眼滴治疗疾病和条件的协会,可以损害眼滴自我管理
Tianyi Wang1, Hong Su An1, Jaqueline Stoutin1
1W.K. Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, USA.
Ophthalmology. Glaucoma
|April 10, 2025
概括
几乎一半的玻璃眼或干眼疾病 (DED) 患者患有影响眼滴使用的疾病. 这凸显了需要评估自我管理能力,并考虑这些患者的替代治疗方法的需要.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- 眼滴是对玻璃眼和干眼疾病 (DED) 的首要治疗方法.
- 滴眼药的自我注射可能具有挑战性,特别是对于患有神经,认知或类风湿病症的人来说.
研究的目的:
- 为了调查青光眼和DED之间的关联以及可能阻碍适当的眼滴自我管理的并发性疾病.
- 为了确定影响光眼和DED患者眼滴施用情况的患病率.
主要方法:
- 从2012年1月到2021年12月,对1,446,229名患者进行了回顾性数据库研究.
- 多变量逻辑回归模型被用来评估眼部疾病和并发性障碍之间的关联.
- 分析的数据包括患者的人口统计和影响自我管理的医疗状况.
主要成果:
- 43%的青光眼患者和49%的DED患者至少有一种条件会影响眼滴自给药.
- 患有障碍的患者患有青光眼 (aOR: 1.17) 和DED (aOR: 1.66) 的几率明显更高.
- 减弱条件的数量增加与更高的青光眼和DED的几率相关.
结论:
- 很大一部分患有青光眼或DED的患者因伴随性疾病而面临眼滴自给药的挑战.
- 医疗保健提供者应评估患者自我管理局部眼疗法的能力.
- 对于无法有效使用眼滴的患者,可能需要替代治疗.
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