关键词: Debremarkos Ethiopia Felegehiwot glaucoma treatment adherence

来  源:   DOI:10.3389/fopht.2022.985893   PDF(Pubmed)

Abstract:
UNASSIGNED: Glaucoma is one of the common eye disorders resulting from optic neuropathy, which leads to irreversible blindness if left untreated. Poor adherence to glaucoma medical treatments typically leads to some serious consequences, such as progressive visual impairment and blindness. The aim of this study was to assess adherence to treatment and associated factors among patients with glaucoma attending at Northwest Ethiopia referral hospitals.
UNASSIGNED: From March 1st to April 30th, 2019, an institution-based cross-sectional study was conducted on 382 consecutive glaucoma patients attending at Northwest Ethiopia referral hospitals. Data about adherence to glaucoma treatment was collected by using a standardized tool, the Morisky Medication Adherence Scale-8, through an interviewer-administered questionnaire. Each collected data set was coded and entered into Epi-Data version 4.2, and analysis was done by using STATA version 14.0 statistical software. A logistic regression model was fitted to assess the effect of an independent variable on the dependent variable. A p-value < 0.05 was considered to declare a statistically significant association. The study proposal was approved by the Debre Markos University ethical review committee.
UNASSIGNED: Among the study participants, 189 (49.5%) were adherent to glaucoma treatment. In this study, occupation (farmer), good knowledge, favorable attitude, a short distance from patients\' homes to hospitals, and scheduling problems for glaucoma medical follow-up visits were significant factors associated with adherence to glaucoma treatments.
UNASSIGNED: The study has identified the adherence level as being low. Patient related factors and health care system related factors were significantly associated with adherence to glaucoma treatments. Appropriate patient education and planning a patient follow-up strategy might improve patients\' adherence to glaucoma treatment. Care providers should place emphasis on the importance of adherence.
摘要:
青光眼是由视神经病变引起的常见眼部疾病之一,如果不及时治疗会导致不可逆转的失明。对青光眼药物治疗的依从性差通常会导致一些严重后果,如进行性视力障碍和失明。这项研究的目的是评估在埃塞俄比亚西北部转诊医院就诊的青光眼患者对治疗的依从性和相关因素。
从3月1日到4月30日,2019年,对埃塞俄比亚西北部转诊医院的382名连续青光眼患者进行了一项基于机构的横断面研究。通过使用标准化工具收集有关青光眼治疗依从性的数据,Morisky药物依从性量表-8,通过采访者管理的问卷。将收集到的每个数据集进行编码并输入Epi-Data4.2版,并使用STATA14.0版统计软件进行分析。拟合逻辑回归模型以评估自变量对因变量的影响。P值<0.05被认为是统计上显著的关联。该研究提案已获得DebreMarkos大学伦理审查委员会的批准。
在研究参与者中,189例(49.5%)粘附于青光眼治疗。在这项研究中,职业(农民),良好的知识,积极的态度,从病人家到医院的距离很短,青光眼医学随访的时间安排问题是与青光眼治疗依从性相关的重要因素。
该研究已确定依从性水平较低。患者相关因素和医疗保健系统相关因素与青光眼治疗依从性显著相关。适当的患者教育和计划患者随访策略可能会提高患者对青光眼治疗的依从性。护理提供者应强调坚持的重要性。
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