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评估 COVID-19 大流行期间青光眼患者的药物依从性。

Evaluation of medication adherence of glaucoma patients during the COVID-19 pandemic.

机构信息

Inonu University, Faculty of Medicine, Department of Ophthalmology, Malatya, Turkey.

Inonu University, Faculty of Medicine, Department of Ophthalmology, Malatya, Turkey.

出版信息

J Fr Ophtalmol. 2023 Jan;46(1):11-18. doi: 10.1016/j.jfo.2022.09.006. Epub 2022 Nov 17.

Abstract

PURPOSE

To evaluate changes in the medication adherence of glaucoma patients during the COVID-19 pandemic and the factors influencing medication adherence.

MATERIALS AND METHODS

This cross-sectional study included a total of 197 glaucoma patients who were followed for at least six months in the Glaucoma Unit of the Ophthalmology Department of Inonu University, Faculty of Medicine. Patients were given a 28-item questionnaire, including the eight-item Morisky Medication Adherence Questionnaire, to evaluate medication adherence. Demographic and clinical data were recorded. P<0.05 was considered statistically significant.

RESULTS

Interruption of glaucoma clinic visits during the pandemic was reported by 82 (41.6%) patients. Nonadherence was reported by 56 patients (28.4%) (95% confidence interval: 22.1-34.7). For these patients, the most common reasons for nonadherence were forgetfulness (50%), the inability to receive a prescription for the drug (10.7%) and being busy (10.7%). Factors influencing nonadherence were determined to be younger age, female gender, interruption of glaucoma clinic visits and high-income levels (P˂0.05).

CONCLUSION

Interruption of glaucoma clinic visits during the COVID-19 pandemic and the resulting inability to have medications prescribed resulted in patient nonadherence with medication use.

摘要

目的

评估 COVID-19 大流行期间青光眼患者的用药依从性变化及其影响用药依从性的因素。

材料与方法

本横断面研究共纳入 197 名在因努努大学医学院眼科青光眼科至少随访 6 个月的青光眼患者。患者接受了包括 8 项 Morisky 药物依从性问卷在内的 28 项问卷,以评估用药依从性。记录了人口统计学和临床数据。P<0.05 被认为具有统计学意义。

结果

82 名(41.6%)患者报告在大流行期间中断了青光眼门诊就诊。56 名患者(28.4%)(95%置信区间:22.1-34.7)报告不依从。对于这些患者,不依从的最常见原因是健忘(50%)、无法获得药物处方(10.7%)和忙碌(10.7%)。确定影响不依从的因素是年龄较小、女性、中断青光眼门诊就诊和高收入水平(P<0.05)。

结论

COVID-19 大流行期间中断青光眼门诊就诊以及由此导致的无法开具药物处方导致患者不遵守药物使用规定。

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