Silva Lucas Ravagnani, de Paula Jayter Silva, Rocha Eduardo Melani, Rodrigues Maria de Lourdes Veronese
Curso de Graduação em Medicina, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Arq Bras Oftalmol. 2010 Mar-Apr;73(2):116-9.
Considering that noncompliance to glaucoma treatment is one of the risk factors associated with disease s progression, the purpose of the present study was to evaluate: 1) knowledge and feelings about the disease; 2) self-reported noncompliance to treatment and related factors; and 3) influence of disease in lifestyle.
Interviews, with application of a semi-structured questionnaire, of 50 patients with primary open-angle glaucoma. The analysis was performed using Lefèvre's technique (Collective Subject Speech--CSS, qualitative/quantitative research).
Thirty-eight percent of patients did not consider themselves well informed about glaucoma. The percentage of patients that reported noncompliance was 20%. The main causes of noncompliance are: side effects of antiglaucomatous drugs (24%); lack of information about the disease (22%); difficulty in understanding information and communication problems with the physician (14%); difficulties in administering the eye drops (14%); poverty, with impossibility to pay for the eye drops (10%); patients attitudes and beliefs (10%). Eighteen percent of the participants informed that the disease affected their life quality.
In the studied population, most of the problems related to noncompliance to glaucoma treatment pointed out different factors that may decrease with education about POAG, interventions on attitudes and behavior, improvement of doctor-patient relationship and anti-glaucoma drugs supply.
鉴于不遵守青光眼治疗是与疾病进展相关的风险因素之一，本研究的目的是评估：1）对该疾病的认识和感受；2）自我报告的不遵守治疗情况及相关因素；3）疾病对生活方式的影响。
对50例原发性开角型青光眼患者进行访谈，并应用半结构化问卷。采用勒费夫尔技术（集体主体话语——CSS，定性/定量研究）进行分析。
38%的患者认为自己对青光眼了解不足。报告不遵守治疗的患者比例为20%。不遵守治疗的主要原因有：抗青光眼药物的副作用（24%）；对疾病缺乏了解（22%）；理解信息困难以及与医生沟通存在问题（14%）；滴眼剂给药困难（14%）；贫困，无力支付滴眼剂费用（10%）；患者的态度和信念（10%）。18%的参与者表示该疾病影响了他们的生活质量。
在研究人群中，大多数与不遵守青光眼治疗相关的问题指出了不同的因素，通过对原发性开角型青光眼的教育、对态度和行为的干预、医患关系的改善以及抗青光眼药物供应的改善，这些因素可能会减少。
