Effectiveness of retinopathy preventive guidelines on patients' knowledge, attitude, and practices among type II diabetics
Keywords:
Retinopathy, Preventive Guidelines, Knowledge, Attitude, Practice, Type II DiabetesAbstract
Background: Diabetic retinopathy is a serious complication of diabetes and is a major cause of visual impairment and blindness. Proper intervention and following preventive guidelines can prevent or halt the resulting vision loss. Aim: To evaluate the effectiveness of retinopathy preventive guidelines on patients' knowledge, attitude, and practices among type II diabetics. Design: A quasi-experimental design (pre-post and follow-up test) was applied to conduct this study. Setting: The study was conducted in diabetes clinics at the National Medical Institute Hospital in Damanhour. Subjects: A purposive sample of 200 patients with type 2 diabetes was collected. Tools: Two tools were used to collect the data; Tool (I) A structured interview questionnaire to evaluate the patient's demographic characteristics and clinical data. Tool (II) Patient’s knowledge, attitudes, and practices regarding diabetic retinopathy questionnaire. Results: The current study clarified a significant improvement in the overall levels of Knowledge, Attitude, and Practices among diabetic patients post implementing preventive retinopathy guidelines and follow up phases compared to pre -preventive retinopathy guidelines implementation with p= (˂0.001). In addition, there was a significant positive association between diabetes knowledge, practice, and attitude scores regarding retinopathy preventive guidelines with p-value= (˂0.001).
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Abel, A., Issifou, A., & Zabdi, S. (2021). Knowledges, Attitudes and Practices of Diabetic Patients Face to Diabetic Retinopathy in Parakou in 2019. Ophthalmol Res, 4(1), 1-6.
Al Rasheed, R., & Al Adel, F. (2017). Diabetic retinopathy: Knowledge, awareness and practices of physicians in primary-care centers in Riyadh, Saudi Arabia. Saudi Journal of Ophthalmology, 31(1), 2-6.
Al Zarea, B. K. (2016). Knowledge, attitude and practice of diabetic retinopathy amongst the diabetic patients of AlJouf and Hail Province of Saudi Arabia. Journal of clinical and diagnostic research: JCDR, 10(5), NC05.
Alharbi, M., Al-Barry, M., Alshawawreh, M., Almatrafi, O., Algethami, T., Almatrafi, M., &Alsehli, M. (2021). Awareness, knowledge, and attitude of diabetic retinopathy among diabetic patients in Madinah, Saudi Arabia. International Journal of Medicine in Developing Countries, 1370-1378.
Aly, A. A., Gaballah, S., Elmanzalawy, S., ElGammal, W. E. S., & Hafez, G. E. (2021). Type 2 diabetes patient’s awareness and KAP regarding diabetic retinopathy: Cross-sectional multinational study from the Middle East. International Journal of Health Sciences, 6(S8), 2936–2956. https://doi.org/10.53730/ijhs.v6nS8.12630
Askari, A., Jeihooni, A. K., Kashfi, S. M., Marzban, A., &Khiyali, Z. (2018). The effect of educational program based on belief, attitude, subjective norm, and enabling factors model on changing the metabolic indices in elderly patients with type II diabetes. International journal of preventive medicine, 9.
Assem, A. S., Tegegne, M. M., Alemu, D. S., Woredekal, A. T., & Tefera, T. K. (2020). Knowledge about diabetic retinopathy, eye check-up practice and associated factors among adult patients with diabetes mellitus attending at debark hospital, Northwest Ethiopia. BMC ophthalmology, 20(1), 1-11.
Baiuomy, A., Ezzat, M., Salem, Y. M., Bedier, N. A., Ghaleb, M. A., & AbouShousha, M. A. (2021). Effect of an Educational Intervention on Self-Care Practices among Patients with Diabetic Retinopathy. Alexandria Scientific Nursing Journal, 23(2), 22-38.
