在撒哈拉以南非洲,患者接受青光眼治疗
Olusola Olawoye1,2, Tarela Sarimiye1, Jennifer Washaya3
1Department of Ophthalmology, College of Medicine, University of Ibadan.
Journal of glaucoma
|August 14, 2024
概括
在撒哈拉以南的非洲,青光眼治疗的接受度很高,尽管由于恐惧,外科手术更常被拒绝. 成本是医疗和激光疗法的一个主要障碍,而恐惧阻碍了手术干预.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 全球健康 全球健康
背景情况:
- 玻璃眼是全球不可逆转的失明的主要原因.
- 有效的玻璃眼管理对于维护视力至关重要,特别是在资源有限的环境中.
- 了解患者遵守推的青光眼治疗方法对于优化治疗结果至关重要.
研究的目的:
- 确定撒哈拉以南非洲 (SSA) 新诊断的玻璃眼患者拒绝治疗的频率.
- 为了确定和描述患者拒绝推的青光眼治疗的原因.
- 分析不同治疗方式的治疗接受率.
主要方法:
- 一项多中心,横截面研究,涉及1198名成年患者,在10个SSA国家的27个中心被诊断患有青光眼.
- 数据收集包括患者的人口统计,临床特征,推的治疗方法以及接受或拒绝治疗的原因.
- 治疗接受度和下降的具体原因在诊断遭遇时被记录下来.
主要成果:
- 总的来说,93.2%的推治疗最初被患者接受.
- 接受率因治疗类型而异:药物治疗 (99.2%),激光治疗 (88.3%) 和手术治疗 (69.3%).
- 拒绝治疗的主要原因是恐惧 (42.9%) 和成本 (41.7%),成本主导医疗/激光拒绝,恐惧影响手术拒绝.
结论:
- 虽然在SSA中整体眼治疗的接受率很高,但手术干预的接受率较低.
- 恐惧和成本是显著的,治疗特异性的障碍,阻碍了对玻璃眼治疗的坚持.
- 有针对性的教育举措和财政支持策略是必要的,以提高对眼治疗的接受度,特别是手术.
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