Evaluation of factors influencing patient compliance in management of diabetic retinopathy

Session Details

Session Title: Orbis Free Paper Session

Session Date/Time: Monday 07/09/2015 | 11:30-12:45

Paper Time: 11:30

Venue: Room 4

First Author: : K.Dole INDIA

Co Author(s): :    K. Bhadbhade   M. Deshapande                 

Abstract Details

Purpose:

To explore the factors contributing to compliance and non-compliance in diabetic retinopathy management at a tertiary eye care institute.

Setting:

H. V. Desai Eye Hospital ,Pune,India *Andrea has rest of abstract(exceeded 100 words) **Andrea has rest of abstract(exceeded 100 words)

Methods:

*This study included 147 patients of diabetic retinopathy (75 in screening group and 72 in treatment group). All diabetic patients were initially examined for the changes suggestive of diabetic retinopathy in the retina clinic and then they were divided in various grades of diabetic retinopathy. After diagnosis and grading of diabetic retinopathy, patients were counselled by counsellor and called for the next appointment. The patients were followed whether they attended the given appointment date for screening or no. The patients who attended the appointment were considered as compliant and they were interviewed for the factors influencing compliance

Results:

**In this study, we found the magnitude of non-compliance was higher than compliance in diabetic retinopathy patients in both screening and treatment group. The percentage of non-compliance in screening group is 64%, in treatment group 56.94%. The overall non-compliance was 60.54%. Gender and educational qualification showed statistically significant association wityh non compliance. Statistically significant association (p-value<0.05) was found between compliance and visual acuity ( non-compliance is more in patients with good visual acuity). We also found more non-compliance in patients with disease of less severity compared to patients with more severe disease having Vision Threatening Diabetic Retinopathy(VTDR)

Conclusions:

The results of this study showed that non-compliance among diabetic retinopathy patients was high. Lack of knowledge and negative attitude played important roles as barriers for compliance in screening group whereas lack of knowledge and cost & service played important roles as barriers for compliance in treatment group. Interventions in the form of reminders helped to improve the compliance.

Financial Interest:

NONE