Egunsola, O., Dowsett, L. E., Diaz, R., Brent, M. H., Rac, V., & Clement, F. M. (2021). Diabetic retinopathy screening: a systematic review of qualitative literature. Canadian Journal of Diabetes, 45(8), 725-733.
El-Kebbi, I. M., Bidikian, N. H., Hneiny, L., & Nasrallah, M. P. (2021). Epidemiology of type 2 diabetes in the Middle East and North Africa: Challenges and call for action. World journal of diabetes, 12(9), 1401.-1425. doi: 10.4239/wjd.v12.i9.1401. PMID: 34630897; PMCID: PMC8472500.
Elshammaa, K., Hamza, N., Elkholy, E., Mahrous, A., Elnaem, M. H., & Elrggal, M. E. (2022). Knowledge, attitude, and perception of public about participation in COVID-19 clinical trials: A study from Egypt and Saudi Arabia. Saudi Pharmaceutical Journal, 30(3), 283-290:doi: 10.1016/j.jsps..01.008.
Elshemy, M., Ibrahim, R. A. S., & Elkazeh, I. A. L. E. (2018). The Effect of an Educational Program for Nurses and the Family Caregivers about the Care of Diabetic Retinopathy Patients with Laser Photocoagulation Surgeries. International Journal of Novel Research in Healthcare and Nursing, 5(2), 470-483.
Fallatah, M. O. (2018). Knowledge, awareness, and eye care-seeking behavior in diabetic retinopathy: a cross-sectional study in Jeddah, Kingdom of Saudi Arabia. Ophthalmology and therapy, 7, 377-385:doi: 10.1007/s40123-018-0147-5.
Ghoreishi, M. S., Vahedian-Shahroodi, M., Jafari, A., & Tehranid, H. (2019). Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(3), 2049-2056.
Gupta, S., Gupta, I., & Kalra, S. (2018). Study of awareness of diabetic retinopathy among the patients of type 2 diabetes mellitus: A prospective study. Indian Journal of Clinical and Experimental Ophthalmology, 4(4), 483-486.
Hafez, G. E. (2021). Type 2 diabetes patient’s awareness and KAP regarding diabetic retinopathy: Cross-sectional multinational study from the middle east.
Hosseini, S. S., Shamsi, M., Khorsandi, M., & Moradzadeh, R. (2021). The effect of educational program based on theory of planned behavior on promoting retinopathy preventive behaviors in patients with type 2 diabetes: RCT. BMC endocrine disorders, 21, 1-7.
Hussain, R., Rajesh, B., Giridhar, A., Gopalakrishnan, M., Sadasivan, S., James, J., ... & John, N. (2016). Knowledge and awareness about diabetes mellitus and diabetic retinopathy in suburban population of a South Indian state and its practice among the patients with diabetes mellitus: A population-based study. Indian journal of ophthalmology, 64(4), 272: doi: 10.4103/0301-4738.182937.
Jani, C., Desai, T., Kapadia, F., Dave, H., Shah, A., Patel, V., ... & Pandya, J. (2021). Knowledge attitude practice study of diabetic retinopathy. International Surgery Journal, 8(1), 54-62: doi: 10.18203/2349-2902.isj20205422.
Jani, P. D., Forbes, L., Choudhury, A., Preisser, J. S., Viera, A. J., & Garg, S. (2017). Evaluation of diabetic retinal screening and factors for ophthalmology referral in a telemedicine network. JAMA ophthalmology, 135(7), 706-714.
Kashim, R. M., Newton, P., & Ojo, O. (2018). Diabetic retinopathy screening: A systematic review on patients’ non-attendance. International journal of environmental research and public health, 15(1), 157.
Khalaf, F. R., Fahmy, H. M., Ibrahim, A. K., Mohamed, G. A., El SayedEzEldeen, M., Elkady, A., & Hetta, H. F. (2019). Does a diabetic retinopathy educational program raise awareness among elderly diabetic patients?. Diabetes, metabolic syndrome and obesity: targets and therapy, 1867-1875.
