Alwazae Manal, Alhumud Atheer, Aldarrab Abdulrahman, Hemid Abdullah Bin, AlHassan Razan Abu, AlAdel Fadwa, Aljasim Leyla, Owaidha Ohoud
46670Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
204568College of Medicine, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia.
Eur J Ophthalmol. 2023 Jan;33(1):291-296. doi: 10.1177/11206721221093020. Epub 2022 Aug 16.
A decision aid facilitates patient engagement in the decision-making process in ophthalmic practice. In particular, patients with open-angle glaucoma will benefit from such an intervention as it enhances their knowledge, compliance, and satisfaction with the healthcare services.
The Encounter Glaucoma Decision Aid (GDA) was delivered to 145 patients with open-angle glaucoma at the King Khaled Eye Specialist Hospital. Evaluation was done using a pre-validated, semi-structured questionnaire. We compared the patients' knowledge, compliance, and decision conflict scale at baseline, before receiving Encounter GDA, and again three months later.
The average age of the participants was 56.82 years. Most of the participants were male (67.6%). The mean duration since the participants were diagnosed with glaucoma was 9.39 years. After using Encounter GDA, 80% of participants had a statistically significant improvement in their level of knowledge, moving from poor to good (P = 0.001). There was also a statistically significant increase in adherence to medication, from 41.4% to 65.5% (P = 0.001). The decision conflict score decreased significantly after using Encounter GDA (before it was 60.94 ± 21.60 vs. after 19.18 ± 17.83).
Using GDA cards as an educational measure has a significant effect on improving patient's knowledge and adherence to medications.
决策辅助工具有助于患者参与眼科实践中的决策过程。特别是开角型青光眼患者将从这种干预措施中受益，因为它能增强他们的知识、依从性以及对医疗服务的满意度。
在沙特国王哈立德眼科专科医院，向145例开角型青光眼患者发放了青光眼诊疗决策辅助工具（GDA）。使用预先验证的半结构化问卷进行评估。我们比较了患者在接受Encounter GDA之前的基线水平以及三个月后的知识、依从性和决策冲突量表得分。
参与者的平均年龄为56.82岁。大多数参与者为男性（67.6%）。参与者被诊断为青光眼后的平均病程为9.39年。使用Encounter GDA后，80%的参与者知识水平有统计学意义的提高，从较差提升至良好（P = 0.001）。药物依从性也有统计学意义的提高，从41.4%升至65.5%（P = 0.001）。使用Encounter GDA后，决策冲突得分显著降低（之前为60.94±21.60，之后为19.18±17.83）。
使用GDA卡片作为一种教育措施对提高患者知识水平和药物依从性有显著效果。
