Self-management challenges and support needs among patients with primary glaucoma: a qualitative study

Abstract Background Self-management plays an important role in the disease management of glaucoma patients. The effectiveness of the program can be improved by assessing the patient’s perspective and needs to tailor self-management support. Most studies have focused on assessing one of these self-ma...

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Main Authors: Yiting Hua, Hujie LU, Jingyao Dai, Yewei Zhou, Wenzhe Zhou, Aisun Wang, Yanyan Chen, Youping Liang
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01527-y
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author Yiting Hua
Hujie LU
Jingyao Dai
Yewei Zhou
Wenzhe Zhou
Aisun Wang
Yanyan Chen
Youping Liang
author_facet Yiting Hua
Hujie LU
Jingyao Dai
Yewei Zhou
Wenzhe Zhou
Aisun Wang
Yanyan Chen
Youping Liang
author_sort Yiting Hua
collection DOAJ
description Abstract Background Self-management plays an important role in the disease management of glaucoma patients. The effectiveness of the program can be improved by assessing the patient’s perspective and needs to tailor self-management support. Most studies have focused on assessing one of these self-management behaviours, such as medication adherence, and there is a lack of systematic assessment of the support needs and challenges of self-management for patients with glaucoma. Therefore, in this study, we conducted an in-depth investigation into the self-management challenges and support needs of patients with primary glaucoma, providing a basis for nursing staff to implement self-management support. Method The phenomenological method and semistructured interviews were used in this study. A total of 20 patients with primary glaucoma were recruited between June and December 2022. Colaizzi’s analysis method was used to analyse the interview data. Results Challenges for patients include becoming an expert in glaucoma, managing negative emotions, adapting to daily life changes and resuming social activities. To address these challenges, four themes of patient self-management support needs were identified: (1) health information support, (2) social support, (3) psychological support, and (4) daily living support. Conclusion Patients with primary glaucoma experience varying degrees of challenge in dealing with medical, emotional, and social aspects. Comprehending the support needs of patients, healthcare professionals should deliver targeted, personalized and comprehensive self-management interventions to enhance their capacity of patients to perform self-management and improve their quality of life.
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spelling doaj.art-b4ec0a4a30e04cf9b8e808fb023637032023-11-19T12:51:20ZengBMCBMC Nursing1472-69552023-11-0122111010.1186/s12912-023-01527-ySelf-management challenges and support needs among patients with primary glaucoma: a qualitative studyYiting Hua0Hujie LU1Jingyao Dai2Yewei Zhou3Wenzhe Zhou4Aisun Wang5Yanyan Chen6Youping Liang7School of Ophthalmology and Optometry, Wenzhou Medical UniversitySchool of Ophthalmology and Optometry, Wenzhou Medical UniversitySchool of Ophthalmology and Optometry, Wenzhou Medical UniversitySchool of Ophthalmology and Optometry, Wenzhou Medical UniversityNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical UniversityNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical UniversityNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical UniversityNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical UniversityAbstract Background Self-management plays an important role in the disease management of glaucoma patients. The effectiveness of the program can be improved by assessing the patient’s perspective and needs to tailor self-management support. Most studies have focused on assessing one of these self-management behaviours, such as medication adherence, and there is a lack of systematic assessment of the support needs and challenges of self-management for patients with glaucoma. Therefore, in this study, we conducted an in-depth investigation into the self-management challenges and support needs of patients with primary glaucoma, providing a basis for nursing staff to implement self-management support. Method The phenomenological method and semistructured interviews were used in this study. A total of 20 patients with primary glaucoma were recruited between June and December 2022. Colaizzi’s analysis method was used to analyse the interview data. Results Challenges for patients include becoming an expert in glaucoma, managing negative emotions, adapting to daily life changes and resuming social activities. To address these challenges, four themes of patient self-management support needs were identified: (1) health information support, (2) social support, (3) psychological support, and (4) daily living support. Conclusion Patients with primary glaucoma experience varying degrees of challenge in dealing with medical, emotional, and social aspects. Comprehending the support needs of patients, healthcare professionals should deliver targeted, personalized and comprehensive self-management interventions to enhance their capacity of patients to perform self-management and improve their quality of life.https://doi.org/10.1186/s12912-023-01527-yGlaucomaSelf-managementSelf‑management supportNeedsQualitative research
spellingShingle Yiting Hua
Hujie LU
Jingyao Dai
Yewei Zhou
Wenzhe Zhou
Aisun Wang
Yanyan Chen
Youping Liang
Self-management challenges and support needs among patients with primary glaucoma: a qualitative study
BMC Nursing
Glaucoma
Self-management
Self‑management support
Needs
Qualitative research
title Self-management challenges and support needs among patients with primary glaucoma: a qualitative study
title_full Self-management challenges and support needs among patients with primary glaucoma: a qualitative study
title_fullStr Self-management challenges and support needs among patients with primary glaucoma: a qualitative study
title_full_unstemmed Self-management challenges and support needs among patients with primary glaucoma: a qualitative study
title_short Self-management challenges and support needs among patients with primary glaucoma: a qualitative study
title_sort self management challenges and support needs among patients with primary glaucoma a qualitative study
topic Glaucoma
Self-management
Self‑management support
Needs
Qualitative research
url https://doi.org/10.1186/s12912-023-01527-y
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