糖尿病眼手帳による患者教育への有用性

Usefulness of“Diabetic Eye Notebook”in education of the patients

　「糖尿病眼手帳」の使用と未使用により，患者の眼合併症への認識度がどう異なるかを調査した。当院眼科に通院中の糖尿病患者104名を対象とした。男62名，女42名であり，年齢は63.0±10.1歳であった。54名には糖尿病眼手帳を配布し，50名には配布しなかった。以後2か月ごとに定期受診させ，6か月後に糖尿病網膜症についての設問を含むアンケート調査をした。満点は12点とした。問題に対する正解の平均点と標準偏差は，眼手帳使用群では9.9±1.9点，非使用群では8.7±2.3点であり，有意差があった（p＜0.05）。網膜症についての認識とHbA_1cの理解については，眼手帳使用群が非使用群よりも高い正解率を示した（p＜0.05）。以上の結果から，糖尿病眼手帳は糖尿病眼合併症についての理解と意識を向上させる有効な手段であると判断された。

　The“Diabetic Eye Notebook”was published recently and distributed to patients with diabetes to record their diabetic retinopathy. To determine if the patients pay more attention to and obtain more knowledge of diabetic retinopathy by having the notebook,we divided patients with diabetes（62men and 42 women；average age,63.0±10.1 years）into 2groups：those who received the notebook（54 patients）and those who did not（50 patients）. The patients had regularly visited the eye clinic of Omiya Medical Center,Jichi Medical School,every 2months from August 2002. Six months later,patients with the notebook scored better（9.9±1.9 out of a possible 12）compared those without（8.7±2.3）. The difference was significant（p＜0.05）. More patients with the notebook had correct knowledge of diabetic retinopathy and their HbA_1c compared with patients without the notebook. The study clearly showed the usefulness of the“Diabetic Eye Notebook.”However,the mean score was not satisfactory even among those with the notebook. Therefore,it is important to provide all patients with information about diabetic retinopathy including the relation between the duration of diabetes and the outcome of interventions such as photocoagulation and vitreous surgery.