Abstract
Aim: To determine the level of knowledge of glaucoma management among glaucoma patients on medical therapy attending Bowen University Teaching Hospital Ogbomoso.
Method: The study was a descriptive hospital-based cross-sectional study which was conducted between January and October 2016 at the eye clinic of Bowen University Teaching Hospital Ogbomoso Oyo-State. Patients with primary open angle glaucoma (POAG) aged 40 years and above were recruited into in the study. Semi-structured questionnaire was used to obtain socio-demographic data, medical history and patient’s knowledge about glaucoma management. Data was analyzed using IBM SPSS software version 21. Level of statistical significance was set at p-value <0.05.
Result: A total of 180 patients participated in this study. Mean age of the patients was 67.9 ± 10.5years (range 40-85 years). Only 18(10%) of the patients had a good knowledge of the purpose of glaucoma treatment. Less than half (48.3%) of the participants could recall the names of their anti-glaucoma medications. Younger age, having no formal education and unskilled employment were associated with poor knowledge of glaucoma.
Conclusion: Patient’s knowledge about glaucoma management was very poor in this study. We recommend that ophthalmologists should put up strategies for better patient education about glaucoma and its management. Glaucoma support groups should be established to improve dissemination of information about glaucoma.
Keywords: Glaucoma, ophthalmologists, management, semi-structured.
Résumé
Objectif : Pour déterminer le niveau de connaissancede la gestion du glaucome chez les patients atteints du glaucome visitant l’Hôpital d’Enseignement Universitaire de Bowen, Ogbomosho pour la thérapie médicale.
Méthode : L’étude était une étude transversale descriptive réalisée dans un hôpital, qui était mené entre janvier et octobre 2016 à la clinique ophtalmologique de l’Hôpital d’Enseignement Universitaire de Bowen, Ogbomosho Oyo-State. Les patients atteints de glaucome à angle ouvert primaire (GPAO) âgés de 40 ans et plus ont été recrutés dans l’étude. Un questionnaire semistructuré a été utilisé pour obtenir des données sociodémographiques, les antécédents médicaux et les connaissances des patients sur la gestion du glaucome. Les données ont été analysées à l’aide du logiciel IBM SPSS version 21. Le niveau de signification statistique a été fixé à une valeur p <0,05.
Résultat : 180 patients au total ont participé à cette étude. L’âge moyen des patients était de 67,9 ± 10,5 ans (rangeant de 40 à 85 ans). Seulement 18 (10%) des patients connaissaient bien le but du traitement du glaucome. Moins de la moitié (48,3%) des participants pouvaient se rappeler les noms de leurs médicaments anti-glaucome. Le jeuneâge, l’absence d’éducation formelle et un emploi non qualifié étaient associés à une faible connaissance du glaucome.
Conclusion: Les connaissances des patients sur la gestion du glaucome étaient très faibles dans cette étude. Nous recommandons aux ophtalmologistes de mettre en place des stratégies pour une meilleure éducation des patients sur le glaucome et son traitement. Des groupes de soutien du glaucome devraient être mis en place pour améliorer la diffusion des informations sur le
glaucome.
Mots clés: Glaucome, ophtalmologistes, gestion, semi-structuré
Correspondence: Dr. Akinsola S. Aina, Ophthalmology Unit, Department of Surgery, Bowen University Teachng Hospital, Ogbomoso, Nigeria. E-mail: solarhema2013@yahoo.com
References
Tham YC, Li X, Wong TY, et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology 2014, 121:2081-2090.
Quigley HA and Broman AT: The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol 2006, 90:262-267.
Ntim-Amponsah CT, Amoaku WM, Ofosu-Amaah S, et al. Prevalence of glaucoma in an African population. Eye (Lond) 2004, 18:491-497.
Ashaye A, Ashaolu O, Komolafe O, et al. Prevalence and types of glaucoma among an indigenous African population in southwestern Nigeria. Investigative ophthalmology & visual science 2013, 54:7410-74106.
Abdull MM, Sivasubramaniam S, Murthy GV, et al. Causes of blindness and visual impairment in Nigeria: the Nigeria national blindness and visual impairment survey. Investigative ophthalmology & visual science 2009, 50:4114-4120.
Lewallen S and Courtright P: Blindness in Africa: present situation and future needs. Br J Ophthalmol 2001, 85:897-903.
Abdu L: Epidemiological properties of primary open angle glaucoma in Nigeria. Journal of ophthalmology, 2013:402739.
Onakoya AO, Mbadugha CA, Aribaba OT and Ibidapo OO: Quality of life of primary open angle glaucoma patients in Lagos, Nigeria: clinical and sociodemographic correlates. Journal of glaucoma 2012, 21:287-295.
Djafari F, Lesk MR, Giguere CE, Siam G and Freeman EE. Impact of a Brief Educational Intervention on Glaucoma Persistence: A Randomized Controlled Clinical Trial. Ophthalmic epidemiology 2015, 22:380-386.
Feehan M, Munger MA, Cooper DK, et al. Adherence to Glaucoma Medications Over 12 Months in Two US Community Pharmacy Chains. Journal of clinical medicine 2016, 5.
Mohindroo C, Ichhpujani P and Kumar S: How ‘Drug Aware’ are our Glaucoma Patients? Journal of current glaucoma practice 2015, 9:33-37.
Foster PJ BR, Quigley HA and Johnson GJ: The definition and classification of glaucoma in prevalence surveys. The British Journal of Ophthalmology 2002, 86:238-242.
Abdull MM, Gilbert CC and Evans J: Primary open angle glaucoma in northern Nigeria: stage at presentation and acceptance of treatment. BMC ophthalmology 2015, 15:111.
Tenkir A, Solomon B and Deribew A: Glaucoma awareness among people attending ophthalmic outreach services in Southwestern Ethiopia. BMC ophthalmology 2010, 10:17.
Giorgis AT: Raising public awareness of glaucoma in Ethiopia. Community eye health 2012, 25:46.
Beckers HJ, Webers CA, Busch MJ, et al. Adherence improvement in Dutch glaucoma patients: a randomized controlled trial. Acta ophthalmologica 2013, 91:610-618.
Harasymowycz P, Birt C, Gooi P, et al. Medical Management of Glaucoma in the 21st Century from a Canadian Perspective. Journal of ophthalmology, 2016:6509809.
Omolase CO, Sotiloye OA, Akinwalere AK, Adeosun OA and Omolase BO: Compliance with topical glaucoma medications in Owo, Nigeria. Brunei Int Med J 2013, 9:172-177.
Osman EA, Alqarni BA, AlHasani SS, et al. Compliance of Glaucoma Patients to Ocular Hypotensive Medications Among the Saudi Population. Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics 2016, 32:50-54.
Adio AO and Onua AA: Economic burden of glaucoma in Rivers State, Nigeria. Clinical ophthalmology (Auckland, NZ) 2012, 6:2023-2031.
Pinazo-Duran MD, Zanon-Moreno V, Garcia-Medina JJ, et al. Eclectic Ocular Comorbidities and Systemic Diseases with Eye Involvement: A Review. BioMed research international 2016, :6215745.