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患者对其湿性年龄相关性黄斑变性在 2019 冠状病毒病期间监测的看法:一项回顾性研究。

Patient Perspective on the Monitoring of Their Wet Age-Related Macular Degeneration during Coronavirus Disease 2019: A Retrospective Study.

机构信息

Swiss Visio Montchoisi, 1006 Lausanne, Switzerland.

RétinElysée, Ophthalmology Center, 1006 Lausanne, Switzerland.

出版信息

Medicina (Kaunas). 2023 Mar 2;59(3):490. doi: 10.3390/medicina59030490.

Abstract

: The purpose was to provide the patients' perspective on the monitoring of their wet age-related macular degeneration (wet AMD) during coronavirus disease 2019 (COVID-19) and the importance of telemedicine. : Wet AMD patients that underwent intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections in two Swiss ophthalmology clinics, completed two questionnaires after the first confinement due to COVID-19 in Switzerland. The first evaluated their views concerning their adherence to scheduled injections during the confinement, and the application of telemedicine in the future. The second, adapted from the National Eye Institute Visual Function Questionnaire-25, assessed their opinions on visual function change during confinement. : From a total of 130 patients, 8.5% responded they did not respect their assigned schedule (group 1) while 91.5% responded they did (group 2). A total of 78.7% of group 2 considered treatment reception as more relevant compared to the risk of COVID-19 contraction. During the pre-lockdown period, group 2 patients required more help from others than group 1 patients ( = 0.02). In the possibility of another lockdown, 36.3% of group 1 and 8.7% of group 2 would choose telemedicine to monitor their wet AMD ( = 0.02), 54.5% and 86.9% would rather visit the clinic ( = 0.02), while 9.0% and 4.3% would cancel their appointment, respectively. It was found that 70% of group 1 and 33.6% of group 2 would prefer to use the telemedicine services than visiting a telemedicine centre ( = 0.04). : During circumstances similar to the COVID-19 confinement, most patients would prefer to visit the clinic. Group 1 would prefer wet AMD monitoring via telemedicine at a higher rate than group 2.

摘要

目的在于提供患者在 2019 年冠状病毒病(COVID-19)期间监测湿性年龄相关性黄斑变性(wet AMD)的视角,以及远程医疗的重要性。

瑞士两家眼科诊所接受玻璃体腔内抗血管内皮生长因子(anti-VEGF)注射的 wet AMD 患者,在瑞士因 COVID-19 首次封城后完成了两份问卷。第一份评估了他们在封城期间对按时注射的看法,以及未来远程医疗的应用。第二份问卷改编自国家眼科研究所视觉功能问卷-25,评估了他们在封城期间对视觉功能变化的看法。

共有 130 名患者,8.5%的患者表示他们没有遵守预约时间(第 1 组),而 91.5%的患者表示他们遵守了(第 2 组)。第 2 组中有 78.7%的人认为治疗的重要性高于感染 COVID-19 的风险。在封城之前,第 2 组患者比第 1 组患者更需要他人的帮助( = 0.02)。在再次封城的可能性下,第 1 组中有 36.3%,第 2 组中有 8.7%的患者会选择远程医疗监测 wet AMD( = 0.02),54.5%和 86.9%的患者会选择去诊所( = 0.02),而 9.0%和 4.3%的患者会分别取消预约。发现第 1 组中有 70%,第 2 组中有 33.6%的患者更愿意使用远程医疗服务而不是去远程医疗中心( = 0.04)。

在类似 COVID-19 封城的情况下,大多数患者更愿意去诊所。第 1 组更愿意通过远程医疗进行 wet AMD 监测,比例高于第 2 组。

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