Connaissances, Attitudes et Pratiques Relatives au Glaucome Primitif à Angle Ouvert des Professionnels de Santé des Structures de Soins de la Région de l’Ouest-Cameroun

Christelle Domngang, L Ngawa, L Pokam, Gilles Kagmeni, Emillienne Epée, Assumpta Lucienne Bella

Abstract


RÉSUMÉ
Objectif. Évaluer les connaissances, attitudes et pratiques du personnel de santé sur le glaucome primitif à angle ouvert (GPAO). Matériels et méthodes. Nous avons réalisé une étude transversale prospective du 4 janvier au 31 mai 2016 dans 7 structures sanitaires de la région de l’ouest du Cameroun. La population d’étude était composée des professionnels de santé non impliqués en soins oculaires des structures sanitaires suscitées recrutés de façon consécutive en fonction de leur disponibilité à remplir le questionnaire préalablement testé. Leurs connaissances, attitudes et pratiques ont été évaluées. Résultats. Sur 360 professionnels de santé recrutés 10,5% étaient médecins et 63,3% infirmiers. La majorité du personnel (n=184 ; 51,1%) avait moins de 10 ans d’exercice professionnel. Au total, 300 (83,3%) professionnels avaient entendu parler du GPAO dont 97% des médecins. Seuls 34 (9,44%) étaient capables de définir cette affection et son caractère cécitant était connu de 10 personnels (2,7%). Les connaissances du personnel étaient insuffisantes, moyennes et bonnes chez 243 (67,5%), 99 (27,5%) et 18 (5%) participants respectivement. Sur un total de 299 (83%) professionnels qui estimaient le dépistage du GPAO nécessaire, seuls 18,6% l’avaient réalisé. Conclusion. La majorité des professionnels de santé ont déjà entendu parler du glaucome. Toutefois, leurs connaissances sur le GPAO sont insuffisantes et très peu connaissent son caractère cécitant. De plus, leurs pratiques sont médiocres. Des efforts devraient être faits en vue d’une sensibilisation plus active vis-à-vis du GPAO dans la communauté sanitaire.

ABSTRACT
Objective. to assess knowledge, attitudes and practices of health care personnel on primary open angle glaucoma (POAG). Materials and methods. A prospective cross-sectional study was conducted from January 4 to May 31, 2016 in 7 health structures in the western region of Cameroon. The study population consisted of all health personnel not involved in eye care recruited consecutively according to their readiness to complete the questionnaire previously tested. Knowledge, attitudes and practices were evaluated. Results. Out of 360 health professionals recruited 10.5% were doctors and 63.3% nurses. The majority of staff (n=184; 51.1%) had less than 10 years of professional practice. A total of 300 (83.3%) professionals had heard of the POAG, 97% of whom were physicians. Only 34 (9.44%) were able to define this condition and its blinding potential was known to 10 staff (2.7%). Staff knowledge was insufficient, average and good among 243 (67.5%), 99 (27.5%) and 18 (5%) participants respectively. Of a total of 299 (83%) professionals who felt that POAG screening was necessary, only 18.6% had performed it. Conclusion. The majority of health professionals have heard of glaucoma. However, they have insufficient knowledge about the POAG and very few are aware of its blinding potential. Moreover, their practices are bad. Efforts should be made to increase awareness of the POAG in the health community.


Keywords


Connaissance, attitude, pratique, GPAO,

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