제2형 당뇨병 환자에서 당뇨망막병증에 대한 지식 및 인지도조사: 서울시 당뇨병예방사업 설문 조사결과
Study on Survey of Knowledge and Awareness Level of Diabetic Retinopathy in Type 2 Diabetes Patients: Results from Seoul Metro-City Diabetes Prevention Program Survey
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목적: 당뇨병 환자들의 당뇨망막병증에 대한 인식 및 지식 수준을 알아보고자 하였다. 대상과 방법: 서울시 당뇨병예방사업에 참여한 당뇨병 환자 중 합병증 검사와 설문조사를 완료한 437명이 연구에 포함되었다. 5구역안저 촬영을 통해 당뇨망막병증 유무를 감별하였다. 결과: 당뇨망막병증은 20.4%에서 발견되었으며, 전체 대상자에서 자가 인지도는 6.6%, 최근 1년 이내 안과검진율은 42.3%이었다. 당뇨병 교육 경험률은 50.3%이었다. ʻ당뇨병 합병증 검사는 매년 실시해야 한다ʼ를 알고 있는 비율은ʼ 83.8%이었고, ʻ당화혈색소가 무엇인지 알고 있다ʼ 30.4%, ʻ당뇨병 환자의 혈당 조절 목표치를 알고 있다ʼ 9.4%, ʻ당뇨병 환자의 혈압조절 목표치를 알고 있다ʼ 4.1%이었다. 당뇨망막병증이 발견된 89명에서 당뇨망막병증 인지도는 14.6%, 1년 이내 안과검진율은 50.6%이었다. 결론: 서울시 당뇨예방사업 대상 제2형 당뇨병 환자들에서 당뇨망막병증에 대한 인지도 및 당뇨병 관리에 대한 지식이 낮았다.
Abstract
Purpose: To investigate the knowledge and awareness level of diabetic retinopathy (DR) in type 2 diabetes patients. Methods: A total of 437 participants with diabetes were recruited in the Seoul Metro-City Diabetes Prevention Program (SMC-DPP). Participants underwent clinical and laboratory examinations and questionnaire survey to evaluate diabetes complications. The DR was diagnosed by grading fundus photographs 5 standard fields taken per eye. Results: The overall prevalence of any DR was 20.4% and only 6.6% of patients were aware of their DR. The DR patients who underwent an eye examination within the previous year were 42.3%, and 50.3% out of 437 patients enrolled were educated on diabetes. Of the survey participants, 83.8% answered positive to ‘Evaluation of diabetes mellitus complication must be performed every year’, 61.1% answered positive to ‘Must control blood pressure and lipid level for diabetes management’and 28.4% believed ‘It takes a long time for complications of diabetes to develop’. The DR self awareness was 14.6% and an eye examination within the previous year was 50.6% among the 89 DR participants. Conclusions: Results of the survey with SMC-DPP type 2 diabetes participants showed a low knowledge and awareness level of chronic complications such as DR.
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