;103:167–77.
  • Roy MS. Proteinuria in African Americans with type 1 diabetes. J Diabetes Complications 2004;18:69-77.
  • Yararcan Mucize: Diabetik Retinopatide sistemik ve genetik risk faktörleri. Retina- Vitreus 1998; 6:240-47.
  • Ferris FL, Tielsch JM. Blindness and visual impairment: a public health issue for the future as well as today. Arch Ophthalmol. 2004;122:451–2.
  • Chase HP, Jakson WE, Hoops SL, et al. Glucose control and the renal and retinal complications of insulin dependent diabetes. JAMA 1990; 1:264-5.
  • Orr P, Barronb Y, Schien OD. Eye care utilization by older Americans. Ophthalmology 1999; 106: 904-9.
  • Roossens JP, Poulalion L, Beigbeder I, Fesquet E, Becel B. Identification of factors hindering better management of patients with type 2 diabetes. Diabetes Metab, 2000; 26:77-85.
  • Schoenfeld E, Greene JM, Wu SY, Leske C. Patterns of adherence to diabetes vision care guidelines: baseline findings from the Diabetic Retinopathy Awareness Program. Ophthalmology 2001; 108:563–71.
  • Nakamura S, Funatsu H, Shimizu E et al. Attitude survey of diabetic patients visiting the department of internal medicine as outpatients. Nippon Ganka Gakkai Zasshi. 2003;107:88-93.
  • World Health Organization. Global initiative for the prevention of avoidable blindness. Geneva, WHO, 1997. respective health programmes
  • Steinmann W, Sinclair S, Holmes J, et al. Retinopathy in diabetics at first ophthalmologic visit. Invest Ophthalmol Vis Sci 1986;27-30.
  • Stefansson E, Bek T, Porta M, et al. Screening and prevention of diabetic blindness. Acta Ophthalmol Scand 2000;78:374–85.
  • Peter J Watkins. ABC of diabetes. BMJ 2003;326:924-6.
  • Massin P, Erginay A, Ben Mehidi A, Vicaut E, Quentel G, Victor Z, Marre M, Guillausseau PJ, Gaudric A. Evaluation of a new non-mydriatic digital camera for detection of diabetic retinopathy. Diabet Med 2003; 20:635–41.
  • Jacques C, Jones R, Houts P, et al. Reported practice behaviors for medical care of patients with diabetes mellitus by primary-care physicians in Pennsylvania. Diabetes Care 1991; 14:712–7.
  • Varroud-Vial M, Mechaly P, Joannidis S, et al. Cooperation between general practitioners and diabetologists and clinical audit improve the management of type 2 diabetic patients. Diabetes Metab 1999; 25:55-63.
  • SH Sinclair, C Delvecciho. The internist’s role in managing diabetic retinopathy; screening for early detection. Cleve Clin J Med. 2004;71:151-9.

Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci

Year 2007, Volume: 14 Issue: 4, 245 - 249, 01.08.2007

Emrah Kan Elif Kılıç Kan Ülkü Çeliker Ramis Çolak Mehmet Küçüksu

Abstract

Amaç: Diyabetik hastaların diyabetik retinopati ile igili bilgi ve bilinç düzeylerini değerlendirebilmek amacıyla endokrin polikliniğine başvuran hastalara diyabetik retinopati ile ilgili sorular yöneltmek ve diyabetik retinopati konusundaki bilinç düzeyini etkileyen temel faktörleri irdelemek. Gereç ve Yöntem: Endokrinoloji Polikliniğine Kasım –Aralık 2006 tarihleri arasında başvuran diyabetik hastalara çalışma için özel olarak hazırlanmış değerlendirme formları dağıtıldı. Değerlendirme formu; kişisel özellikler, diyabetik retinopati için risk faktörü taşıma ve diyabetik retinopati bilincine yönelik sorular olmak üzere üç ana bölümden oluşmaktaydı. Bulgular: Toplam 118 olgu çalışma kapsamına alındı. Katılımcıların %8.5'inin “diyabetin gözü etkilediğini biliyor musunuz? ” şeklindeki soruya “hayır” yanıtı verdiği belirlendi. Genel olarak hastaların eğitim düzeyleri arttıkça bu soruya verdikleri olumlu yanıtlar artmasına rağmen bu oran istatistiksel olarak anlamlı değildi. Olumlu cevap veren toplam 108 hastadan 35'inin (%32.4) bu bilgiye sahip olmasına rağmen düzenli göz kontrollerine gitmediği tespit edildi. 106 hastanın bu bilgiye dahiliye uzmanı tarafından ulaştırıldığı belirlenirken, hiçbir hastanın görsel-yazılı medya aracılığıyla bilgi edinemediği belirlendi. Oftalmoloğa başvuran 94 hastadan 20 tanesi (%21.2) muayene olmasına rağmen kendilerinde retinopati olup olmadığı konusunda bilgi sahibi değillerdi. Sonuç: Diyabetik hastaların, diyabetin göz komplikasyonlarıyla gidebilen bir hastalık olabileceği konusundaki bilgilerinin yeterli (%91) olduğu ancak önemli bir oranının göz muayenesi olmadığı tespit edildi. Sağlık çalışanlarının yanı sıra görsel-yazılı medyanın da diyabetik retinopatinin geç tanı ve tedavisinin doğurabileceği olumsuz sonuçlar hakkında hastaları daha fazla bilgilendirmesi gerekmektedir. Anahtar kelimeler: Diyabet, diyabetik retinopati bilinci, diyabet komplikasyonları

Keywords

Diyabet diyabetik retinopati bilinci diyabet komplikasyonları

References

  • Hattat N: Diabet retinopatisinin etyopatogenezi. Türkiye Klinikleri Oftalmoloji 1993; 2:13-5.
  • Grey RHB, Burns C, Hughes A. Blind and partial sight registration in Avon. Br J Ophthalmol 1989; 73:88-94.
  • Hemman VH, Teutsch SM, Sepe SJ, Sinnack P, Klein R. An approach to the prevention of blindnees in diabetes. Diabetes Care 1983; 6:608-13.
  • Bayraktar Z. Diabetik retinopati epidemiyolojisi. 2. Baskı. İstanbul: Dilek Ofset:2000. p.1-9.
  • Karasik A, Modan M, Haklin H, Treister G, Fuchs Z, Lusky G. Senil cataract and glucose intolerance the Israel study of glucose intolerance obesity and hypertension. Diabetes Care 1984; 7:52-6 .
  • Diabetic Retinopathy Study Research Group. Preliminary reports of effects of photocoagulation therapy. Am J Ophthalmol. 1976; 81:383-96.
  • American Diabetes Association. Diabetic retinopathy. Diabetes Care. 2002;25(suppl 1) :S90 –3.
  • Porta M, Allione A. Current approaches and perspectives in the medical treatment of diabetic retinopathy. Pharmacol Ther 2004;103:167–77.
  • Roy MS. Proteinuria in African Americans with type 1 diabetes. J Diabetes Complications 2004;18:69-77.
  • Yararcan Mucize: Diabetik Retinopatide sistemik ve genetik risk faktörleri. Retina- Vitreus 1998; 6:240-47.
  • Ferris FL, Tielsch JM. Blindness and visual impairment: a public health issue for the future as well as today. Arch Ophthalmol. 2004;122:451–2.
  • Chase HP, Jakson WE, Hoops SL, et al. Glucose control and the renal and retinal complications of insulin dependent diabetes. JAMA 1990; 1:264-5.
  • Orr P, Barronb Y, Schien OD. Eye care utilization by older Americans. Ophthalmology 1999; 106: 904-9.
  • Roossens JP, Poulalion L, Beigbeder I, Fesquet E, Becel B. Identification of factors hindering better management of patients with type 2 diabetes. Diabetes Metab, 2000; 26:77-85.
  • Schoenfeld E, Greene JM, Wu SY, Leske C. Patterns of adherence to diabetes vision care guidelines: baseline findings from the Diabetic Retinopathy Awareness Program. Ophthalmology 2001; 108:563–71.
  • Nakamura S, Funatsu H, Shimizu E et al. Attitude survey of diabetic patients visiting the department of internal medicine as outpatients. Nippon Ganka Gakkai Zasshi. 2003;107:88-93.
  • World Health Organization. Global initiative for the prevention of avoidable blindness. Geneva, WHO, 1997. respective health programmes
  • Steinmann W, Sinclair S, Holmes J, et al. Retinopathy in diabetics at first ophthalmologic visit. Invest Ophthalmol Vis Sci 1986;27-30.
  • Stefansson E, Bek T, Porta M, et al. Screening and prevention of diabetic blindness. Acta Ophthalmol Scand 2000;78:374–85.
  • Peter J Watkins. ABC of diabetes. BMJ 2003;326:924-6.
  • Massin P, Erginay A, Ben Mehidi A, Vicaut E, Quentel G, Victor Z, Marre M, Guillausseau PJ, Gaudric A. Evaluation of a new non-mydriatic digital camera for detection of diabetic retinopathy. Diabet Med 2003; 20:635–41.
  • Jacques C, Jones R, Houts P, et al. Reported practice behaviors for medical care of patients with diabetes mellitus by primary-care physicians in Pennsylvania. Diabetes Care 1991; 14:712–7.
  • Varroud-Vial M, Mechaly P, Joannidis S, et al. Cooperation between general practitioners and diabetologists and clinical audit improve the management of type 2 diabetic patients. Diabetes Metab 1999; 25:55-63.
  • SH Sinclair, C Delvecciho. The internist’s role in managing diabetic retinopathy; screening for early detection. Cleve Clin J Med. 2004;71:151-9.
There are 24 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emrah Kan This is me

