Compliance of Glaucoma Patients to Their Medical Treatment in Jeddah
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Glaucoma is an asymptomatic chronic eye disease in which timely treatment is important to prevent the potential irreversible blindness. Patient’s compliance with treatment is crucial for effective management. Objectives: To estimate patient’s compliance with glaucoma treatment (CGT) and follow-up visits (CGF) for the patients in Jeddah, Saudi Arabia. We aimed also to identify the predictors associated with noncompliance to both factors. Methods: 575 patients were interviewed and were asked to answer an electronically adapted questionnaire where their clinical data, perception and attitude about glaucoma and its treatment, CGT, CGF, and their relationship with the physicians could be collected. Results: The overall CGT was 72.2% and CGF was 73%. The significant predictors of noncompliance to treatment were: difficulty in self-administration (p<0.001), and lack of knowledge about importance of eye drops (p<0.001), disease symptoms (p<0.001) and seriousness (p<0.001). Drug-related predictors included long-term treatment (more than 5 years, p<0.001), high cost (p<0.048), taking medications more than 4 times per day (p<0.021), and prescribing more than 2 drugs (p<0.001). Failure to adequately explain drug benefits (p<0.001), methods and frequencies of administrations (p<0.009 and p<0.004 respectively), and inability to properly educate patients (p<0.001) were the most significant physician-centered predictors of noncompliance. Conclusion: Our patients showed satisfactory compliance rates with glaucoma treatment and appointment schedules. If possible, once-daily dosing, convenient drug administration, and providing sufficient knowledge and education to the patient are suggested to improve the clinical outcomes and patients’ compliance to treatment.
Authors and Affiliations
Kholud Waleed Abdujawad, Eman Alhussain, Ahmad Mohammad Ahmad, Firas Mohamed Madani, Saleh Abdulqader Bakkar, Kaled Waleed Abduljawad
Keywords
Related Articles
- EP ID EP530260
- DOI 10.21276/ijmrp.2018.4.1.085
- Views 61
- Downloads 0
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