Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia
Background: Diabetic retinopathy (DR) is a significant microvascular complication of diabetes mellitus, leading to vision impairment and blindness in working-age adults globally. Aim: To evaluate the knowledge, clinical characteristics and associated factors among diabetic retinopathy patients atte...
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AOSIS
2024-12-01
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| Series: | African Vision and Eye Health |
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| Online Access: | https://avehjournal.org/index.php/aveh/article/view/949 |
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| author | Lia M. Zaini Arief S. Kartasasmita Tjahjono D. Gondhowiardjo Maimun Syukri Putri N. Mulya |
| author_facet | Lia M. Zaini Arief S. Kartasasmita Tjahjono D. Gondhowiardjo Maimun Syukri Putri N. Mulya |
| author_sort | Lia M. Zaini |
| collection | DOAJ |
| description | Background: Diabetic retinopathy (DR) is a significant microvascular complication of diabetes mellitus, leading to vision impairment and blindness in working-age adults globally.
Aim: To evaluate the knowledge, clinical characteristics and associated factors among diabetic retinopathy patients attending an ophthalmology clinic at a tertiary hospital in Aceh from May 2020 to May 2021.
Setting: The study was conducted at Zainoel Abidin General Hospital, Banda Aceh, Indonesia.
Methods: A prospective cross-sectional study using consecutive sampling was conducted. Data collection involved patient history, eye examinations, laboratory tests and administering a questionnaire to assess knowledge of diabetes and diabetic retinopathy. The data were analysed using descriptive statistics and binary logistic regression.
Results: Out of 173 participants, 170 were included in the study. A significant proportion had visual acuity less than 6/60 (44.1%) and proliferative diabetic retinopathy (PDR) (52.6%) with macular oedema in 11.8%. Only seven (4.1%) patients had good knowledge of diabetes and 28 (16.5%) had good knowledge of DR. A total of 113 (66.5%) patients were aware that diabetes could affect the eye and positively associated with the sex (adjusted odds ratio [AOR]: 6.18, 95% confidence interval [CI]: 1.80–21.21, P = 0.004), educational level (AOR: 4.66, 95% CI: 1.31–16.51, P = 0.017) and type of DM (AOR: 5.30, 95% CI: 1.97–14.26, P = 0.001).
Conclusion: The study revealed a high incidence of vision-threatening diabetic retinopathy (VTDR), including severe non-proliferative, proliferative and significant macular oedema cases. However, patients’ knowledge of their disease was very low.
Contribution: This study crucial data to the Department of Health Authority for policy decision-making. |
| format | Article |
| id | doaj-art-8eece3a56ec145be8248aa912f6de3e8 |
| institution | OA Journals |
| issn | 2413-3183 2410-1516 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Vision and Eye Health |
| spelling | doaj-art-8eece3a56ec145be8248aa912f6de3e82025-08-20T01:58:04ZengAOSISAfrican Vision and Eye Health2413-31832410-15162024-12-01831e1e810.4102/aveh.v83i1.949611Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, IndonesiaLia M. Zaini0Arief S. Kartasasmita1Tjahjono D. Gondhowiardjo2Maimun Syukri3Putri N. Mulya4Department of Medical Sciences, Faculty of Medicine, Padjadjaran University, Bandung Department of Ophthalmology, Faculty of Medicine, Zainoel Abidin Hospital, Syiah Kuala University, Banda AcehDepartment of Ophthalmology, Faculty of Medicine, Cicendo National Eye Hospital, Padjadjaran University, BandungDepartment of Ophthalmology, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, JakartaDepartment of Internal Medicine, Faculty of Medicine, Zainoel Abidin Hospital, Syiah Kuala University, Banda AcehFaculty of Medicine, Zainoel Abidin Hospital, Syiah Kuala University, Banda AcehBackground: Diabetic retinopathy (DR) is a significant microvascular complication of diabetes mellitus, leading to vision impairment and blindness in working-age adults globally. Aim: To evaluate the knowledge, clinical characteristics and associated factors among diabetic retinopathy patients attending an ophthalmology clinic at a tertiary hospital in Aceh from May 2020 to May 2021. Setting: The study was conducted at Zainoel Abidin General Hospital, Banda Aceh, Indonesia. Methods: A prospective cross-sectional study using consecutive sampling was conducted. Data collection involved patient history, eye examinations, laboratory tests and administering a questionnaire to assess knowledge of diabetes and diabetic retinopathy. The data were analysed using descriptive statistics and binary logistic regression. Results: Out of 173 participants, 170 were included in the study. A significant proportion had visual acuity less than 6/60 (44.1%) and proliferative diabetic retinopathy (PDR) (52.6%) with macular oedema in 11.8%. Only seven (4.1%) patients had good knowledge of diabetes and 28 (16.5%) had good knowledge of DR. A total of 113 (66.5%) patients were aware that diabetes could affect the eye and positively associated with the sex (adjusted odds ratio [AOR]: 6.18, 95% confidence interval [CI]: 1.80–21.21, P = 0.004), educational level (AOR: 4.66, 95% CI: 1.31–16.51, P = 0.017) and type of DM (AOR: 5.30, 95% CI: 1.97–14.26, P = 0.001). Conclusion: The study revealed a high incidence of vision-threatening diabetic retinopathy (VTDR), including severe non-proliferative, proliferative and significant macular oedema cases. However, patients’ knowledge of their disease was very low. Contribution: This study crucial data to the Department of Health Authority for policy decision-making.https://avehjournal.org/index.php/aveh/article/view/949diabetic retinopathyclinical characteristicspatient’s knowledgepoor knowledgevision-threatening |
| spellingShingle | Lia M. Zaini Arief S. Kartasasmita Tjahjono D. Gondhowiardjo Maimun Syukri Putri N. Mulya Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia African Vision and Eye Health diabetic retinopathy clinical characteristics patient’s knowledge poor knowledge vision-threatening |
| title | Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia |
| title_full | Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia |
| title_fullStr | Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia |
| title_full_unstemmed | Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia |
| title_short | Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia |
| title_sort | clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in aceh indonesia |
| topic | diabetic retinopathy clinical characteristics patient’s knowledge poor knowledge vision-threatening |
| url | https://avehjournal.org/index.php/aveh/article/view/949 |
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