影响坚持青光眼药物的因素:来自北印度的患者视角
Kirti Singh1, Arshi Singh2, Divya Jain3
1Professor of Ophthalmology and Director GNEC, Maulana Azad Medical College and Assoc Hosp, New Delhi, India.
Indian journal of ophthalmology
|December 15, 2023
概括
对于控制眼内压力而言,青光眼患者的药物坚持至关重要. 遗忘,成本和疾病的误解显著影响了这个城市低收入人口的坚持.
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:
- 玻璃眼管理严重依赖于持续的医学治疗坚持.
- 达到目标眼内压力对于预防视力丧失至关重要.
- 了解弱势群体的坚持障碍对于有效治疗至关重要.
研究的目的:
- 为了确定影响青光眼患者药物坚持的因素.
- 专注于城市人口的社会经济地位较低.
- 为改善青光眼治疗结果的策略提供信息.
主要方法:
- 在北印度一家三级医院对200名青光眼患者进行横截面研究.
- 通过问卷和药物瓶计数来评估遵守.
- 用后勤回归分析人口,知识,态度和实践 (KAP) 因素的分析.
主要成果:
- 68%的患者表现出坚持眼医学治疗.
- 关键障碍包括遗忘 (71%),药物不可用 (19%),成本 (26%),多药性药物 (21%),以及副作用 (5%).
- 人们注意到依赖护送者 (44%) 和医院供应 (60%),以及普遍存在的疾病误解 (53%) 和不良的药物灌输实践 (57%).
结论:
- 患者的观点强调了终身使用抗白血病药物的重大挑战.
- 解决遗忘,成本和误解对于改善坚持至关重要.
- 处方时需要仔细考虑运输和药物供应等上下文因素.
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