School of Biomedicine, University of Manchester, Manchester, UK.
Eye (Lond). 2010 Dec;24(12):1777-86. doi: 10.1038/eye.2010.121. Epub 2010 Sep 10.
to establish the impact of educational support on patients' knowledge of glaucoma and adherence, in preparation for an intervention study.
structured observation encapsulated the educational support provided during clinical consultations and patient interviews captured the depth of glaucoma knowledge, problems associated with glaucoma therapy, and adherence issues.
one hundred and thirty-eight patients completed the study. Education was didactic in nature, limited for many patients and inconsistent across clinics. Patients showed generally poor knowledge of glaucoma with a median score of 6 (range 0-16). A significant association was found between educational support and knowledge for newly prescribed patients (Kendall's tau=0.30, P=0.003), but no association was found for follow-up patients (Kendall's tau=0.11, P=0.174). Only five (6%) patients admitted to a doctor that they did not adhere to their drop regimen, yet 75 (94%) reported at interview that they missed drops.
although important, knowledge alone may not sufficiently improve adherence: a patient-centred approach based on ongoing support according to need may provide a more effective solution for this patient group.
评估教育支持对青光眼患者知识水平和治疗依从性的影响，为干预研究做准备。
通过结构化观察记录临床咨询过程中提供的教育支持，通过患者访谈评估患者对青光眼知识的掌握程度、与青光眼治疗相关的问题，以及治疗依从性。
本研究共纳入 138 例患者。教育以授课的形式开展，对许多患者来说内容有限，且各诊间之间存在差异。患者对青光眼的总体认知水平较差，中位数评分为 6 分（范围 0-16 分）。新诊断患者的教育支持与知识水平之间存在显著相关性（Kendall's tau=0.30，P=0.003），但在复诊患者中无相关性（Kendall's tau=0.11，P=0.174）。仅 5 名（6%）患者承认未遵医嘱滴药，但 75 名（94%）患者在访谈中表示漏滴了。
尽管教育支持很重要，但仅提高知识水平可能不足以改善治疗依从性：为该患者群体提供基于需求的持续支持的以患者为中心的方法可能是更有效的解决方案。