Konstantinidis, L., Carron, T., de Ancos, E., Chinet, L., Hagon-Traub, I., Zuercher, E., &Peytremann-Bridevaux, I. (2017). Awareness and practices regarding eye diseases among patients with diabetes: a cross sectional analysis of the CoDiab-VD cohort. BMC endocrine disorders, 17, 1-11:56. doi: 10.1186/s12902-017-0206-2. PMID: 28882117; PMCID: PMC5590154.
Manu, A. S., Davalgi, S. B., Aithal, S. S., & Dilip, B. (2018). Awareness of diabetic retinopathy and barriers for eye screening among adults with type 2 diabetes mellitus attending tertiary care teaching hospital, Davanagere, Karnataka. Int J Med Sci Public Health, 7(9), 686-690.doi: 10.5455/ijmsph.2018.0514717052018.
Mersha, G. A., Alimaw, Y. A., Woredekal, A. T., Assaye, A. K., & Zeleke, T. C. (2021). Awareness and knowledge of diabetic retinopathy in diabetic patients at a General Hospital in Northwest Ethiopia. SAGE Open Medicine, 9,doi: 10.1177/205 20503121211054994.PMID: 34888050; PMCID: PMC8649097
Mohamed, S. S., Mohamed, R. F., & Mohamed, S. H. (2019). Impact of educational intervention program on diabetic retinopathy patient's compliance. American Journal of Nursing, 7(6), 1000-1008.
Mosa, H. E. S., Omar, A. M., Salih, S. A. A., & El Azab, E. F. (2019). Diabetes Mellitus Risk Assessment Among Egyptians Versus Saudi Arabians Nursing Employees: Comparative Study. Diabetes, 59 (1).19–29, doi: 10.7176/JHM.
Neama M.Y., Alhashim M., Al Owaifeer A., Alluwaim F., Alghadeer Z., and Mubarak F. (2019):“Knowledge and awareness of diabetic retinopathy among diabetic patients, Al-Ahsaa, Saudi Arabia”. Int J Sci Res 2019; 8(3): 36.https://pesquisa.bvsalud.org/portal/resource/pt/sea-185479.
Nizamani, N. B., Talpur, K. I., Awan, F., Khanzada, M. A., & Memon, M. N. (2017). Results of a community-based screening programme for diabetic retinopathy and childhood blindness in district Hyderabad, Pakistan. BMJ open ophthalmology, 2(1), e000099.
Padhy, S. K., Takkar, B., Chawla, R., & Kumar, A. (2019). Artificial intelligence in diabetic retinopathy: A natural step to the future. Indian journal of ophthalmology, 67(7), 1004.
Patidar, D., Patidar, K., &Chaudhari, M. (2019). A Study to Assess the Effectiveness of Planned Teaching Program on Knowledge regarding Prevention of Diabetic Retinopathy. International Journal of Advances in Nursing Management, 7(3), 237-239.
Piyasena, M. M. P. N., Murthy, G. V. S., Yip, J. L., Gilbert, C., Zuurmond, M., Peto, T., ... & Kamalakannan, S. (2019). Systematic review on barriers and enablers for access to diabetic retinopathy screening services in different income settings. PloS one, 14(4), e0198979.
Raman, R., Ramasamy, K., Rajalakshmi, R., Sivaprasad, S., & Natarajan, S. (2021). Diabetic retinopathy screening guidelines in India: All India Ophthalmological Society diabetic retinopathy task force and Vitreoretinal Society of India consensus statement. Indian journal of ophthalmology, 69(3), 678.
Riordan, F., Racine, E., Phillip, E. T., Bradley, C., Lorencatto, F., Murphy, M., ... & McHugh, S. M. (2020). Development of an intervention to facilitate implementation and uptake of diabetic retinopathy screening. Implementation science, 15, 1-17.
Riordan, F., Racine, E., Smith, S. M., Murphy, A., Browne, J., Kearney, P. M., ... & McHugh, S. M. (2020). Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial. Pilot and Feasibility Studies, 6(1), 1-18.
