Abstract: Objective: To systematically review and integrate qualitative studies on the influencing factors of Diabetic Retinopathy (DR) screening in diabetic patients. Methods: PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, WanFang Database, VIP Database, and China Biology Medicine Disc were searched to collect qualitative studies related to DR screening in diabetic patients. The search time limit was from the establishment of the database to March 31, 2024. The quality evaluation was carried out using the quality evaluation standard for qualitative research of the Australian JBI Evidence-based Health Care Center, and the Meta-integration was carried out using the aggregative synthesis. Results: A total of 18 articles were included, and 24 main findings were extracted, which were summarized into 8 categories and summarized into 3 integrated results: individual factors; family and social factors and medical context. Conclusion: There are many barriers and facilitators for DR screening in diabetic patients. It is necessary to strengthen the education of DR Screening for diabetic patients. At the same time, we should pay attention to the role of social and family in the management of DR in diabetic patients, improve the awareness of DR prevention in diabetic population, and promote the health of vision in diabetic patients.

Key words: Diabetes Mellitus; Diabetic Retinopathy; influencing factors; qualitative research; Meta-synthesis