Efficacy of Instructional Platform Regarding Prevention of Retinopathy on Type II Diabetic Patient's Knowledge, Attitude, and Practice

Authors

  • Azza Anwar Aly Assistant professor of Medical-Surgical Nursing, Faculty of Nursing, Damanhur University, Egypt., Associate professor of Medical-Surgical Nursing, Ibn Sina National College for Medical Studies, KSA. Author
  • Aisha Mohaib Omairan PhD Head of Patients’ Family Education and Health Awareness Department, King Abdulaziz Hospital, Jeddah, KSA. Author

Keywords:

Efficacy, instructional platform, prevention, diabetic retinopathy, knowledge, attitude, and practice

Abstract

DR is a serious complication of diabetes that results in irreversible blindness and is one of the most leading causes of visual impairment and blindness. Appropriate interventions and self-care measures can interrupt or stop the resulting vision loss. The study aim: Evaluate efficacy of instructional platform regarding prevention of retinopathy on type II diabetic patient's knowledge, Attitude, and Practice (KAP). Study design & setting: A quasi-experimental design (pre-post and follow-up) was used to conduct this study. This study was conducted in the medical outpatient department of a private hospital at Jedda City. Sample: A purposive sample of 120 patients with type II diabetes were included. Tools: The efficacy of instructional platform regarding prevention of retinopathy evaluated by using two tools for data collection at pre, post, and follow-up stages. The first tool was structured interview questionnaire to assess sociodemographic data. The second tool contains three-part to assess patients' KAP regarding prevention of retinopathy. After the instructional platform was implemented in 3 training sessions, data collection was repeated immediately and 3 months later and HbA1C was retested. Results: A highly significant improvements in the patients' level of KAP about retinopathy prevention post- instructional platform implementation compared to pre- instructional platform implementation with p= (0.001). Furthermore, there was a highly significant correlation between patients’ knowledge, Attitude, and Practice regarding prevention of retinopathy with p= (0.001). Finally, a significant positive correlation was found between patients’ KAP regarding retinopathy prevention and all components of sociodemographic characteristics at p = (0.001) except the duration of DM. Conclusion: The implementation of instructional platform for type II diabetic patients revealed a significant improvement in the patients' level of KAP about retinopathy prevention post- instructional platform implementation compared to pre- instructional platform implementation. Recommendations: Efforts should be made to design and implement an appropriate educational platform to expand patient education approaches and KAP of patients with type II diabetes. 

Downloads

Download data is not yet available.

References

Abel A, Issifou A, & Zabdi S (2021) Knowledges,

Attitudes and Practices of Diabetic Patients

Face to Diabetic Retinopathy in Parakou in

Ophthalmol Res 4 (1): 1-6. URL:

https://scivisionpub.com/pdfs/knowledgesattitudes-and-practices-of-diabetic-patientsface-to-diabetic-retinopathy-in-parakou-in-

-1595.pdf

Al Rasheed R, & Al Adel F (2017) Diabetic retinopathy:

Knowledge, awareness and practices of physicians in

primary-care centers in Riyadh, Saudi Arabia. Saudi

Journal of Ophthalmology 31 (1): 2-6. DOI:

https://doi.org/10.1016/j.sjopt.2017.01.001

Alharbi MT, Al-Barry MA, Alshawawreh MY,

Almatrafi OM, Algethami TF et al. (2021)

Awareness, knowledge, and attitude of diabetic

retinopathy among diabetic patients in Madinah,

Saudi Arabia. International Journal of Medicine in

Developing Countries: 1370–1378. DOI:

https://doi.org/10.24911/ijmdc.51-1613759319

AlSawahli H, Mpyet CD, Ezzelarab G, Hassanin I,

Shalaby M et al. (2021) Population-based crosssectional prevalence survey of diabetes and

diabetic retinopathy in Sohag—Egypt, 2019.

BMJ open 11 (6): e047757. DOI:

https://doi.org/10.1136/bmjopen-2020-047757

Aly AA, Gaballah S, Elmanzalawy S, ElGammal WES,

& Hafez GE (2021) Type 2 diabetes patient’s

awareness and KAP regarding diabetic retinopathy:

