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青光眼患者初始医疗护理期间组织问题的识别。

Identification of organizational issues during initial medical care for patients with glaucoma.

作者信息

Taushanova Maiya, Yermukhanova Lyudmila, Baisugurova Venera, Kapanova Gulnara, Nazarbayeva Gulnar

机构信息

West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan.

Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.

出版信息

Int Ophthalmol. 2025 Mar 30;45(1):133. doi: 10.1007/s10792-025-03521-6.

Abstract

Glaucoma remains one of the most challenging issues in contemporary ophthalmology. The significant spread of the disease among the population, difficulties in early diagnosis, and unfavorable prognosis are the key factors in the increased attention to glaucoma by scientists and doctors. It is a well-known fact that the preservation of visual function in glaucoma depends on early disease detection in the preclinical stage and on the patient's adherence to therapy and competent follow-up. A study was conducted to investigate and identify the challenges faced by primary care ophthalmologists in the screening and follow-up of patients with a confirmed primary open angle glaucoma. As part of the research, an anonymous questionnaire was given to 66 ophthalmologists of initial health care in Aktobe. The questionnaire had three blocks: the first block-was the introductory part, which had a short explanation of the research topic; the second block included a block of questions aimed to get information about the respondent (territorial place of work, experience of work, type of medical institution); third block contained the main question about the disease. All data obtained through questionnaires were processed and analyzed using STATISTICA 12 software. The data of the analysis helped to identify and justify the options to improve the dynamic monitoring of patients with glaucoma. The data obtained in the research made it possible to identify several existing problems at different stages of ophthalmic medical care, which will allow the development of organizational measures aimed at improving the quality of screening programs for glaucoma.

摘要

青光眼仍然是当代眼科中最具挑战性的问题之一。该疾病在人群中的显著传播、早期诊断的困难以及不良预后是科学家和医生对青光眼日益关注的关键因素。众所周知,青光眼患者视功能的保留取决于临床前阶段疾病的早期发现以及患者对治疗的依从性和合理的随访。开展了一项研究,以调查和确定初级保健眼科医生在筛查和随访确诊的原发性开角型青光眼患者时所面临的挑战。作为研究的一部分,向阿克托别市的66名初级保健眼科医生发放了一份匿名问卷。问卷有三个部分:第一部分是引言部分,对研究主题进行了简短解释;第二部分包括一组问题,旨在获取受访者的信息(工作地点、工作经验、医疗机构类型);第三部分包含关于该疾病的主要问题。通过问卷获得的所有数据均使用STATISTICA 12软件进行处理和分析。分析数据有助于确定和论证改善青光眼患者动态监测的方案。研究中获得的数据使得能够识别眼科医疗护理不同阶段存在的几个问题,这将有助于制定旨在提高青光眼筛查项目质量的组织措施。

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