在黑人患者和提供者之间讨论的关于青光眼的预先干预的影响
Betsy Sleath1, Delesha M Carpenter2, Donald L Budenz3
1Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Ophthalmology. Glaucoma
|July 13, 2023
概括
预览视频和问题提示列表干预显著改善了对绿眼病的黑人患者的提供者教育. 这种干预增加了患者的问题和提供者关于青光眼诊断,治疗和药物治疗的讨论.
科学领域:
- 眼科医生 眼科 眼科
- 健康差异 在健康上的差异
- 患者教育 患者教育
背景情况:
- 玻璃眼是导致失明的主要原因,特别影响黑人人口.
- 不坚持服用青光眼药物是控制疾病的一个重大挑战.
- 有效的患者-医疗服务提供者沟通对于改善遵守和结果至关重要.
研究的目的:
- 评估预期干预 (视频/问题提示列表) 以加强对黑人患者的青光眼教育.
- 评估干预措施对医疗服务提供者与患者之间关于青光眼及其治疗的沟通的影响.
主要方法:
- 一项随机对照试验,涉及189名患有青光眼的非坚持性黑人患者.
- 干预组在诊所访问之前收到了视频和问题提示列表.
- 常规护理组接受了标准的护理;访问被录音,并访问后采访患者.
主要成果:
- 干预患者提出了更多关于青光眼及其治疗的问题.
- 提供者更频繁地向干预患者提供诊断,眼内压力,长期治疗和身体变化方面的教育.
- 在干预组中,提供者对药物的目的和副作用的教育也显著增加.
结论:
- 预计的干预措施有效地提高了医疗保健提供者对各种青光眼和药物治疗主题的教育.
- 这一战略有望改善患者对绿眼病护理的理解和参与.
- 需要进一步的研究,以解决特定的教育差距,如坚持障碍和药物管理.
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