患者与医生的沟通和疾病知识对格洛科马患者的治疗坚持的影响
Katarzyna Malewicz1, Mariusz Chabowski2,3, Jakub Staś4
1Faculty of Nursing and Midwifery, Wroclaw Medical University, Poland.
概括
改善青光眼患者的坚持需要更好的医生沟通和患者教育. 提高患者的知识和视觉功能与波兰更好的治疗坚持有显著的相关性.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 健康心理学 心理健康心理学
背景情况:
- 玻璃眼瘤是全球不可逆转失明的主要原因,需要严格控制眼内压力 (IOP).
- 终身药物治疗是格洛科马管理的标准,但由于疾病的无症状性质,患者的坚持往往很差.
研究的目的:
- 评估医生与患者关系,沟通质量和患者知识对波兰绿眼病患者治疗坚持的影响.
- 确定影响坚持青光眼治疗建议的因素.
主要方法:
- 这项研究涉及190名波兰眼科医院门诊的玻璃眼病患者.
- 坚持被测量使用坚持补充和药物量表 (ARMS),以及沟通,关系质量,视觉功能和青光眼知识的评估.
主要成果:
- 超过一半 (58.9%) 的患者表现出对所处方的绿内障治疗的坚持程度较低.
- 较高的患者对医生与患者沟通的满意度,增加的玻璃眼知识和更好的视觉功能与改善的坚持有显著联系.
- 一个积极的患者与医生的关系显示了改善遵守的趋势,尽管在统计学上并不显著.
结论:
- 提高患者教育和医生与患者沟通的质量对于改善青光眼治疗的坚持至关重要.
- 这些发现为在波兰医疗保健系统和潜在的其他中东欧国家中制定遵守策略提供了证据基础.
- 建议采取文化敏感的干预措施,包括眼科医生的沟通培训和结构化的患者教育,以应对慢性眼科护理中的坚持挑战.
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