CAJ | 학술논문

目的：了解社区糖尿病患者视网膜病变的知晓情况及就医现状。方法通过随机抽样的方法在某社区2012年在档的糖尿病患者中抽取365例糖尿病患者，并采用统一的问卷对视网膜病变（DR）现况及就医信息进行调查。结果365例患者中，对DR的知晓率为41.57%。365例患者中，共有182例患者有就医行为，其中71例无眼部症状主动就医检查有无DR，111例患者因眼部不适症状被动就医。71例主动就医患者中发现有糖尿病视网膜病变（DR）者有22人，而出现增殖性视网膜病变（PDR）者为12人；111例因为眼部视力下降等症状就医患者中有糖尿病视网膜病变（DR）者有32人，而出现增殖性视网膜病变（PDR）者为15人。结论糖尿病患者主动就医仍不乐观，一方面我们需要加大宣教力度，同时可以建立以社区为核心的对DM患者进行DR早期筛查和干预模式，来尽量减少DR的致盲率，提高糖尿病患者的生活质量。
목적：료해사구당뇨병환자시망막병변적지효정황급취의현상。방법통과수궤추양적방법재모사구2012년재당적당뇨병환자중추취365례당뇨병환자，병채용통일적문권대시망막병변（DR）현황급취의신식진행조사。결과365례환자중，대DR적지효솔위41.57%。365례환자중，공유182례환자유취의행위，기중71례무안부증상주동취의검사유무DR，111례환자인안부불괄증상피동취의。71례주동취의환자중발현유당뇨병시망막병변（DR）자유22인，이출현증식성시망막병변（PDR）자위12인；111례인위안부시력하강등증상취의환자중유당뇨병시망막병변（DR）자유32인，이출현증식성시망막병변（PDR）자위15인。결론당뇨병환자주동취의잉불악관，일방면아문수요가대선교력도，동시가이건립이사구위핵심적대DM환자진행DR조기사사화간예모식，래진량감소DR적치맹솔，제고당뇨병환자적생활질량。
Objective To learn the status of medical care seeking behavior for diabetic retinopathy (DR) patients in the community. Methods By random sampling ,365 patients were bringing into questionnaire survey. Results In 365 patients, the awareness rate of DR is 41.57%, there were 71 patients seeked medical care initiatively without eye discomforts, 22 patients were found to suffer form DR, and 12 patients were PDR.However,there were 111 persons seeked medical care passively because of eye discomforts, 32 patients were found to suffer form DR, and 15 patients were PDR. Conclusions The situation of medical care seeking behavior for diabetes mel itus patients is not optimistic.TO decreasing the rate of blindness because of DR and enhance the life quality of diabetes mel itus patients,We must strengthen propaganda,and build early screening and intervention model.