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青光眼患者的知识库及获取知识的首选方法。

Knowledge base and preferred methods of obtaining knowledge of glaucoma patients.

作者信息

Hoevenaars J G M M, Schouten J S A G, van den Borne B, Beckers H J M, Webers C A B

机构信息

Department of Ophthalmology, Maastricht University Hospital, Maastricht - The Netherlands.

出版信息

Eur J Ophthalmol. 2005 Jan-Feb;15(1):32-40. doi: 10.1177/112067210501500106.

Abstract

PURPOSE

To gather information regarding patient's understanding of glaucoma and the manner in which patients wish to learn about the disease with the intent of improving patient education.

METHODS

Forty-four of sixty randomly selected ophthalmologists (73%) asked four of their patients consecutively to complete a questionnaire about glaucoma. The selection of questions was based on focus group interviews and suggestions from several experts. Topics included knowledge about glaucoma and its treatment, the need for information, and preferred providers and methods of patient education.

RESULTS

Fifty percent of the patients had 49% or less correct answers to questions about glaucoma or its treatment. Per item the correct answers ranged from 5% to 90%. Lack of knowledge was associated with low level of education, short duration of glaucoma, high age, and no preference for the Internet as method of supplying information. These variables, however, did not identify groups with a considerable lack of knowledge sufficiently accurately to target patient education. A high need for information was observed and included information about the patient's own glaucoma. Almost all patients preferred the ophthalmologist and many also a nurse or a representative of the Glaucoma Patient Society as providers of information. Written material was the preferred method.

CONCLUSIONS

Patient education should address all patients. A patient education program should cover a wide range of topics with a focus on general information through written material and information tailored to the individual glaucoma patient's needs. The ophthalmologist is a key- person, but others could play an important role in patient education.

摘要

目的

收集有关患者对青光眼的理解以及患者希望了解该疾病的方式的信息,旨在改善患者教育。

方法

在随机挑选的60名眼科医生中,有44名(73%)连续询问了他们的4名患者,以完成一份关于青光眼的问卷。问题的选择基于焦点小组访谈和几位专家的建议。主题包括对青光眼及其治疗的了解、对信息的需求,以及患者教育的首选提供者和方法。

结果

50%的患者在关于青光眼或其治疗的问题上答对率为49%或更低。每个问题的正确答案比例从5%到90%不等。知识匮乏与低教育水平、青光眼病程短、高龄以及不倾向于将互联网作为信息提供方式有关。然而,这些变量并不能足够准确地识别出知识严重匮乏的群体,以便针对性地进行患者教育。观察到患者对信息有很高的需求,包括关于其自身青光眼的信息。几乎所有患者都更喜欢眼科医生,许多患者也更喜欢护士或青光眼患者协会的代表作为信息提供者。书面材料是首选的方式。

结论

患者教育应面向所有患者。患者教育项目应涵盖广泛的主题,重点是通过书面材料提供一般信息以及根据青光眼患者的个体需求提供量身定制的信息。眼科医生是关键人物,但其他人在患者教育中也可以发挥重要作用。

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