[Clinical investigation of medication adherence of glaucoma patients].

Autor: Wu HY; Department of Ophthalmology, People's Hospital of Dongyang, Dongyang, Zhejiang, China., Yin JF
Jazyk: čínština
Zdroj: [Zhonghua yan ke za zhi] Chinese journal of ophthalmology [Zhonghua Yan Ke Za Zhi] 2010 Jun; Vol. 46 (6), pp. 494-8.
Abstrakt: Objective: To investigate the medication adherence and modulation factors of medication adherence in long-term treated glaucoma patients.
Methods: It was a cross-sectional study. One hundred glaucoma patients who have been followed-up for more than 6 month in the Second Hospital affiliated to Medical College of Zhejiang University were investigated with questionnaires and interview. The data was analyzed by binary logistic regression and χ(2) test.
Results: In the 100 glaucoma patients being investigated, the medication compliance of patients is 61(61.0%), the medication non-compliance of patients is 39 (39.0%). Age, gender, habitat, glaucoma types, surgical history, ingesting patient before writing out a prescription and informing them the methods for application of eyedrops were not significantly co-related with medication adherence (χ(2) = 0.718, 0.537, 0.338, 3.797, 0.338, 0.297, 0.157; P > 0.05). Intraocular pressure before treatment, types of eyedrops, instillation of eye-drops to the eyelids, request for help during application of eyedrops, rechecking regularly and confidence in glaucoma treatment were found significantly related to medication adherence (P = 0.013, 0.005, 0.005, 0.012, 0.011, 0.004). However, drug side effect, forgetting application of eyedrops and inconvenience to see a doctor was considered the most important factors by patients in the interview.
Conclusions: Glaucoma physicians should discuss with patients about the methods for the application of glaucoma medication. This can improve the medication adherence of glaucoma patients and promote the therapeutic effect.
Databáze: MEDLINE