Hoevenaars Juliette G M M, Schouten Jan S A G, van den Borne Bart, Beckers Henny J M, Webers Carroll A B
Department of Ophthalmology, Maastricht University Hospital, The Netherlands.
Acta Ophthalmol. 2008 Dec;86(8):849-55. doi: 10.1111/j.1755-3768.2007.01161.x. Epub 2008 May 26.
To identify specific items on knowledge and need for information that could be used to improve compliance with glaucoma medication.
Forty-four randomly selected ophthalmologists assigned 166 consecutive glaucoma patients to complete a questionnaire. The questionnaire was developed systematically based on focus group interviews, consultation of experts and a pilot test. Items included knowledge about glaucoma and its treatment, need for information and compliance with therapy.
No statistically significant correlation was found between the total level of knowledge and compliance. Concerning knowledge of glaucoma, one out of 19 items had a statistically significant negative correlation with compliance. Concerning knowledge of glaucoma treatment, one out of 18 items had a statistically significant positive correlation with compliance. Regarding total need for information, no statistically significant correlation with compliance was found. Three out of 22 items had a statistically significant positive correlation with compliance.
Given the number of related items, their direction and limited strength of correlation and the difficulty of hypothesizing a causal relation for some items, it is unlikely that further improving knowledge will greatly improve compliance with glaucoma medication. Interventions focused on attitude and discipline may be of more benefit in improving compliance with therapy.
确定有关知识和信息需求的具体项目，以用于提高青光眼药物治疗的依从性。
44名随机选取的眼科医生让166例连续性青光眼患者完成一份问卷。该问卷是在焦点小组访谈、专家咨询和预试验的基础上系统编制的。项目包括有关青光眼及其治疗的知识、信息需求和治疗依从性。
知识的总体水平与依从性之间未发现统计学上的显著相关性。关于青光眼知识，19个项目中有1个与依从性存在统计学上的显著负相关。关于青光眼治疗知识，18个项目中有1个与依从性存在统计学上的显著正相关。关于信息总需求，未发现与依从性有统计学上的显著相关性。22个项目中有3个与依从性存在统计学上的显著正相关。
鉴于相关项目的数量、其方向和有限的相关性强度，以及为某些项目假设因果关系的难度，进一步提高知识水平不太可能极大地提高青光眼药物治疗的依从性。侧重于态度和自律的干预措施可能对提高治疗依从性更有益。
