青光眼视野测试的患者体验和障碍。

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Journal of Glaucoma Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI:10.1097/IJG.0000000000002477
Siyuan J Lu, Shenouda Girgis, Peter Shah, Graham A Lee
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引用次数: 0

摘要

摘要:目的:定量和定性地调查患者接受视野测试的经历:这项横断面混合方法研究涉及到在澳大利亚布里斯班一家私人眼科门诊就诊的成年患者。采用 100 毫米视觉模拟量表(VAS)评估参与者的视野测试体验,然后进行面对面的半结构化访谈。结果数据包括 VAS 分数(1-100)和经过主题分析的逐字记录:在 152 名参与者(男女比例为 79(52.0%):73(48.0%))中,年龄在 71-80 岁之间的参与者比例最高,有 56 人(36.8%),大多数人的主要眼部诊断为青光眼,有 107 人(70.4%)。视野测试经验的平均 VAS 得分为(60.45 [SD=30.38])。患有青光眼的参与者的平均 VAS 得分明显低于未患青光眼的参与者(55.34 [31.13] vs 72.67 [25.04];PC 结论:在主要患有青光眼的老年人群中发现了影响视野测试耐受性的心理和生理障碍。我们的研究结果凸显了解决患者对视野检测的担忧和顾虑的重要性,并强调了患者主动休息的价值,尤其是对于注意力难以集中和身体不适的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Experience and Barriers to the Visual Field Test for Glaucoma.

Prcis: There are significant mental, physical, and perceptual challenges in patients undergoing visual field testing, particularly in the elderly population with glaucoma.

Purpose: To quantitatively and qualitatively investigate patient experiences of undergoing visual field testing.

Methods: This cross-sectional, mixed-methods study involves adult patients attending a private outpatient ophthalmology clinic in Brisbane, Australia. Participant experiences of visual field testing were assessed using a 100 mm visual analog scale (VAS), followed by face-to-face semi-structured interviews. Outcome data comprised of VAS scores (1-100) and thematically analyzed verbatim notes.

Results: Of the 152 participants [M:F 79 (52.0%):73 (48.0%)], the age group with the highest proportion of participants was 71-80 years [n=56 (36.8%)], and most had a primary ocular diagnosis of glaucoma [n=107 (70.4%)]. The mean VAS score for visual field testing experience was 60.45 (SD=30.38). The mean VAS score of participants with glaucoma was significantly lower than that of participants without glaucoma [55.34 (31.13) vs. 72.67 (25.04); P <0.05]. Prevalent themes regarding participant experiences of visual field testing consisted of concentration difficulties, intra-test and peri-test anxiety, skepticism in the testing process, and physical discomfort. Age, sex, and mean visual field index did not influence participant experiences of visual field testing.

Conclusions: Mental and physical barriers to visual field testing tolerability were identified in a predominantly elderly population with glaucoma. Our findings highlight the importance of addressing patient concerns and apprehensions regarding visual field testing and emphasize the value of patient-initiated breaks, particularly for individuals experiencing concentration difficulties and physical discomfort.

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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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