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青光眼患者如何应对局部降眼压药物的副作用:来自三级眼科诊所的横断面研究

How patients deal with side-effects of topical intraocular pressure-lowering medication in glaucoma: a cross-sectional study from a tertiary ophthalmology clinic.

作者信息

Krešo Ante, Batistić Darko, Vrdoljak Josip, Znaor Ljubo, Marušić Ana

机构信息

Department of Ophthalmology, University Hospital of Split, Spinčićeva 1, 21000, Split, Croatia.

Department of Pathophysiology, School of Medicine, University of Split, Split, Croatia.

出版信息

Int Ophthalmol. 2025 Jul 19;45(1):299. doi: 10.1007/s10792-025-03659-3.

DOI:10.1007/s10792-025-03659-3
PMID:40682733
Abstract

PURPOSE

This study aimed to evaluate the knowledge, attitudes, and experiences of glaucoma patients about the side effects of intraocular pressure (IOP)-lowering medications in glaucoma, focusing on how these factors affect treatment adherence.

METHODS

We conducted a cross-sectional survey during routine visits to glaucoma clinic, with participants aged 18 years or older on IOP-lowering medications for at least 6 months. The survey, consisting of 22 questions about various aspects of IOP-lowering medications and side effects.

RESULTS

Most out of 398 analysed patients were not informed about side effects when IOP-lowering medication was prescribed, and 68.1% reported experiencing side effects. A significant number of participants reported changing IOP-lowering medications due to side effects. Higher self-reported knowledge about side effects was associated with lower concern (coef. = - 0.1636, P = 0.048) about side effects.

CONCLUSION

The study identified significant gaps in patient education and support about IOP-lowering medications side effects. Better communication and education by healthcare providers could improve treatment adherence, consequentially enhancing clinical outcomes and quality of life for glaucoma patients.

摘要

目的

本研究旨在评估青光眼患者对降低眼压药物副作用的知晓情况、态度及经历,重点关注这些因素如何影响治疗依从性。

方法

我们在青光眼门诊的常规就诊期间进行了一项横断面调查,参与者为年龄在18岁及以上且使用降低眼压药物至少6个月的患者。该调查由22个关于降低眼压药物及副作用各方面的问题组成。

结果

在398名接受分析的患者中,大多数在开具降低眼压药物处方时未被告知副作用,68.1%的患者报告有副作用经历。相当数量的参与者报告因副作用而更换降低眼压药物。自我报告的关于副作用的知识水平较高与对副作用的担忧较低相关(系数= -0.1636,P = 0.048)。

结论

该研究发现患者在关于降低眼压药物副作用的教育和支持方面存在显著差距。医疗服务提供者更好地沟通和教育可以提高治疗依从性,从而改善青光眼患者的临床结局和生活质量。

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How patients deal with side-effects of topical intraocular pressure-lowering medication in glaucoma: a cross-sectional study from a tertiary ophthalmology clinic.青光眼患者如何应对局部降眼压药物的副作用:来自三级眼科诊所的横断面研究
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本文引用的文献

1
Understanding Ocular Surface Disease in Glaucoma: A Comparative Analysis of Symptoms and Objective Parameters.青光眼患者眼表疾病的认识:症状与客观参数的比较分析
Cureus. 2024 Feb 12;16(2):e54070. doi: 10.7759/cureus.54070. eCollection 2024 Feb.
2
Factors affecting adherence to glaucoma medication: Patient perspective from North India.影响青光眼药物治疗依从性的因素:来自印度北部的患者视角。
Indian J Ophthalmol. 2024 Mar 1;72(3):391-396. doi: 10.4103/IJO.IJO_806_23. Epub 2023 Dec 15.
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Use of Voice-Based Conversational Artificial Intelligence for Basal Insulin Prescription Management Among Patients With Type 2 Diabetes: A Randomized Clinical Trial.
基于语音的对话式人工智能在 2 型糖尿病患者基础胰岛素处方管理中的应用:一项随机临床试验。
JAMA Netw Open. 2023 Dec 1;6(12):e2340232. doi: 10.1001/jamanetworkopen.2023.40232.
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An online glaucoma educational course for patients to facilitate remote learning and patient empowerment.为方便远程学习和患者赋权而开设的在线青光眼教育课程。
BMJ Health Care Inform. 2023 Aug;30(1). doi: 10.1136/bmjhci-2023-100748.
5
Views on Suspected Adverse Drug Events in Older Adults with Chronic Conditions: A Qualitative Study.慢性病老年患者疑似药物不良事件的观点:一项定性研究。
Patient Prefer Adherence. 2023 Aug 18;17:2051-2061. doi: 10.2147/PPA.S420620. eCollection 2023.
6
The Role of Telemedicine in Glaucoma Care Triggered by the SARS-CoV-2 Pandemic: A Qualitative Study.远程医疗在由SARS-CoV-2大流行引发的青光眼护理中的作用:一项定性研究
Clin Ophthalmol. 2023 Aug 8;17:2251-2266. doi: 10.2147/OPTH.S418502. eCollection 2023.
7
Patient and Provider Perspectives on Glaucoma Treatment Adherence: A Delphi Study in Urban Alabama.患者和医疗服务提供者对青光眼治疗依从性的看法:阿拉巴马州城市的德尔菲研究。
Optom Vis Sci. 2021 Sep 1;98(9):1085-1093. doi: 10.1097/OPX.0000000000001776.
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The Future Is Now: Incorporating Telemedicine into Glaucoma Care.未来已来:将远程医疗纳入青光眼护理
Curr Ophthalmol Rep. 2021;9(3):88-95. doi: 10.1007/s40135-021-00269-x. Epub 2021 Jul 7.
9
Impact of pharmacist-led interventions in improving adherence to glaucoma medications in the geriatric population.药师主导的干预措施对改善老年人群青光眼药物治疗依从性的影响。
Eur J Hosp Pharm. 2021 Nov;28(Suppl 2):e191-e196. doi: 10.1136/ejhpharm-2021-002788. Epub 2021 Jul 7.
10
Glaucoma.青光眼。
Med Clin North Am. 2021 May;105(3):493-510. doi: 10.1016/j.mcna.2021.01.004. Epub 2021 Apr 2.