Causes of non-compliance with drug regimens in glaucoma patients: A qualitative study
Causes of non-compliance with drug regimens in glaucoma patients: A qualitative study
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DOI：
10.1089/10807680260362687
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发表时间：
2002-10-01
影响因子：
2.3
通讯作者：
Mills, RP
中科院分区：
文献类型：
--
作者：
Taylor, SA;Galbraith, SM;Mills, RP
这项研究的目的是深入了解为什么患者不遵守他们的青光眼药物。从两名眼科医生提供的名单中招募患者。每例患者至少看过两名眼科医生治疗青光眼，并服用至少两种青光眼外用药物。本研究采用质性研究方法，包括两个焦点小组及十一个深入病人家中的访谈，结果显示健忘是不依从的第一位原因。患者并没有因为副作用而声称不依从，但他们确实抱怨过副作用。医患沟通是青光眼患者依从性的关键因素。具体来说，患者希望他们的医生教他们如何滴眼液，告诉他们新的/替代的药物和程序，因为他们变得可用，并提供新的方法，使他们的方案更容易。患者通常不会告诉他们的医生，如果他们遇到的副作用，除非它是无法忍受的，但他们确实意识到青光眼的严重性，以及不遵守医嘱的后果。最后，虽然成本不是报告的依从性的威慑，但一些患者更喜欢更便宜的替代品。
The purpose of this study was to gain insights into why patients are not compliant with their glaucoma medications. Patients were recruited from lists provided by two ophthalmologists. Each patient had seen a minimum of two ophthalmologists for their glaucoma, and was taking at least two topical medications for glaucoma. Qualitative methodology was utilized, including two focus groups and eleven in-depth interviews in patients' homes.The results showed that forgetfulness was the number one reported reason for noncompliance. Patients did not claim to be non-compliant specifically because of side effects, but they did complain about them. Communication between physicians and patients is a key factor in compliance for glaucoma patients. Specifically, patients would like their physicians to teach them how to instill their eye drops, tell them about new/alternate medications and procedures as they become available, and offer new ways to make their regimen easier. Patients often do not tell their physician if they experience a side effect unless it is intolerable to them, yet they do realize the seriousness of glaucoma, and the consequences of not following their doctor's orders. Finally, while cost was not a reported deterrence to compliance, some patients would prefer less expensive alternatives.