Patient-reported behavior and problems in using glaucoma medications

Patient-reported behavior and problems in using glaucoma medications
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DOI:
10.1016/j.ophtha.2005.10.034
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发表时间:
2006-03-01
期刊:
影响因子:
13.7
通讯作者:
Svarstad, B
Svarstad, B
中科院分区:
医学1区
文献类型:
--
作者:
Sleath, B;Robin, AL;Svarstad, B

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目的:目前的研究的目的是描述不同类型的问题,接受连续治疗的患者报告时,采取他们的青光眼药物治疗,并检查患者报告的问题之间的关系,在采取他们的青光眼药物和patient adherence.Design:横断面survey.Participants:A survey was distributed to glaucoma patients in 4 geological distinct ophthalmology practices.我们排除了仅使用1种青光眼药物的患者。这项调查是由324 patients.Methods完成的,对于每一个患者,平均百分比坚持他或她的青光眼药物治疗方案进行了计算。Logistic回归被用来研究患者的特点和问题,在使用青光眼药物与advertisement.Main Outcome Measure:患者是否低于100% advertisement in the previous week.Results:我们发现,60%的患者报告1个或多个问题,采取他们的青光眼药物。14%的患者报告在前一周内对青光眼方案药物的依从性低于100%。患者谁有困难,记得采取他们的青光眼药物和那些谁报告说,他们有其他问题或关注他们的青光眼药物显着不太可能是100% adherence.Conclusions:患者依从性青光眼药物治疗方案可以提高患者接受连续治疗。眼科医生和他们的临床同事应该确保讨论患者在服用青光眼药物时可能遇到的问题和担忧,以提高依从性。
Objective: The objectives of the current study were to describe the different types of problems patients receiving adjunctive therapy reported having when taking their glaucoma medications and to examine the relationship between patient-reported problems in taking their glaucoma medications and patient adherence.Design: Cross-sectional survey.Participants: A survey was distributed to glaucoma patients in 4 geographically distinct ophthalmology practices. We excluded patients using only 1 glaucoma medication. The survey was completed by 324 patients.Methods: For each patient, average percent adherence to his or her glaucoma medication regimen was calculated. Logistic regression was used to examine how patient characteristics and problems in using glaucoma medications were related to reported adherence.Main Outcome Measure: Whether patients were less than 100% adherent in the previous week.Results: We found that 60% of patients reported 1 or more problems with taking their glaucoma medications. Fourteen percent of patients reported being less than 100% adherent to their glaucoma regimen medications during the previous week. Patients who had difficulty remembering to take their glaucoma medications and those who reported that they had other problems or concerns with their glaucoma medications were significantly less likely to be 100% adherent.Conclusions: Patient adherence to a glaucoma medication regimen could be improved among patients receiving adjunctive therapy. Ophthalmologists and their clinical colleagues should make sure to discuss the problems and concerns that patients may have in taking their glaucoma medications in an effort to improve adherence.