Cross-sectional multinational study from the

middle east. International Journal of Health

Sciences 6 (S8): 2936–2956. DOI:

https://doi.org/10.53730/ijhs.v6nS8.12630

Aly AA, Qalawa SA, & Shrief SE (2022) Impact Of

Diabetic Retinopathy Prevention Instructional

Scheme On Patient's Performance. Journal of Positive

School Psychology 6 (8): 1481-1497. URL:

https://journalppw.com/index.php/jpsp/article/view/9

Alzahrani SH, Bakarman MA, Alqahtani SM,

Alqahtani MS, Butt NS et al. (2018) Awareness

of diabetic retinopathy among people with

diabetes in Jeddah, Saudi Arabia. Therapeutic

advances in endocrinology and metabolism 9

(4): 103-112. DOI:

https://doi.org/10.1177/2042018818758621

Askari A, Jeihooni AK, Kashfi SM, Marzban A, &

Khiyali Z (2018) The effect of educational

program based on belief, attitude, subjective

norm, and enabling factors model on changing

the metabolic indices in elderly patients with

type II diabetes. International journal of

preventive medicine 9: 74. DOI:

https://doi.org/10.4103/ijpvm.IJPVM_308_16

Assem AS, Tegegne MM, Alemu DS, Woredekal

AT, & Tefera TK (2020) Knowledge about

diabetic retinopathy, eye check-up practice and

associated factors among adult patients with

diabetes mellitus attending at debark

hospital, Northwest Ethiopia. BMC

ophthalmology 20 (1): 1-11. DOI:

https://doi.org/10.1186/s12886-020-01730-4

Baiuomy A, Ezzat M, Salem YM, Bedier NA,

Ghaleb MA et al. (2021) Effect of an

Educational Intervention on Self-Care

Practices among Patients with Diabetic

Retinopathy. Alexandria Scientific Nursing

Journal 23 (2): 22-38. DOI:

https://doi.org/10.21608/asalexu.2021.219100

Chen H, Pan X, Yang J, Fan J, Qin M et al. (2021)

Application of 5G technology to conduct realtime teleretinal laser photocoagulation for the

treatment of diabetic retinopathy. JAMA

ophthalmology 139 (9): 975-982. DOI:

https://doi.rog/10.1001/jamaophthalmol.2021.2

Egunsola O, Dowsett LE, Diaz R, Brent MH, Rac V et al.

(2021) Diabetic retinopathy screening: a systematic

review of qualitative literature. Canadian Journal of

Diabetes 45 (8): 725-733. e712. DOI:

https://doi.org/10.1016/j.jcjd.2021.01.014

Elshemy M, Ibrahim RAS, & Elkazeh IALE (2018)

The Effect of an Educational Program for

Nurses and the Family Caregivers about the

Care of Diabetic Retinopathy Patients with

Laser Photocoagulation Surgeries. International

Journal of Novel Research in Healthcare and

Nursing 5 (2): 470-483. URL:

https://www.noveltyjournals.com/upload/paper

/The%20Effect%20of%20an%20Educational-

pdf

Ghoreishi M-S, Vahedian-Shahroodi M, Jafari A, &

Tehranid H (2019) Self-care behaviors in

patients with type 2 diabetes: Education

intervention base on social cognitive theory.

Diabetes & Metabolic Syndrome: Clinical

Research & Reviews 13 (3): 2049-2056. DOI:

https://doi.org/10.1016/j.dsx.2019.04.045

Gupta S, Gupta I, & Kalra S (2018) Study of

awareness of diabetic retinopathy among the

patients of type 2 diabetes mellitus: A

prospective study. Indian Journal of Clinical and

Experimental Ophthalmology 4 (4): 483-486.

DOI: https://doi.org/10.18231/2395-

2018.0108

Hosseini SS, Shamsi M, Khorsandi M, &

Moradzadeh R (2021) The effect of educational

program based on theory of planned behavior on

promoting retinopathy preventive behaviors in

patients with type 2 diabetes: RCT. BMC

endocrine disorders 21: 1-7. DOI:

https://doi.org/10.1186/s12902-021-00680-2

Jani C, Desai T, Kapadia F, Dave H, Shah A et

al. (2021) Knowledge attitude practice study

of diabetic retinopathy. International Surgery

Journal 8 (1): 54-62. DOI:

https://doi.org/10.18203/2349-2902.isj20205422

Jani PD, Forbes L, Choudhury A, Preisser JS, Viera

AJ et al. (2017) Evaluation of diabetic retinal

screening and factors for ophthalmology referral

in a telemedicine network. JAMA

ophthalmology 135 (7): 706-714. DOI:

https://doi.org/10.1001/jamaophthalmol.2017.1

Kashim RM, Newton P, & Ojo O (2018) Diabetic

retinopathy screening: A systematic review on

patients’ non-attendance. International journal of

environmental research and public health 15 (1): 157.

DOI: https://doi.org/10.3390/ijerph15010157

Khalaf FR, Fahmy HM, Ibrahim AK, Mohamed

GA, El Sayed Ez Eldeen M et al. (2019) Does a

diabetic retinopathy educational program raise

awareness among elderly diabetic patients?

