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NR 10-12/2008
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Przyczyny pomijania
zalecanych dawek leków przez pacjentów z jaskrą
Obstacles to medication
compliance for patients with glaucoma
Małgorzata Kowal, Tomasz Chorągiewicz,
Katarzyna Mietlicka, Anna Wyszyńska, Tomasz Żarnowski
Z Katedry i Kliniki Okulistyki Uniwersytetu Medycznego w
Lublinie
P.o. kierownik: dr hab. Tomasz Żarnowski |
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| Summary: |
Purpose: Aim of the
study was to identify obstacles to medication adherence
(compliance) for patients with glaucoma.
Material and methods: A prospective case series
of structured interviews were conducted in 150 patients
with glaucoma. (75 patients treated in the glaucoma
out-patient clinic of the Department of Ophthalmology,
Medical University, Lublin, Poland and 75 patients
treated in regional out-patient clinics). Questionnaire
of an anonymous survey, formulated on the basis of the
publication: Tsai J.C. et al. “Compliance barriers in
glaucoma: a systematic classification”, J. Glaucoma.
2003, 12, 393-398.
Results: The results of the survey showed
omissions of particular doses of medications in 62.7% of
patients from regional outpatient clinics and in 35.3%
of patients treated at the Department of Ophthalmology.
It was shown that 32.7% of respondents from regional
outpatient clinics and 8.7% from the Department of
Ophthalmology Glaucoma Clinic declared remaining without
antiglaucoma drops for more than one day. As reasons for
omissions of single doses of the medications:
forgetfulness (54.7%), too many doses of medications
(10%) and little knowledge about the disease (10%) were
usually pointed. According to the respondents: little
knowledge (32%) and financial factors (22%) are the main
causes of medications withdrawal for longer time.
Conclusions: The most common obstacles to
medication compliance for patients with glaucoma include:
forgetfulness, low level of knowledge about the disease,
financial factors and too many doses of the medications.
Fewer doses and the presence of a supporting person have
a positive influence on compliance. |
| Słowa kluczowe: |
jaskra, przyczyny
nieregularnego stosowania leków przeciwjaskrowych przez
pacjentów. |
| Key words: |
glaucoma, reasons for
irregular use of anti-glaucoma drops by patients. |
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