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Effectiveness of Counseling Provided by Primary Care Doctors and Nurses in Increasing Glaucoma Screening Rates

机译:基层医疗医生和护士提供的咨询对提高青光眼筛查率的有效性

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摘要

Introduction. An effective screening that can prevent glaucoma-related blindness largely depends on successful recruitment. This study was to assess the effectiveness of one-on-one counseling carried out by primary care doctors and nurses to increase glaucoma screening rates. Material and Methods. The study, carried out in an urban primary care center, involved 308 persons aged 35–87 years who were assigned to a doctor's, nurse's, or control group (N = 109, 110, and 89, resp.). Interventions by doctors and nurses included a brief one-on-one counseling session, while only a screening history was taken from controls. The number of people in each group with a positive screening status was assessed by telephone interview three months after the visit. Results. The percentage of persons in the nurse's counseling group who claimed being subjected to screening was more than four times higher than in the control group (20.9% versus 4.5%, P = 0.002). The doctor's interventions resulted in almost a tripled screening rate as compared to the control group (12.8% versus 4.5%, P = 0.052). There was no significant difference between screening rates in doctor's and nurse's groups (P = 0.212). Conclusions. In the studied population, counseling provided by nurses proved to be an efficacious method to encourage patients to undergo glaucoma screening.
机译:介绍。可以预防青光眼相关失明的有效筛查很大程度上取决于能否成功募集。这项研究旨在评估由初级保健医生和护士进行的一对一咨询对提高青光眼筛查率的有效性。材料与方法。该研究在城市初级保健中心进行,涉及308位35-87岁的患者,他们被分配为医生,护士或对照组(N = 109、110和89,分别)。医生和护士的干预措施包括简短的一对一咨询会议,而对照仅进行了筛查历史。访视三个月后,通过电话采访评估了筛查状态为阳性的每组人数。结果。声称接受筛查的护士咨询小组中的百分比是对照组的四倍以上(20.9%对4.5%,P = 0.002)。与对照组相比,医生的干预使筛查率几乎提高了三倍(12.8%对4.5%,P = 0.052)。医生和护士组的筛查率之间没有显着差异(P = 0.212)。结论。在研究的人群中,护士提供的咨询被证明是鼓励患者接受青光眼筛查的有效方法。

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