The influence of comprehensive nursing intervention on the compliance of glaucoma patients with their doctors' advice.

OBJECTIVE

To determine the effect of targeted comprehensive nursing on the compliance of glaucoma patients with their doctors' advice.

METHODS

A total of 78 patients with glaucoma admitted to the Ophthalmology Department of the First Affiliated Hospital of Hainan Medical University were retrospectively enrolled and assigned to a routine nursing group and a comprehensive nursing group according to the different nursing modes each patient underwent. The routine nursing group underwent routine nursing, and the comprehensive nursing group underwent comprehensive nursing intervention. The causes of not following their doctor's advice among the two groups were evaluated, and the two groups were compared in terms of their compliance rates after the intervention and quality of life and psychological state before and after the intervention.

RESULTS

The causes of not following the doctor's advice were mainly classified into three categories: physiological, psychological, and comprehensive factors. Before the nursing intervention, the two groups were not significantly different in their quality of life scores or their psychological states (both P>0.05). After the nursing intervention, the intraocular pressure values (IOP), the visual field pattern standard deviations (PSD), the cup/disk area ratios (C/D AR), the mean retinal nerve fiber layer thicknesses (mRNFLT), and the other indexes in the comprehensive nursing group were significantly better than they were in the routine nursing group, and the comprehensive nursing group showed notably better quality of life and psychological states and a notably higher compliance rate than the routine nursing group (all P<0.05).

CONCLUSION

Targeted comprehensive nursing can help glaucoma patients correct bad behaviors, improve their compliance rates and quality of life, and alleviate their negative emotions.