Diabetes, metabolic syndrome and obesity:

targets and therapy: 1867-1875. URL:

https://www.tandfonline.com/doi/full/10.2147/

DMSO.S208072

M Abd Elmouty S, & Hamed Mohammed H (2022)

Effect of Educational Sessions about Prevention of

Retinopathy on Knowledge, Attitude and Practice

of Diabetic Patients. Egyptian Journal of Health

Care 13 (1): 1783-1794. URL:

https://ejhc.journals.ekb.eg/article_241215_963

eea8ddb934d73a7653416f06aee9.pdf

Manu A, Davalgi SB, Aithal SS, & Dilip B (2018)

Awareness of diabetic retinopathy and barriers

for eye screening among adults with type 2

diabetes mellitus attending tertiary care teaching

hospital, Davanagere, Karnataka. Int J Med Sci

Public Health 7 (9): 686-690. DOI:

https://doi.org/10.5455/ijmsph.2018.05147170

Mohamed SS, Mohamed RF, & Mohamed SH (2019)

Impact of Educational Intervention Program on

Diabetic Retinopathy Patient's Compliance.

American Journal of Nursing 7 (6): 1000-1008. DOI:

https://doi.org/10.12691/ajnr-7-6-14

Nizamani NB, Talpur KI, Awan F, Khanzada MA,

& Memon MN (2017) Results of a communitybased screening programme for diabetic

retinopathy and childhood blindness in district

Hyderabad, Pakistan. BMJ open ophthalmology

(1): e000099. DOI:

https://doi.org/10.1136/bmjophth-2017-000099

Padhy SK, Takkar B, Chawla R, & Kumar A (2019)

Artificial intelligence in diabetic retinopathy: A

natural step to the future. Indian journal of

ophthalmology 67 (7): 1004–1009. DOI:

https://doi.org/10.4103/ijo.IJO_1989_18

Pearce E, & Sivaprasad S (2020) A review of

advancements and evidence gaps in diabetic

retinopathy screening models. Clinical

Ophthalmology 4: 3285-3296. URL:

https://www.tandfonline.com/doi/full/10.2147/

OPTH.S267521

Piyasena MMPN, Murthy GVS, Yip JL, Gilbert C,

Zuurmond M et al. (2019) Systematic review on

barriers and enablers for access to diabetic

retinopathy screening services in different income

settings. PloS one 14 (4): e0198979. DOI:

https://doi.org/10.1371/journal.pone.0198979

Raman R, Ramasamy K, Rajalakshmi R, Sivaprasad

S, & Natarajan S (2021) Diabetic retinopathy

screening guidelines in India: All India

Ophthalmological Society diabetic retinopathy

task force and Vitreoretinal Society of India

consensus statement. Indian journal of

ophthalmology 69 (3): 678-688. DOI:

https://doi.org/10.4103/ijo.IJO_667_20

Ramchandran RS, Yousefi-Nooraie R, Dadgostar P,

Yilmaz S, Basant J et al. (2022) Implementation

of teleophthalmology to improve diabetic

retinopathy surveillance: qualitative interview

study of clinical staff informed by

implementation science frameworks. JMIR

diabetes 7 (1): e32162. DOI:

https://doi.org/10.2196/32162

Riordan F, Racine E, Phillip ET, Bradley C,

Lorencatto F et al. (2020) Development of an

intervention to facilitate implementation and

uptake of diabetic retinopathy screening.

Implementation Science 15: 1-17. DOI:

https://doi.org/10.1186/s13012-020-00982-4

Riordan F, Racine E, Smith SM, Murphy A, Browne

J et al. (2020) Feasibility of an implementation

intervention to increase attendance at diabetic

retinopathy screening: protocol for a cluster

randomised pilot trial. Pilot and Feasibility

Studies 6 (1): 1-18. DOI:

https://doi.org/10.1186/s40814-020-00608-y

Rodriguez-Acuña R, Mayoral E, Aguilar-Diosdado

M, Rave R, Oyarzabal B et al. (2020)

Andalusian program for early detection of

diabetic retinopathy: implementation and 15-

year follow-up of a population-based

screening program in Andalusia, Southern

Spain. BMJ Open Diabetes Research and

Care 8 (1): e001622. DOI:

http://dx.doi.org/10.1136/bmjdrc-2020-001622

Said HS, & Hamed MS (2021) Effect of an

interventional program on diabetic patients’

awareness regarding diabetic retinopathy. The

Egyptian Family Medicine Journal 5 (1): 82-94.

