云南地区原发性青光眼患者疾病知晓度及影响因素的研究

发布时间：2018-03-22 16:31

本文选题：青光眼　切入点：知晓度　出处：《昆明医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：调查云南地区青光眼患者对疾病的知晓度,探讨青光眼知晓度的影响因素,分析青光眼知晓度与药物依从性、整合视野及生存质量的关系。方法：选取原发性开角型青光眼(Primary Open Angle Glaucoma, POAG)54例(108眼)、原发性慢性闭角型青光眼(Chronic Primary Angle-Closure Glaucoma, CPACG)26例(52眼)、原发性急性闭角型青光眼(Acute Primary Angel-Closure Glaucoma, APACG)13例(26眼)。根据青光眼类型将患者分成3组：POAG组、CPACG组、APACG组。对入选患者进行青光眼知晓度问卷调查、GQL-15问卷调查、眼压测量及视野检测,并对可靠视野进行GSS分期及双眼视野整合。根据Logistic回归分析探讨青光眼知晓度的影响因素。采用方差分析及卡方检验,分析青光眼知晓度与药物依从性、眼压、整合视野及生存质量的关系。结果：1、本研究中59.14%的青光眼患者知道青光眼,93.54%青光眼患者从医生处获取青光眼知识。2、年龄越小,职业技术含量、文化程度、经济收入越高,距医院距离越近,病程越长,调查前随访及视野检查次数越多,青光眼知晓度评分越高,差异有统计学意义(P0.05)。有青光眼家族史、使用抗青光眼药物、非首次确诊的青光眼患者知晓度评分比无青光眼家族史、未使用抗青光眼药物、首次确诊青光眼患者知晓度评分高,差异有统计学意义(P0.05)。3、青光眼知晓度评分越高,知道使用抗青光眼药物目的及药物副作用的青光眼患者更能按时使用全部药物,也更不会自己决定停药,差异有统计学意义(P0.05)。4、青光眼知晓度评分越高,调查后随访及视野检查次数越多,整合视野平均分贝值dB越高,眼压、GSS分期及GQL-15评分越低,差异有统计意义(P0.05)。5、双眼整合视野为1型、2型、3型青光眼患者较4型、5型患者青光眼知晓度评分高,差异有统计学意义(P0.05)。6、首次确诊的青光眼患者中,青光眼知晓度评分越高的患者确诊时年龄越小,差异有统计学意义(P0.05)。POAG组青光眼知晓度评分比CPACG组及APACG组青光眼知晓度评分高,差异有统计学意义(P0.05)。结论：1、年轻者,距医院距离越近,病程越长,职业技术含量、文化程度、经济收入越高,调查前随访及视野检查次数越多的青光眼患者对疾病知晓度越高。有青光眼家族史、使用抗青光眼药物、非首次确诊的青光眼患者较无青光眼家族史、未使用抗青光眼药物、首次确诊的青光眼患者对青光眼的知晓度高。2、青光眼患者对疾病的知晓度越高,其对药物的依从性越好。提高青光眼患者对疾病的知晓度,特别是提高青光眼患者对抗青光眼药物的作用及副作用的认识,能提高患者对药物的依从性。提高青光眼患者对疾病的知晓度能促进疾病更早的诊断,能提高患者的随访率,使眼压控制的更理想。3、提高青光眼患者对青光眼的知晓度,有利于双眼残存视野的保存,有利于提高患者的生存质量。
[Abstract]:Objective: to investigate the disease awareness of glaucoma patients in Yunnan, to explore the influencing factors of glaucoma awareness, and to analyze the glaucoma awareness and drug compliance. Methods: primary Open Angle Glaucoma, POAG)54, Chronic Primary Angle-Closure Glaucoma, CPACG)26 52 eyes and acute Primary Angel-Closure were selected. Glaucoma, 26 eyes of APACG)13 patients were divided into 3 groups according to glaucoma type: Poag group and CPACG group. GQL-15 questionnaire was used to investigate the awareness of glaucoma. Intraocular pressure and visual field were measured, and reliable visual field was divided into GSS stage and binocular visual field integration. According to Logistic regression analysis, the influencing factors of glaucoma awareness were discussed. Variance analysis and chi-square test were used to analyze glaucoma awareness and drug compliance. Results: in this study, 59.14% of the glaucoma patients knew that 93.54% of the glaucoma patients obtained glaucoma knowledge from the doctor. The younger the age, the higher the professional and technical content, the higher the education level, the higher the income. The closer the distance from the hospital, the longer the course of disease, the more times of follow-up and visual field examination before investigation, the higher the score of glaucoma awareness, the difference was statistically significant (P 0.05). There was a family history of glaucoma, and antiglaucoma drugs were used. The awareness score of non-first-diagnosed glaucoma patients was higher than that of non-glaucoma family history, and no anti-glaucoma drugs were used. The difference was statistically significant (P 0.05 路3). The higher the awareness score was, the higher the awareness score was. Glaucoma patients who knew the purpose and side effects of antiglaucoma drugs were more likely to use all drugs on time and would not decide to stop them on their own. The difference was statistically significant (P 0.05. 4). The higher the glaucoma awareness score, the higher the score of glaucoma awareness. The more times of follow-up and visual field examination after investigation, the higher the average decibels of integrated visual field, the lower the GSS stage and GQL-15 score of IOP. The difference was statistically significant (P 0.05, P 0.05. 5). The scores of awareness of type 1 and type 2 glaucoma with binocular integrated visual field were higher than those of patients with type 4 or 5 glaucoma, and the difference was statistically significant (P 0.05. 6). The higher the glaucoma awareness score, the younger the age at the time of diagnosis. The difference was statistically significant (P 0.05). Poag group was higher than CPACG group and APACG group in glaucoma awareness score, and the difference was statistically significant (P 0.05). The closer the distance from the hospital, the longer the course of disease, the higher the vocational and technical content, the higher the education level, the higher the economic income, the higher the awareness of the disease among the glaucoma patients who had more follow-up and visual field examination before the investigation, and the higher the family history of glaucoma was. Using anti-glaucoma drugs, non-first-diagnosed glaucoma patients had no family history of glaucoma, and no anti-glaucoma drugs were used. The first-diagnosed glaucoma patients had a higher awareness of glaucoma, and the glaucoma patients had higher awareness of the disease. The better its compliance with drugs, the better the awareness of glaucoma patients, especially the role and side effects of antiglaucoma drugs in glaucoma patients. Increasing the awareness of glaucoma patients can promote the early diagnosis of the disease, improve the follow-up rate of patients, make IOP control more ideal .3. improve glaucoma patients' awareness of glaucoma. It is beneficial to the preservation of binocular residual visual field and to the improvement of patient's quality of life.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R775.2

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