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目的了解农村白内障患者的眼病意识和眼病治疗障碍。设计前瞻性横断面调查研究。研究对象江苏省姜堰市6个月内筛查出等待手术的白内障患者251例。方法手术前对患者进行问卷调查,调查表依印度Aravind眼科医院进行白内障临床评价的眼病意识调查问卷和本地居民生活习俗而设计。主要指标眼病存在意识、眼病治疗意识、眼病治疗障碍、健康意识和错误治疗行为。结果意识到自己眼病存在时间在1年以上的患者为89．6％;知道自己眼病可以治疗的时间在1年以上为0．12％,6个月至1个月为31．9％,1个月内为65．7％;患者治疗障碍主要为:还能看见、经济困难、年纪大不要求手术、不相信手术能成功。结论在农村进行眼病卫生知识宣传教育具有必要性和紧迫性,发展经济是提高白内障手术覆盖率的根本措施, 提供价廉效优的白内障手术是目前提高白内障手术率的关键。
Objective To understand the awareness of ophthalmopathy and the treatment of eye diseases in rural cataract patients. Design prospective cross-sectional investigation. Subjects: Jiangyan City, Jiangsu Province, within 6 months screened 251 cases of cataract patients waiting for surgery. Methods Before the operation, the patients were surveyed. The questionnaire was designed according to the Questionnaire on Ocular Disease Evaluation of Cataract in Aravind Eye Hospital in India and the living habits of local residents. The main indicators of eye disease awareness, awareness of eye disease treatment, eye disease treatment disorders, health awareness and wrong treatment behavior. Results The patients who realized that their eye diseases existed for more than one year were 89.6%, those who knew that their eye diseases could be treated were 0.12% for more than 1 year, 31.9% for 6 months to 1 month, 1 65.7% within a month; patients with treatment disorders mainly: can see, economic difficulties, age does not require surgery, do not believe the surgery can be successful. Conclusion It is necessary and urgent to publicize and educate eye health knowledge in rural areas. Economic development is the fundamental measure to improve the coverage of cataract surgery. To provide cost effective cataract surgery is the key to improve the operation rate of cataract.