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

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RESUME Objectif. Evaluer les connaissances, attitudes et pratiques du personnel de sante sur le glaucome primitif a angle ouvert (GPAO). Materiels et methodes. Nous avons realise une etude transversale prospective du 4 janvier au 31 mai 2016 dans 7 structures sanitaires de la region de l’ouest du Cameroun. La population d’etude etait composee des professionnels de sante non impliques en soins oculaires des structures sanitaires suscitees recrutes de facon consecutive en fonction de leur disponibilite a remplir le questionnaire prealablement teste. Leurs connaissances, attitudes et pratiques ont ete evaluees. Resultats. Sur 360 professionnels de sante recrutes 10,5% etaient medecins et 63,3% infirmiers. La majorite 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 medecins. Seuls 34 (9,44%) etaient capables de definir cette affection et son caractere cecitant etait connu de 10 personnels (2,7%). Les connaissances du personnel etaient 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 depistage du GPAO necessaire, seuls 18,6% l’avaient realise. Conclusion. La majorite des professionnels de sante ont deja entendu parler du glaucome. Toutefois, leurs connaissances sur le GPAO sont insuffisantes et tres peu connaissent son caractere cecitant. De plus, leurs pratiques sont mediocres. Des efforts devraient etre faits en vue d’une sensibilisation plus active vis-a-vis du GPAO dans la communaute 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.

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