Rodriguez-Acuña, R., Mayoral, E., Aguilar-Diosdado, M., Rave, R., Oyarzabal, B., Lama, C., ... & Martinez-Brocca, M. A. (2020). Andalusian program for early detection of diabetic retinopathy: implementation and 15-year follow-up of a population-based screening program in Andalusia, Southern Spain. BMJ Open Diabetes Research and Care, 8(1), e001622.
Safwat, A., Elmetwaly, R., &Abdulmutalib, I. (2021). Effect of Nursing Guidelines on Improving Knowledge and Relieve Anxiety of Diabetic Patients with Retinopathy. International Journal of Novel Research in Healthcare and Nursing, 5(2), 147-157.
Said, H. S., & Hamed, M. S. (2021). Effect of an interventional program on diabetic patients’ awareness regarding diabetic retinopathy. The Egyptian Family Medicine Journal, 5(1), 82-94.
Salahen, S., AbdAlla, M., Kanna, S. A. A. A., & Nour, S. M. (2020). Effect of Instructional Educational Programme on Diabetic Patients’ Awareness Regarding Diabetes and Diabetic Retinopathy. EAS Journal of Nursing and Midwifery, 2(2), 114-114.
Salamanca, O., Geary, A., Suárez, N., Benavent, S., & Gonzalez, M. (2018). Implementation of a diabetic retinopathy referral network, Peru. Bulletin of the World Health Organization, 96(10), 674.
Seid, K., Tesfaye, T., Belay, A., & Mohammed, H. (2021). Determinants of diabetic retinopathy in TikurAnbessa Hospital, Ethiopia: a case–control study. Clinical Diabetes and Endocrinology, 7, 1-9.
Shetty, N. K., & Swapnika, S. (2017). KAP study on diabetic retinopathy amongst the paramedic nursing students. Indian J ClinExpOphthalmol, 3(1), 85-90.
Srinivasan, N. K., John, D., Rebekah, G., Kujur, E. S., Paul, P., & John, S. S. (2017). Diabetes and diabetic retinopathy: knowledge, attitude, practice (KAP) among diabetic patients in a tertiary eye care centre. Journal of clinical and diagnostic research: JCDR, 11(7), NC01-NC07:doi: 10.7860/JCDR/2017/27027.10174. Epub Jul 1. PMID: 28892947; PMCID: PMC5583928.
Stojanović, M., Cvetanović, G., Anđelković Apostolović, M., Stojanović, D., &Rančić, N. (2018). Impact of socio-demographic characteristics and long-term complications on quality of life in patients with diabetes mellitus. Central European journal of public health, 26(2), 104-110.
Thirunavukkarasu, A., Almulhim, A. K., Albalawi, F. A., Alruwaili, Z. M., Almajed, O. A., Alruwaili, S. H., ... &Alkuwaykibi, M. K. (2021).Knowledge, attitudes, and practices towards diabetic retinopathy among primary care physicians of Saudi Arabia: a multicenter cross-sectional study. In Healthcare , 9 (12), 1697. MDPI.
Venugopal, D., Lal, B., Fernandes, S., & Gavde, D. (2020). Awareness and knowledge of diabetic retinopathy and associated factors in Goa: A hospital-based cross-sectional study. Indian journal of ophthalmology, 68(2), 383.-390:doi: 10.4103/ijo.IJO_1218_19.
Wong, T. Y., & Sabanayagam, C. (2019). The war on diabetic retinopathy: where are we now?. Asia-pacific Journal of Ophthalmology (Philadelphia, Pa.), 8(6), 448.
Wong, T. Y., & Sabanayagam, C. (2020). Strategies to tackle the global burden of diabetic retinopathy: from epidemiology to artificial intelligence. Ophthalmologica, 243(1), 9-20.
World Health Organization. (2020). Diabetic retinopathy screening: a short guide: increase effectiveness, maximize benefits and minimize harm.Available at:https://apps.who.int/iris/bitstream/handle/10665/336660/9789289055321-eng.pdf.
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