DOI:https://doi.org/10.21608/efmj.2021.28699.1026

Salahen S, Abd Alla M, Kanna S, & Nour SM

(2020) Effect of Instructional Educational

Programme on Diabetic Patients’ Awareness

Regarding Diabetes and Diabetic Retinopathy.

EAS Journal of Nursing and Midwifery 2 (2):

-114. DOI:

https://doi.org/10.36349/easjnm.2020.v02i02.002

Salamanca O, Geary A, Suárez N, Benavent S, &

Gonzalez M (2018) Implementation of a diabetic

retinopathy referral network, Peru. Bulletin of the

World Health Organization 96 (10): 674–681. DOI:

http://dx.doi.org/10.2471/BLT.18.212613

Seid K, Tesfaye T, Belay A, & Mohammed H

(2021) Determinants of diabetic retinopathy in

Tikur Anbessa Hospital, Ethiopia: a case–

control study. Clinical Diabetes and

Endocrinology 7: 1-9. DOI:

https://doi.org/10.1186/s40842-021-00128-5

Shetty NK, & Swapnika S (2017) KAP study on

diabetic retinopathy amongst the paramedic

nursing students. Indian J Clin Exp

Ophthalmol 3 (1): 85-90. DOI:

https://doi.org/10.18231/2395-1451.2017.0022

Soleimani Kamran J, Jafroudi S, KazemNejad Leili

E, Sedighi Chafjiri A, & Paryad E (2017)

Quality of life in patients with diabetic

retinopathy. Journal of Holistic Nursing

And Midwifery 27 (1): 69-77. DOI:

https://doi.org/10.18869/acadpub.hnmj.27.1.69

Stojanović M, Cvetanović G, Anđelković

Apostolović M, Stojanović D, & Rančić N

(2018) Impact of socio-demographic

characteristics and long-term complications

on quality of life in patients with diabetes

mellitus. Central European journal of public

health 26 (2): 104-110. DOI:

https://doi.org/10.21101/cejph.a5022

Valikodath NG, Leveque TK, Wang SY, Lee

PP, Newman-Casey PA et al. (2017) Patient

attitudes toward telemedicine for diabetic

retinopathy. Telemedicine and e-Health 23

(3): 205-212. DOI:

https://doi.org/10.1089/tmj.2016.0108

Venugopal D, Lal B, Fernandes S, & Gavde D

(2020) Awareness and knowledge of diabetic

retinopathy and associated factors in Goa: A

hospital-based cross-sectional study. Indian

journal of ophthalmology 68 (2): 383-390. DOI:

https://doi.org/10.4103/ijo.IJO_1218_19

Watson MJ, McCluskey PJ, Grigg JR,

Kanagasingam Y, Daire J et al. (2021) Barriers

and facilitators to diabetic retinopathy screening

within Australian primary care. BMC family

practice 22: 1-10. DOI:

https://doi.org/10.1186/s12875-021-01586-7

Willis JR, Doan QV, Gleeson M, Haskova Z,

Ramulu P et al. (2017) Vision-related functional

burden of diabetic retinopathy across severity

levels in the United States. JAMA

ophthalmology 135 (9): 926-932. DOI:

https://doi.org/s10.1001/jamaophthalmol.2017.

Wong TY, & Sabanayagam C (2019) The war on

diabetic retinopathy: where are we now? AsiaPacific Journal of Ophthalmology 8 (6): 448-456.

DOI:

https://doi.org/10.1097/APO.0000000000000267

Wong TY, & Sabanayagam C (2020) Strategies to

tackle the global burden of diabetic retinopathy:

from epidemiology to artificial intelligence.

Ophthalmologica 243 (1): 9-20. DOI:

https://doi.org/10.1159/000502387

World Health Organization. (2020). Diabetic

retinopathy screening: a short guide: increase

effectiveness, maximize benefits and minimize harm

(9289055324). World Health Organization.

https://apps.who.int/iris/handle/10665/336660

Zhu X, Xu Y, Lu L, & Zou H (2020) Patients’

perspectives on the barriers to referral after

telescreening for diabetic retinopathy in

communities. BMJ Open Diabetes Research and

Care 8 (1): e000970. DOI:

https://doi.org/10.1136/bmjdrc-2019-000970

Downloads

Published

2022-04-30

Issue

Section

Articles

How to Cite

Anwar Aly, A., & Mohaib Omairan, A. (2022). Efficacy of Instructional Platform Regarding Prevention of Retinopathy on Type II Diabetic Patient’s Knowledge, Attitude, and Practice. History of Medicine, 8(2). https://historymedjournal.com/HOM/index.php/medicine/article/view/379