期刊名称：Journal of the Korean Ophthalmological Society
印刷版ISSN：0378-6471
出版年度：2019
卷号：60
期号：2
页码：160-168
DOI：10.3341/jkos.2019.60.2.160
出版社：The Korean Ophthalmological Society
摘要：Purpose: To evaluate the efficacy of an eye drop chart and to determine the factors contributing to adherence enhancement using
the eye drop chart.
Methods: In this prospective study, enrolled glaucoma patients were educated on the administration of eye drops and use of the
eye drop chart. They were required to complete a questionnaire on demographic characteristics and adherence. After 3 months,
they completed a second questionnaire on adherence and satisfaction with the use of the eye drop chart. Changes in instillation
behavior, relationships between performance scores and demographic characteristics, as well as factors contributing to the improvement
of performance scores were analyzed.
Results: Forty-seven patients were enrolled in this study. The performance scores were significantly better for those who administered
the eye drops by themselves (p = 0.002), those with an annual income > 60 million won (p = 0.036), and patients with
at least a college degree (p = 0.002). After using the eye drop chart for 3 months, the average intraocular pressure was significantly
reduced (p = 0.041) and the performance score was improved (p = 0.019). The working area (p = 0.009) and eye drop
applicator (p = 0.001) were correlated with performance score enhancement.
Conclusions: The eye drop chart was a cost-effective tool for improving the adherence and instillation practices of glaucoma
patients. Adherence was improved among patients with more indoor activity, and those who practiced self-instillation. It is expected
that the respective conditions of such patients would be more efficiently improved in a clinical setting.
关键词：Adherence; Education; Eye drop chart; Glaucoma medication
