초기 당뇨병 환자의 안저검사 수검 관련 요인

Factors Influencing Fundus Examination in Early Diabetic Patients

Purpose : This study aimed to identify the factors influencing fundus examination to prevent diabetic eye disease in patients with early diabetes and provide basic data to improve screening rates for fundus examinations. Method : This study used raw data from the Community Health Survey, which is a cross-sectional and nationally representative survey. The study subjects consisted of 10,237 patients with early diabetes with a disease duration of less than 5 years. Demographic, health behavior, and diabetes-related characteristics according to fundus examination status were analyzed using the Chi-squared test, and logistic regression analysis was used to identify the factors influencing fundus examination. Results : A total of 2,903 patients underwent fundus examination, with a screening rate of 28.4%. Factors influencing fundus examination in diabetes patients were age, level of education, smoking status, presence of hypertension, non-pharmacological therapy, diabetes medication use, insulin therapy, and diabetes management education. Conclusion : The results of this study indicate that in order to increase the screening rate of fundus examination in early diabetic patients, a multifaceted approach including specialized education for elderly patients, individuals with low education level, hypertension patients and smokers is necessary. In addition, it is necessary to emphasize the necessity of fundus examination through diabetes management education for early diabetic patients.