Elif Kılıç Kan This is me

Ülkü Çeliker This is me

Ramis Çolak This is me

Mehmet Küçüksu This is me

Publication Date August 1, 2007
Published in Issue Year 2007 Volume: 14 Issue: 4

Cite

APA Kan, E., Kan, E. K., Çeliker, Ü., Çolak, R., et al. (2007). Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci. Journal of Turgut Ozal Medical Center, 14(4), 245-249.
AMA Kan E, Kan EK, Çeliker Ü, Çolak R, Küçüksu M. Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci. J Turgut Ozal Med Cent. August 2007;14(4):245-249.
Chicago Kan, Emrah, Elif Kılıç Kan, Ülkü Çeliker, Ramis Çolak, and Mehmet Küçüksu. “Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci”. Journal of Turgut Ozal Medical Center 14, no. 4 (August 2007): 245-49.
EndNote Kan E, Kan EK, Çeliker Ü, Çolak R, Küçüksu M (August 1, 2007) Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci. Journal of Turgut Ozal Medical Center 14 4 245–249.
IEEE E. Kan, E. K. Kan, Ü. Çeliker, R. Çolak, and M. Küçüksu, “Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci”, J Turgut Ozal Med Cent, vol. 14, no. 4, pp. 245–249, 2007.
ISNAD Kan, Emrah et al. “Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci”. Journal of Turgut Ozal Medical Center 14/4 (August 2007), 245-249.
JAMA Kan E, Kan EK, Çeliker Ü, Çolak R, Küçüksu M. Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci. J Turgut Ozal Med Cent. 2007;14:245–249.
MLA Kan, Emrah et al. “Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci”. Journal of Turgut Ozal Medical Center, vol. 14, no. 4, 2007, pp. 245-9.
Vancouver Kan E, Kan EK, Çeliker Ü, Çolak R, Küçüksu M. Endokrinoloji Polikliniğine Başvuran Hastalarda Diyabetik Retinopati Bilinci. J Turgut Ozal Med Cent. 2007;14(4):245-9.