影响青光眼药物坚持的因素和改善坚持的干预措施:叙述性审查
Shannan G Moore1, Grace Richter2,3, Bobeck S Modjtahedi4,5,6
1Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, 91101, USA.
Ophthalmology and therapy
|September 12, 2023
概括
患者对青光眼滴的坚持率很低,约为60%. 诸如成本,教育和种族等因素会影响遵守,但有针对性的干预措施可以改善它.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 玻璃眼是全球不可逆转的视力丧失的主要原因.
- 局部眼部低血压滴是初级开角青光眼 (POAG) 的标准一线治疗方法.
- 患者遵守所处方的玻璃眼药物治疗方案是一个重大挑战,报告的比例低至60%.
研究的目的:
- 审查影响患者遵守青光眼治疗的因素.
- 探索潜在的干预措施,以提高青光眼患者的药物坚持.
主要方法:
- 使用PubMed和谷歌学者进行了一项文献审查.
- 搜索术语包括"坚持瘤治疗"和"坚持瘤治疗".
主要成果:
- 较低的坚持与更高的药物费用,降低患者教育/识字能力以及属于非洲和西班牙裔族群的相关性.
- 针对少数群体患者的干预措施侧重于建立信任和解决误解.
- 有效的患者教育策略包括量身定制的书面材料,视频和个性化的程序.
结论:
- 改善青光眼的药物坚持需要解决社会经济和教育障碍.
- 关于药物费用和患者担忧的医生沟通至关重要.
- 加强诊所基础设施,患者提醒系统和专注的患者教育人员可以支持遵守.
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