Taribagil Priyal, Thomas Sarah, Mathew Rashmi G
Department of General Medicine, Barnet Hospital, Royal Free Foundation Trust.
Departments of Pharmacy.
J Glaucoma. 2022 May 1;31(5):351-355. doi: 10.1097/IJG.0000000000001933. Epub 2021 Sep 2.
Health coaching is an effective strategy in supporting glaucoma patients to become champions of their own health. A personalized program should be implemented at the point of diagnosis.
Glaucoma is the leading cause of irreversible blindness worldwide. Its mainstay of treatment is intraocular pressure-lowering eye drops. Yet, many patients do not receive education regarding their condition, the importance of their eye drops, and how to instil them. The purpose of this audit was to assess what proportion of glaucoma patients had received any education regarding eye drop usage and whether a health coaching intervention would be beneficial.
This prospective audit was conducted during World Glaucoma Week at Moorfields Eye Hospital. Patients diagnosed with glaucoma were given a 6-part questionnaire. Subsequently, they received a coaching session with a pharmacy team member, focusing on eye drop instillation. Patient feedback was recorded.
The sample size was 262. Overall, 92% of patients who had received teaching found it useful. Approximately half the patients had never been shown how to use eye drops before. In all, 79% of those who had never received a demonstration thought that further coaching would be helpful. When experiencing difficulties with eye drop instillation; 29% of patients felt comfortable asking a relative; 26% would not ask for help, and 16% would consult their glaucoma doctor. Almost 30% of patients had poked themselves in the eye at least once, during self-administration.
Experienced and inexperienced patients found glaucoma health coaching beneficial. Health coaching empowers patients with long-term conditions to be champions of their own health condition, and it is important for patients to receive this training from the onset of their treatment.
健康指导是一种有效的策略，可支持青光眼患者成为自身健康的倡导者。应在诊断时实施个性化方案。
青光眼是全球不可逆性失明的主要原因。其主要治疗方法是使用降低眼压的眼药水。然而，许多患者未接受关于自身病情、眼药水的重要性以及如何滴眼药水的教育。本次审核的目的是评估青光眼患者中接受过眼药水使用相关教育的比例，以及健康指导干预是否有益。
本次前瞻性审核在摩尔菲尔德眼科医院的世界青光眼周期间进行。被诊断为青光眼的患者收到一份包含六个部分的问卷。随后，他们与药房团队成员进行了一次指导课程，重点是眼药水的滴注。记录了患者的反馈。
样本量为262。总体而言，92%接受过教导的患者认为其有用。大约一半的患者此前从未有人向他们展示过如何使用眼药水。总计，79%从未接受过示范的患者认为进一步的指导会有帮助。在滴眼药水遇到困难时，29%的患者觉得向亲属询问很自在；26%不会寻求帮助，16%会咨询他们的青光眼医生。近30%的患者在自行滴眼药水时至少有一次戳到了自己的眼睛。
有经验和无经验的患者都发现青光眼健康指导有益。健康指导使患有慢性病的患者能够成为自身健康状况的倡导者，并且患者从治疗开始就接受这种培训很重要。
