코로나바이러스 감염증 2019 유행 전후의 당뇨망막병증 눈검진 수검률
Eye Examination for Diabetic Retinopathy Before and During Coronavirus Dusease 2019 Pandemic
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Purpose: This study aimed to compare the annual eye examination (AEE) rates before and during the coronavirus disease 2019 (COVID-19) pandemic and to identify differences in rates according to individual and social factors. Methods: A secondary data analysis was conducted using raw data from the Community Health Survey in 2019 and 2020, before and during the COVID-19 pandemic. A total of 52,127 (25,880 in 2019 and 26,247 in 2020) individuals with diabetes mellitus (DM) were included. A complex sample analysis method was used to calculate the means and standard errors of the AEE rates. Further, the difference in AEE rates between 2019 and 2020 was analyzed using the Z statistic. Results: The AEE rates of study participants were 45.6±0.4 in 2019 and 45.4±0.4 in 2020 (Z=0.35, p=.375). There was a significant difference in the AEE rates depending on perceived health status (“good”: Z=1.07, p=.224; “average”: Z=-2.95, p=.005; “bad”: Z=0.76, p=.299) and awareness of blood sugar levels (“yes”: Z=2.34, p=.026; “no”: Z=3.10, p=.003). Conclusion: No significant difference in the AEE rates for individuals with DM before and during the COVID-19 pandemic was observed. Multifaceted efforts from the government are essential to maintain the continuity of health services. Additionally, nurses can help provide accurate information to reduce fear of infection. Further study is suggested to determine changes in AEE rates using cumulative data throughout the COVID-19 pandemic.
Abstract
Purpose: This study aimed to compare the annual eye examination (AEE) rates before and during the coronavirus disease 2019 (COVID-19) pandemic and to identify differences in rates according to individual and social factors. Methods: A secondary data analysis was conducted using raw data from the Community Health Survey in 2019 and 2020, before and during the COVID-19 pandemic. A total of 52,127 (25,880 in 2019 and 26,247 in 2020) individuals with diabetes mellitus (DM) were included. A complex sample analysis method was used to calculate the means and standard errors of the AEE rates. Further, the difference in AEE rates between 2019 and 2020 was analyzed using the Z statistic. Results: The AEE rates of study participants were 45.6±0.4 in 2019 and 45.4±0.4 in 2020 (Z=0.35, p=.375). There was a significant difference in the AEE rates depending on perceived health status (“good”: Z=1.07, p=.224; “average”: Z=-2.95, p=.005; “bad”: Z=0.76, p=.299) and awareness of blood sugar levels (“yes”: Z=2.34, p=.026; “no”: Z=3.10, p=.003). Conclusion: No significant difference in the AEE rates for individuals with DM before and during the COVID-19 pandemic was observed. Multifaceted efforts from the government are essential to maintain the continuity of health services. Additionally, nurses can help provide accurate information to reduce fear of infection. Further study is suggested to determine changes in AEE rates using cumulative data throughout the COVID-19 pandemic.