녹내장환자의 안압하강제 점안 행태 분석
Analysis of Eye Drops Applying Behavior in Glaucoma Patients
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목적: 녹내장환자의 약물 안약점안 방법의 실상을 파악하고자 하였다. 대상과 방법: 5개 병원에서 녹내장을 진단 받고 안압하강제를 1개월 이상 점안중인 환자를 대상으로 점안 감각 확인 여부, 점안 후 누낭압박 여부, 복수 약물 투여 시 약물 간 점안 간격 유지 여부, 약병의 위생적 관리 여부, 점안 전 약병 흔들기 여부에 대한 설문조사를시행하였다. 결과: 총 581명의 환자가 설문에 응하였다. 점안 후 누낭 압박 여부에 대한 응답으로 항상 58명(10%), 가끔 103명(18%), 전혀 누르지않는 환자는 409명(70%)이었다. 복수 약물 투여 시 점안 간격은 1분 55명(9%), 5분 126명(22%), 10분이 198명(34%)이었다. 약병 끝이눈에 닿지 않게 점안하는 환자는 315명(54%)이었다. 점안 전 약병 흔들기 여부에 대한 응답으로 항상 흔들어 쓰는 경우가 190명(33%), 가끔 흔들어 쓰는 환자는 106명(18%)이었다. 결론: 대부분의 환자가 안압하강제 점안 시 오류를 행하고 있어 치료 효과를 떨어뜨리고 부작용을 야기할 가능성이 높은 것으로 나타났다. 따라서 의사는 안압하강제 처방 시 점안 방법에 대하여 관심을 가지고 자세히 교육해야 한다.
Abstract
Purpose: This study was conducted to understand the eye drop application method in patients with glaucoma. Methods: A survey was performed in 5 hospitals on patients diagnosed with glaucoma using eye drops for more than 1month. Variables associated with eye drop application such as pressing on a dacryocyst after application, time interval between multiple eye drop medications, hygienic management of an eye dropper and shaking a bottle of eye drops before use were evaluated. Results: A total of 581 patients were surveyed in the present study. Regarding pressing on a dacryocyst after applying eye drops, 58 (10%) patients responded always, 103 patients (18%) sometimes, and 409 patients (70%) never. Three hundred fifteen patients (54%) did not touch the eye dropper to their eyes, 190 patients (33%) always shook the eye drop bottle before use and 106 patients (18%) shook the bottle sometimes. Conclusions: When using eye drops for glaucoma to reduce the intraocular pressure, most patients are committing errors, reducing the effect of treatment and likely causing side effects. When prescribing eye drops to glaucoma patients, the physician should educate patients on the proper method of application.
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