DOI QR코드

DOI QR Code

Factors Influencing Fundus Examination in Patients with Diabetes

당뇨병 환자의 안저검사 수검 영향요인

  • An, Soodeuk (Busan Yeonje Branch, National Health Insurance Service) ;
  • Yu, Jungok (Department of Nursing, Dong-A University)
  • 안수득 (국민건강보험공단 부산연제지사) ;
  • 유정옥 (동아대학교 의과대학 간호학과)
  • Received : 2018.01.16
  • Accepted : 2018.04.11
  • Published : 2018.04.30

Abstract

Purpose: This study was conducted to identify factors influencing fundus examination to prevent diabetic retinopathy in diabetes patients to provide basic data to improve screening rates of fundus examinations. Methods: Raw data from the 6th Korea National Health and Nutrition Examination Survey, which is a cross-sectional and nationally representative survey, were used in this study. The subjects of the study were 1,029 adult diabetes patients over the age of 19 years who had been diagnosed with diabetes. The demographic characteristics, diabetes and disease-related characteristics and health behavior characteristics according to the fundus examinations were analyzed by the chi-squared test and logistic regression analyses were used to examine the factors influencing fundus examination. Results: A total of 333 patients underwent fundus examination at a screening rate of 32.2%. We identified factors influencing fundus examination in patients with diabetes as level of education, type of diabetes care, period of diabetes, and smoking. Conclusion: A multiple approach is required to raise the low screening rate of fundus examination, including specialized education for low-education groups. Moreover, nursing intervention should focus on subjects who do not engage in insulin and oral hypoglycemic agents and with diabetes for a long period.

