本文選題：青光眼　切入點：知曉度　出處：《昆明醫(yī)科大學》2015年碩士論文　論文類型：學位論文

【摘要】：目的：調查云南地區(qū)青光眼患者對疾病的知曉度,探討青光眼知曉度的影響因素,分析青光眼知曉度與藥物依從性、整合視野及生存質量的關系。方法：選取原發(fā)性開角型青光眼(Primary Open Angle Glaucoma, POAG)54例(108眼)、原發(fā)性慢性閉角型青光眼(Chronic Primary Angle-Closure Glaucoma, CPACG)26例(52眼)、原發(fā)性急性閉角型青光眼(Acute Primary Angel-Closure Glaucoma, APACG)13例(26眼)。根據青光眼類型將患者分成3組：POAG組、CPACG組、APACG組。對入選患者進行青光眼知曉度問卷調查、GQL-15問卷調查、眼壓測量及視野檢測,并對可靠視野進行GSS分期及雙眼視野整合。根據Logistic回歸分析探討青光眼知曉度的影響因素。采用方差分析及卡方檢驗,分析青光眼知曉度與藥物依從性、眼壓、整合視野及生存質量的關系。結果：1、本研究中59.14%的青光眼患者知道青光眼,93.54%青光眼患者從醫(yī)生處獲取青光眼知識。2、年齡越小,職業(yè)技術含量、文化程度、經濟收入越高,距醫(yī)院距離越近,病程越長,調查前隨訪及視野檢查次數越多,青光眼知曉度評分越高,差異有統(tǒng)計學意義(P0.05)。有青光眼家族史、使用抗青光眼藥物、非首次確診的青光眼患者知曉度評分比無青光眼家族史、未使用抗青光眼藥物、首次確診青光眼患者知曉度評分高,差異有統(tǒng)計學意義(P0.05)。3、青光眼知曉度評分越高,知道使用抗青光眼藥物目的及藥物副作用的青光眼患者更能按時使用全部藥物,也更不會自己決定停藥,差異有統(tǒng)計學意義(P0.05)。4、青光眼知曉度評分越高,調查后隨訪及視野檢查次數越多,整合視野平均分貝值dB越高,眼壓、GSS分期及GQL-15評分越低,差異有統(tǒng)計意義(P0.05)。5、雙眼整合視野為1型、2型、3型青光眼患者較4型、5型患者青光眼知曉度評分高,差異有統(tǒng)計學意義(P0.05)。6、首次確診的青光眼患者中,青光眼知曉度評分越高的患者確診時年齡越小,差異有統(tǒng)計學意義(P0.05)。POAG組青光眼知曉度評分比CPACG組及APACG組青光眼知曉度評分高,差異有統(tǒng)計學意義(P0.05)。結論：1、年輕者,距醫(yī)院距離越近,病程越長,職業(yè)技術含量、文化程度、經濟收入越高,調查前隨訪及視野檢查次數越多的青光眼患者對疾病知曉度越高。有青光眼家族史、使用抗青光眼藥物、非首次確診的青光眼患者較無青光眼家族史、未使用抗青光眼藥物、首次確診的青光眼患者對青光眼的知曉度高。2、青光眼患者對疾病的知曉度越高,其對藥物的依從性越好。提高青光眼患者對疾病的知曉度,特別是提高青光眼患者對抗青光眼藥物的作用及副作用的認識,能提高患者對藥物的依從性。提高青光眼患者對疾病的知曉度能促進疾病更早的診斷,能提高患者的隨訪率,使眼壓控制的更理想。3、提高青光眼患者對青光眼的知曉度,有利于雙眼殘存視野的保存,有利于提高患者的生存質量。
[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.
【學位授予單位】：昆明醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R775.2

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本文編號：1649463