Department of Ophthalmology, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan; Department of Biomedical Engineering and Environmental Science, National Tsing Hua University, Hsinchu, Taiwan.
Institute of Biomedical Engineering, National Chiao Tung University, Hsinchu, Taiwan.
J Formos Med Assoc. 2019 Jan;118(1 Pt 3):457-462. doi: 10.1016/j.jfma.2018.07.011. Epub 2018 Jul 27.
BACKGROUND/PURPOSE: To investigate the knowledge and learning ability of glaucoma patients regarding their anti-glaucoma topical medications.
Patients on regular follow-up at the Glaucoma Clinic at Hsin-Chu General Hospital were recruited. After detailed ocular examinations, the participants were asked to recall and identify their glaucoma eye drops. The same test was repeated 3 months later. The results of both tests, the learning ability of patients regarding their glaucoma drugs, and the relationship between learning ability and demographic variables were evaluated.
Two hundred eighty-seven glaucoma patients participated in this study. Of the study population, 25.8% and 57.1% could recall their topical mediation at the first and second tests, whereas 72.1% and 88.5% could identify their prescribed eye drops at the first and second tests, respectively. Approximately 34% of the participants showed improved knowledge at the repeat test, whereas 40% of the participants showed no improvement. Participants with a better learning ability were more likely to be younger, with a higher level of education, and with less visual field impairment.
The knowledge of glaucoma patients regarding their prescribed medication was deficient in Taiwan. Physician effort could improve knowledge on the prescribed drugs. Patient-centered education should be considered, targeting elderly individuals, illiterate individuals, and those with loss of visual function to increase compliance with glaucoma medication.
背景/目的：调查青光眼患者对其局部抗青光眼药物的认知和学习能力。
招募在新竹总医院青光眼诊所定期随访的患者。在详细的眼部检查后，要求参与者回忆并识别他们的青光眼滴眼液。3 个月后重复进行相同的测试。评估两次测试的结果、患者对青光眼药物的学习能力以及学习能力与人口统计学变量之间的关系。
287 名青光眼患者参与了这项研究。在研究人群中，分别有 25.8%和 57.1%的患者在第一次和第二次测试中能够回忆起他们的局部治疗药物，而分别有 72.1%和 88.5%的患者在第一次和第二次测试中能够识别他们的处方眼药水。大约 34%的参与者在重复测试中表现出知识的提高，而 40%的参与者没有提高。学习能力较好的参与者更年轻，受教育程度更高，视野损伤较小。
台湾的青光眼患者对其处方药物的知识不足。医生的努力可以提高对处方药物的认识。应该考虑以患者为中心的教育，针对老年人、文盲和视力丧失者，以提高对青光眼药物的依从性。