Keywords

References

  1. Byun, S. H., Ma, S. H., Jun, J. K., Jung, K. W., & Park, B. (2013). Screening for diabetic retinopathy and nephropathy in patients with diabetes: A nationwide survey in Korea. Plos One, 8(5), e62991. https://dx.doi.org/10.1371/journal.pone.0062991
  2. Centers for Disease Control and Prevention. (2013, November 19). Percentage of Adults aged 18 years or older with diagnosed diabetes receiving a dilated eye exam in the last year, by age, United States, 1994- 2010. Retrieved March 9, 2018, from https://www.cdc.gov/diabetes/statistics/preventive/tneweyeexagetot.htm
  3. Cho, H. J. (2013). Equity in health care: Current situation in South Korea. Journal of the Korean Medical Association, 56(3), 184-194. http://dx.doi.org/10.5124/jkma.013.56.3.184
  4. Choi, C. W., Lee S. J., Kang, H. R., & Yang, Y. S. (2014). The change of microaneurysm in diabetic retinopathy patients who undergo intravitreal avastin (bevacizumab) injection. Journal Korean Ophthalmol Society, 55(10), 1481-1486. http://dx.doi.org/10.3341/jkos.2014.55.10.1481
  5. Choi, J. H., Na, B. J., & Chun, S. A. (2010). Factors related to fundus examination in diabetes mellitus patients. Health Policy and Management, 20(1), 125-136. https://dx.doi.org/10.4332/KJHPA.2010.20.1.125
  6. Chun, E. J., Jang, S. N., Cho, S. I., Cho, Y., & Moon, O. R. (2007). Disparities in participation in health examination by socio-economic position among adult Seoul residents. Journal of Preventive Medicine Public Health, 40(5), 345-350. https://doi.org/10.3961/jpmph.2007.40.5.345
  7. Dervan, E., Lillis, D., Flynn, L., Staines, A., & O'Shea, D. (2008). Factors that influence the patient uptake of diabetic retinopathy screening. Irish Journal of Medical Science, 177(4), 303-308. https://dx.doi.org/10.1007/11845-008-0192-5
  8. Foo, V., Quah, J., Cheung, G., Tan, N. C., Zar, M., Lin, K., et al. (2017). HbA1c, systolic blood pressure variability and diabetic retinopathy in Asian type 2 diabetics. Journal of Diabetes, 9(2), 200-207. https://dx.doi.org/10.1111/1753-0407.2403
  9. Health Insurance Review & Assessment Service. (2017). High blood pressure, diabetes. choose a local representative and get regular treatment!. Retrieved January 10, 2018, from http://www.hira.or.kr/bbsDummy.o?pgmid=HIRAA020041000100&brdScnBlt No=4&brdBltNo=9330
  10. Hsieh, Y. L., Lee, F. H., Chen, C. L., Chang, M. F., & Han, P. H. (2016). Factors influencing intention to receive examination of diabetes complications. Asian Nursing Research, 10(4), 289-294. https://dx.doi.org/0.1016/j.anr.2016.10.004 https://doi.org/10.1016/j.anr.2016.10.004
  11. Korea Centers for Disease Control and Prevention. (2012). Diabetes fact sheet in Korea 2012. Retrieved January 15, 2018, from http://www.diabetes.or.kr/temp/Diabetes_act_sheet2012.pdf
  12. Korea Centers for Disease Control and Prevention. (2015). Statistical report on 2008-2014 community health survey. Retrieved January 15, 2018, from https://chs.cdc.go.kr/chs/index.do
  13. Korea Centers for Disease Control and Prevention. (2017). Community health survey. Retrieved January 15, 2018, from https://chs.cdc.go.kr/chs/index.do
  14. Korean Diabetes Association. (2016). Diabetes Fact Sheet in Kore 2016. Seoul: Korean Diabetes Association.
  15. Korean Diabetes Association. (2008). Report of task force team for basic statistical study of Korean diabetes mellitus: Diabetes in Korea 2007. Seoul: Korean Diabetes Association.
  16. Kim, C. Y., Kim, M. H., Lee, T. J., & Sin, J. I. (2015). Health inequality in Korea. Seoul: Seoul National University Press.
  17. Lim, H. T., & Choi, K. S. (2012). Factors associated with screening for diabetic retinopathy in diabetic patients aged${\geq}$ 40 years using the KNHANES IV. Journal of the Korean Ophthalmological Society, 53(4), 516-521. https://dx.doi.org/10.3341/jkos.2012.3.4.516
  18. Ministry of Health & Welfare. (2013, October). The physical activity guide for Koreans. Retrieved January 10, 2018, from http://www.mohw.go.kr/react/jb/sjb030301 vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=337139&page=1
  19. Nicolucci, A., Greenfield, S., & Mattke, S. (2006). Selecting indicators for the quality of diabetes care at the health systems level in OECD countries. International Journal for Quality in Health Care, 18(suppl_1), 26-30. https://dx.doi.org/10.1093/intqhc/zl023
  20. National Health Insurance Service, & Health Insurance Review & Assessment Service. (2017, October 17). Statistical Yearbook of Health Insurance. Retrieved March 9, 2018, from http://www.hira.or.kr/bbsDummy.do?gmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=9483
  21. Noh, J. W., Kwon, Y. D., Jung, J. H., Sim, K. H., Kim, H. S., Choi, M., et al. (2015). Economic evaluation of diabetes education. The Journal of Korean Diabetes, 16(4), 293-302. https://dx.doi.org/10.4093/jkd.015.6.4.293
  22. Seoul National University Hospital. (2017. March). Diabetes threatens your eyes. Retrieved January 15, 2018, from http://m.post.naver.com/viewer/postView.nhn?volumeNo=6865229&memberNo=3600238
  23. Solomon, S. D., Chew, E., Duh, E. J., Sobrin, L., Sun, J. K., VanderBeek, B. L., et al. (2017). Diabetic retinopathy: A position statement by the American Diabetes Association. Diabetes Care, 40(3), 412-418. https://dx.doi.org/10.2337/dc16-2641
  24. Son, Y. E., Ryu, S. Y., Park, J., Han, M. A., & Gu, H. M. (2016). The associated factors with utilization of tests for diabetes complication and hemoglobin A1c among some diabetes patients. Health Policy and Management, 26(3), 207-218. http://dx.doi.org/10.4332/KJHPA.2016.26.2.207
  25. Sung, K., Park, M. K., Nam, J. R., Park, J. H., & Kang, H. S. (2017). Experience as a vulnerable elderly individual with diabetes. Journal of Korean Public Health Nursing, 31(1), 149-161. http://dx.doi.org/10.5932/KPHN.2017.31.1.149
  26. Van Eijk, K. N. D., Blom, J. W., Gussekloo, J., Polak, B. C. P., & Groeneveld, Y. (2012). Diabetic retinopathy screening in patients with diabetes mellitus in primary care: Incentives and barriers to screening attendance. Diabetes Research and Clinical Practice, 96(1), 10-16. https://dx.doi.org/0.1016/j.diabres.2011.11.003 https://doi.org/10.1016/j.diabres.2011.11.003
  27. World Health Organization. (2016). Global report on diabetes. Retrieved January 15, 2017, from http://www.who.int/diabetes/lobal-report/en/
  28. Yau, J. W., Rogers, S. L., Kawasaki, R., Lamoureux, E. L., Kowalski, J. W., Bek, T. et al. (2012). Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care, 35(3), 556-564. https://doi.org/10.2337/c11-1909
  29. Zou, Y. H., Li, Q., Cui, S. S., Jia, W., Zhang, N., Ma, K., et al. (2017). Predictors for attending annual eye screening for diabetic retinopathy amongst patients with diabetes in an urban community of Beijing. International Journal of Ophthalmology, 10(7), 1144. https://dx.doi.org/10.18240/jo.017.07.19