在埃塞俄比亚的哈瓦萨市,格洛科马患者中,格洛科马药物不服药率和相关障碍
Balcha Negese Kebede1, Seid Mohammed Seid2, Biruktayit Kefyalew2
1Department of Ophthalmology and Optometry, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia. Kebedebalchanege@gmail.com.
BMC ophthalmology
|November 8, 2024
概括
青光眼药物不服药影响了超过一半的患者,忘记和自我效能低下是关键障碍. 改善患者咨询和坚持策略对于管理这种广泛的眼部疾病至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- 玻璃眼影响全球数百万人,据估计2020年约有76亿40-80岁的人,预计到2040年将增加到1118万.
- 坚持药物治疗对于治疗青光眼和预防视力丧失至关重要.
研究的目的:
- 为了确定青光眼药物不服药率.
- 在哈瓦萨大学综合专门医院的患者中发现与不遵守相关的障碍.
主要方法:
- 进行了一项前性横截面研究,涉及340名青光眼患者.
- 系统的随机抽样和验证的问卷被用于数据收集.
- 进行了描述性和二进制物流回归分析.
主要成果:
- 对玻璃眼药物的不坚持率为54.71%.
- 重要的障碍包括遗忘 (AOR 28.32),难以安排时间 (AOR 2.52),对无效的信念 (AOR 6.35) 和自我效能低下 (AOR 10.96).
- 超过一半的参与者 (59.4%) 是男性,平均年龄为60.2岁.
结论:
- 观察到高比例的青光眼药物不服药 (54.71%) 被观察到.
- 发现的关键障碍是遗忘,安排困难,感知药物的无效性和低自我有效性.
- 建议加强对疾病性质,治疗目标和坚持策略的患者咨询.
相关概念视频
Open Angle Glaucoma: Treatment
393
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
393
Glaucoma: Overview
508
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
508
Angle Closure Glaucoma: Treatment
438
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
438
Drug Delivery: Miscellaneous Routes
328
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
328


