Estudo sobre os fatores relacionados a interrupção do tratamento do glaucoma

Abstract

RESUMOObjetivo: Identificar causas relacionadas com a não aderência ao tratamento do glaucoma primário de ângulo aberto e sugerir meios para posteriormente minimizá-las. Métodos: Foi aplicado um questionário a pacientes portadores de glaucoma primário de ângulo aberto no Hospital Universitário Gaffrée e Guinle, escolhidos aleatoriamente, para avaliação dos fatores relacionados com a interrupção do tratamento. Para isso, utilizou-se uma análise univariada, pelo teste exato de Fisher, e considerou estatisticamente significativo p<0,05. Resultados: A partir do questionário, identificou-se dois subgrupos, um que já havia interrompido o tratamento e outro que nunca o havia interrompido, compostos por 25 e 11 pacientes respectivamente. Estes grupos foram comparados entre si e todos os parâmetros analisados. O custo dos medicamentos (p=0,001) e o fator esquecimento (p=0,007) foram estatisticamente relevantes para a interrupção do tratamento da doença. As demais variáveis testadas não obtiveram significância estatística. Conclusão: O custo dos medicamentos e o fator esquecimento foram os fatores mais importantes para interrupção do tratamento.Descritores: Glaucoma/terapia; Adesão ao tratamento; Glaucoma primário de ângulo aberto/terapia; Custos de medicamentos; Suspensão de tratamento ABSTRACTThe objective was to identify causes related to noncompliance of primary open-angle glaucoma and suggest ways to minimize them later. A questionnaire was given to patients with primary open angle glaucoma in Hospital Gaffrée Guinle, chosen randomly, to assess factors related to discontinuation of treatment. For this we used a univariate analysis by Fisher's exact test and considered statistically significant p <0.05. From the questionnaire, we identified two sub-groups, who had stopped treatment and another who had never stopped for 25 compounds and 11 patients respectively. These groups were compared, and all parameters examined. The cost of drugs (p = 0.001) and forgetting factor (p = 0.007) were statistically significant for discontinuation of treatment of disease. The other variables tested did not achieve statistical significance. Conclusion: The cost of drugs and forgetting to take medication were the factors most important to withholding treatment

Adherence assessment of eye drops in patients with glaucoma using 8 item Morisky Score: a cross sectional study

“…3 This result was also consistent with several studies showing that forgetfulness was the main factor for non-adhesion, including the most recent systematic review, this factor was the only one who had significant relevance along with the problem with the time of medication in low adhesion. 3,21,24 One way of trying to avoid forgetfulness by patients in using eyedrops would be using an alarm to remind them, or automated text notes to try and reduce this risk factor. 25,26 The other two most mentioned reasons in the group non-adherent were the difficulty with the time of eyedrops (11.01%) and stressful life (10.08%).…”