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改善青光眼药物治疗依从性的教育干预措施的系统评价:2015年更新版

Systematic Review of Educational Interventions to Improve Glaucoma Medication Adherence: an update in 2015.

作者信息

Newman-Casey Paula Anne, Dayno Megan, Robin Alan L

机构信息

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, USA; Department of Ophthalmology, University of Maryland, Baltimore, MD, USA; Departments of Ophthalmology & International Health, Johns Hopkins University, Baltimore, MD.

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, USA.

出版信息

Expert Rev Ophthalmol. 2016;11(1):5-20. doi: 10.1586/17469899.2016.1134318. Epub 2016 Jan 22.

Abstract

PURPOSE

To evaluate the current state of the research on educational interventions whose aim is to improve glaucoma medication adherence.

METHODS

A systematic review of Pubmed, Embase and CINAHL was conducted to identify research studies evaluating educational interventions to improve glaucoma medication adherence. Studies were included if the intervention was described, the outcomes assessed glaucoma medication adherence, and the focus of the research was on adults with glaucoma. The search was conducted on June 2, 2015.

RESULTS

Seventeen studies were identified that met the inclusion criteria. These included nine randomized controlled trials and eight observational studies. Eight of the studies demonstrated an impact on glaucoma medication adherence, though their outcome measures were too heterogeneous to estimate a pooled effect size..

CONCLUSION

The interventions that successfully improved glaucoma medication adherence used an adequate dose of face-to-face counseling to overcome barriers to health behavior change alongside education about glaucoma.

摘要

目的

评估旨在提高青光眼药物治疗依从性的教育干预措施的研究现状。

方法

对PubMed、Embase和CINAHL进行系统综述,以确定评估旨在提高青光眼药物治疗依从性的教育干预措施的研究。如果干预措施有描述、结局评估了青光眼药物治疗依从性且研究重点是成年青光眼患者,则纳入研究。检索于2015年6月2日进行。

结果

确定了17项符合纳入标准的研究。其中包括9项随机对照试验和8项观察性研究。8项研究表明对青光眼药物治疗依从性有影响,但其结局测量过于异质,无法估计合并效应量。

结论

成功提高青光眼药物治疗依从性的干预措施使用了足够剂量的面对面咨询,以克服健康行为改变的障碍,并同时进行青光眼相关教育。

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