Taylor Sarah A, Galbraith Sharon M, Mills Richard P
Albers School of Business, Seattle University, Seattle, WA, USA.
J Ocul Pharmacol Ther. 2002 Oct;18(5):401-9. doi: 10.1089/10807680260362687.
The purpose of this study was to gain insights into why patients are not compliant with their glaucoma medications. Patients were recruited from lists provided by two ophthalmologists. Each patient had seen a minimum of two ophthalmologists for their glaucoma, and was taking at least two topical medications for glaucoma. Qualitative methodology was utilized, including two focus groups and eleven in-depth interviews in patients' homes. The results showed that forgetfulness was the number one reported reason for non-compliance. Patients did not claim to be non-compliant specifically because of side effects, but they did complain about them. Communication between physicians and patients is a key factor in compliance for glaucoma patients. Specifically, patients would like their physicians to teach them how to instill their eye drops, tell them about new/alternate medications and procedures as they become available, and offer new ways to make their regimen easier. Patients often do not tell their physician if they experience a side effect unless it is intolerable to them, yet they do realize the seriousness of glaucoma, and the consequences of not following their doctor's orders. Finally, while cost was not a reported deterrence to compliance, some patients would prefer less expensive alternatives.
本研究的目的是深入了解患者不遵医嘱使用青光眼药物的原因。患者从两位眼科医生提供的名单中招募。每位患者因青光眼至少看过两位眼科医生，且正在使用至少两种青光眼局部用药。采用了定性研究方法，包括两个焦点小组以及在患者家中进行的十一次深度访谈。结果显示，健忘是所报告的不遵医嘱的首要原因。患者并未声称不遵医嘱是 specifically 因为副作用，但他们确实抱怨过副作用。医生与患者之间的沟通是青光眼患者遵医嘱的关键因素。具体而言，患者希望医生教他们如何滴眼药水，在有新的/替代药物和治疗方法时告知他们，以及提供使治疗方案更简便的新方法。患者通常不会告诉医生他们是否经历了副作用，除非副作用让他们无法忍受，但他们确实意识到青光眼的严重性以及不遵医嘱的后果。最后，虽然费用并未被报告为遵医嘱的阻碍因素，但一些患者会更喜欢较便宜的替代药物。
