健康教育对社区青光眼患者局部用药依从性影响的分析

Effect analysis of health education on local medication compliance in community glaucoma patients

目的:调查社区青光眼患者对青光眼知识的了解情况及健康教育对社区青光眼患者局部用药依从性和规范性的影响。方法:应用自行设计的调查表对上海宝山区庙行镇社区190例确诊为青光眼的患者进行局部降眼压药物6mo以上使用规范情况,及对青光眼知识的了解情况,健康教育对青光眼患者局部用药依从性等九项指标的影响。结果:健康教育使患者的依从性、青光眼知识知晓率、用药情况(点液前洗手率、点液后闭眼时间、眼液污染率、眼液漏点率)和患者复查情况(视野定期复查率、眼压定期复查率)均有显著性提高(P<0.05),对用药种类影响不明显(P>0.05)。结论:对社区青光眼健康教育与治疗于一体,定期进行用药指导、提供方便可行的健康教育及干预措施很有必要。

AIM：To survey community glaucoma patients about their understanding of glaucoma knowledge and effect of health education on their local medication compliance and normativity. METHODS：Totally 190 cases in the Miaohang community of Shanghai Baoshan district were enrolled with a diagnosis of glaucoma and 1 or more topical ocular hypotensive medications for at least 6 months. Special questionnaire was designed for the purpose of this survey. Effects of health education on nine indicators such as local medication compliance in patients with glaucoma and so on were investigated. RESULTS：Health education had the patient compliance, knowledge of glaucoma, the rate of drug use （hand-washing rate before eyedrops, eyes closing time after eyedrops, eyedrops contamination rate, eyedrops missing rate） and patient review （periodical review rate of eye field and intraocular pressure） significantly increased （P0.05）, no significant effect on the drug type （P0.05）. CONCLUSION：It is necessary to provide regular medication guide, health education and facilitate possible intervention for the treatment of community glaucoma patients.