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Web-based intervention for improving adherence of people with glaucoma

机译：基于网络的干预措施，可改善青光眼患者的依从性

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Aim. To assess the effects of web-based patient-centred education and support on the adherence of people with glaucoma.Background. Glaucoma is a worldwide chronic ophthalmic illness with the symptoms of increased intraocular pressure which causes blindness. One problem is the poor adherence of people with glaucoma. Patient-centred approach should be the aim of patient education. Patient education of people with glaucoma focuses on symptoms, treatments, prognosis and medication.Design. A non-randomised experimental design with intervention of test (n - 34) and control (n = 51) groups.Method. The test group received web-based patient education and support intervention, which consist of several informational links concerning treatments, medication and self-care of glaucoma. The control group received the traditional patient education and support. The data were collected from adult people with glaucoma by self-reported ACDI instrument at baseline and follow ups (two and six months) between December 2008-May 2009.Results. Participants in both the test and the control groups showed improvement in their adherence. No statistical significant differences were found between the test and control group. Adherence to care (SUM9), support from nurses and physicians (SUM1) and care planning (SUM8) improved more in the test group than in the control group.Conclusion. The adherence of people with glaucoma in the test group improved on receiving this web-based patient education and support. However, the.results of the control group also improved during the intervention. It is possible to improve chronically ill people's adherence and self-care by developing new, time-saving and patient-centred methods using technical equipment.Relevance to clinical practice. These results are useful in developing new patient education and support methods for people with glaucoma as well as other people with chronic illness.
机译：目标。评估以网络为中心的以患者为中心的教育和支持对青光眼患者依从性的影响。青光眼是一种全球性的慢性眼病，其眼压升高的症状引起失明。一个问题是青光眼患者依从性差。以患者为中心的方法应该是患者教育的目标。对青光眼患者的患者教育重点在于症状，治疗，预后和药物治疗。一种非随机实验设计，其中有测试（n-34）和对照组（n = 51）组的干预。测试小组接受了基于网络的患者教育和支持干预，其中包括有关青光眼的治疗，药物和自我护理的几个信息链接。对照组接受了传统的患者教育和支持。数据是在2008年12月至2009年5月之间通过自我报告的ACDI仪器从成年人青光眼中收集的，并进行了随访（两个月和六个月）。测试组和对照组的参与者均显示出依从性的改善。在测试组和对照组之间没有发现统计学上的显着差异。与对照组相比，测试组对护理的依从性（SUM9），护士和医生的支持（SUM1）和护理计划（SUM8）的改善更大。在接受此基于网络的患者教育和支持后，测试组中青光眼患者的依从性得到了改善。但是，在干预过程中，对照组的结果也有所改善。通过使用技术设备开发新的，节省时间和以患者为中心的方法，可以改善慢性病患者的依从性和自我保健。与临床实践相关。这些结果有助于为青光眼患者和其他慢性病患者开发新的患者教育和支持方法。

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