Précis: 

Health coaching is an effective strategy in supporting glaucoma patients to become champions of their own health. A personalized program should be implemented at the point of diagnosis.

Purpose: 

Glaucoma is the leading cause of irreversible blindness worldwide. Its mainstay of treatment is intraocular pressure–lowering eye drops. Yet, many patients do not receive education regarding their condition, the importance of their eye drops, and how to instil them. The purpose of this audit was to assess what proportion of glaucoma patients had received any education regarding eye drop usage and whether a health coaching intervention would be beneficial.

Materials and Methods: 

This prospective audit was conducted during World Glaucoma Week at Moorfields Eye Hospital. Patients diagnosed with glaucoma were given a 6-part questionnaire. Subsequently, they received a coaching session with a pharmacy team member, focusing on eye drop instillation. Patient feedback was recorded.

Results: 

The sample size was 262. Overall, 92% of patients who had received teaching found it useful. Approximately half the patients had never been shown how to use eye drops before. In all, 79% of those who had never received a demonstration thought that further coaching would be helpful. When experiencing difficulties with eye drop instillation; 29% of patients felt comfortable asking a relative; 26% would not ask for help, and 16% would consult their glaucoma doctor. Almost 30% of patients had poked themselves in the eye at least once, during self-administration.

Conclusions: 

Experienced and inexperienced patients found glaucoma health coaching beneficial. Health coaching empowers patients with long-term conditions to be champions of their own health condition, and it is important for patients to receive this training from the onset of their treatment.

中文翻译：

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青光眼健康指导：滴眼液滴注教育调查

概要： 

健康指导是支持青光眼患者成为自身健康捍卫者的有效策略。应在诊断时实施个性化计划。

目的： 

青光眼是全世界不可逆转失明的主要原因。其主要治疗方法是降低眼压眼药水。然而，许多患者没有接受有关他们的病情、滴眼剂的重要性以及如何滴注的教育。此次审计的目的是评估青光眼患者接受过有关滴眼剂使用的教育的比例以及健康指导干预是否有益。

材料和方法： 

这项前瞻性审计是在世界青光眼周期间在莫菲尔德眼科医院进行的。诊断为青光眼的患者接受了一份由 6 部分组成的调查问卷。随后，他们接受了药房团队成员的辅导，重点是滴眼液。记录患者的反馈。

结果： 

样本量为 262 个。总体而言，92% 接受过教学的患者认为它有用。大约一半的患者以前从未被告知如何使用眼药水。总而言之，79% 从未接受过演示的人认为进一步的指导会有所帮助。当滴眼液遇到困难时；29% 的患者愿意向亲戚询问；26% 的人不会寻求帮助，16% 的人会咨询青光眼医生。近 30% 的患者在自我给药期间至少戳过自己的眼睛一次。

结论： 

有经验和没有经验的患者都发现青光眼健康指导是有益的。健康指导使患有长期疾病的患者能够维护自己的健康状况，因此患者从治疗一开始就接受这种培训非常重要。