Sleath Betsy, Sayner Robyn, Vitko Michelle, Carpenter Delesha M, Blalock Susan J, Muir Kelly W, Giangiacomo Annette L, Hartnett Mary Elizabeth, Robin Alan L
Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB # 7590, Chapel Hill, NC 27599-7590, USA.
Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, CB# 7573, Chapel Hill, NC 27599-7573, USA.
Patient Educ Couns. 2017 Apr;100(4):703-709. doi: 10.1016/j.pec.2016.11.018. Epub 2016 Nov 22.
The purpose of this study was to: (a) describe the extent to which ophthalmologists and glaucoma patients discuss vision quality-of-life during office visits, and (b) examine the association between patient and ophthalmologist characteristics and provider-patient communication about vision quality-of-life.
Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited at six ophthalmology clinics. Patients' visits were video-tape recorded and quality-of-life communication variables were coded. Generalized estimating equations were used to analyze the data.
Two hundred and seventy-nine patients participated. Specific glaucoma quality-of-life domains were discussed during only 13% of visits. Older patients were significantly more likely to discuss one or more vision quality-of-life domains than younger patients. African American patients were significantly less likely to make statements about their vision quality-of-life and providers were less likely to ask them one or more vision quality-of-life questions than non-African American patients.
Eye care providers and patients infrequently discussed the patient's vision quality-of-life during glaucoma visits. African American patients were less likely to communicate about vision quality-of-life than non-African American patients.
Eye care providers should make sure to discuss vision quality-of-life with glaucoma patients.
本研究的目的是：（a）描述眼科医生与青光眼患者在门诊就诊期间讨论视力生活质量的程度，以及（b）检查患者和眼科医生的特征与关于视力生活质量的医患沟通之间的关联。
在六家眼科诊所招募新开具青光眼药物处方或正在使用青光眼药物的青光眼患者。对患者的就诊进行录像，并对生活质量沟通变量进行编码。使用广义估计方程分析数据。
279名患者参与研究。仅13%的就诊期间讨论了特定的青光眼生活质量领域。老年患者比年轻患者更有可能讨论一个或多个视力生活质量领域。非裔美国患者提及自身视力生活质量的可能性显著低于非非裔美国患者，且医疗服务提供者询问他们一个或多个视力生活质量问题的可能性也更低。
在青光眼就诊期间，眼科护理人员和患者很少讨论患者的视力生活质量。非裔美国患者比非非裔美国患者更不可能就视力生活质量进行沟通。
眼科护理人员应确保与青光眼患者讨论视力生活质量。
