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 77
- Downloads 0
Clinical Importance of Evaluation of Iron Profile Parameters in Hypothyroid Patients
Introduction: The prevalence of iron deficiency anaemia has been found to further increase along with increase in the incidence of thyroid disorders. Low thyroid function has been one of the most overlooked causes of iro...
Multicentric Reticulohistiocytosis: A Rare Case Report
Multicentric reticulohistiocytosis (MRH) is a rare multisystem disorder of unknown etiology, characterized by erosive polyarthritis and papulonodular lesions on the skin, mucous membranes, and internal organs. There is n...
Unintentional Home Injury in Children up to Age 12 Years Reported by Mother Attending Vaccination Clinic in Al-Rusifa PHC Center, Makkah Al-Mokarramah, Saudi Arabia (2013)
Background: Childhood injury at home is a major public health problem that requires urgent attention. It is among the most common preventable worldwide health problems. Objectives: To estimate the overall prevalence of h...
Knowledge and Attitude Regarding First Aid Management of Epistaxis Among Students of Medical Colleges at King Khalid University, Abha City, Saudi Arabia
Background: Epistaxis is the most common ear, nose and throat complaint presenting to an emergency departments worldwide which is defined as a bleeding from inside the nose or nasal cavity. A vast majority of these patie...
Spinal Cord Arteriovenous Malformation: Presenting As Relapsing Paraplegia
Spinal arteriovenous malformations are rare cause of spinal cord syndromes. It is important in identifying them early as it is a potentially treatable cause. The clinical and radiological features may mimic demyelination...