Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India
Introduction: Glaucoma is most common cause of irreversible blindness in the world. Hence, awareness about the disease, importance of drugs effect and its side-effects and accurate method of eye drop instillation is very crucial. Aim: To assess Knowledge, Attitude and Practice (KAP) at the medicati...
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JCDR Research and Publications Private Limited
2022-11-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://jcdr.net/articles/PDF/17024/59381_CE(AD)_F(KM)_PF1(AG_KM)_PFA(AG_KM)_PN(KM).pdf |
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author | Priyanka Gupta Vatsala Vats Ashish Kakkar Aeshvarya Dhawan Tarannum Shakeel Monika Jain |
author_facet | Priyanka Gupta Vatsala Vats Ashish Kakkar Aeshvarya Dhawan Tarannum Shakeel Monika Jain |
author_sort | Priyanka Gupta |
collection | DOAJ |
description | Introduction: Glaucoma is most common cause of irreversible blindness in the world. Hence, awareness about the disease, importance of drugs effect and its side-effects and accurate method of eye drop instillation is very crucial.
Aim: To assess Knowledge, Attitude and Practice (KAP) at the medication, doctor and patient level in clinical practice.
Materials and Methods: It was a cross-sectional, descriptive, questionnaire based study conducted at Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India, for duration of two years from July 2020 to June 2022. It included 290 patients diagnosed with glaucoma. They were asked to demonstrate method of instillation of eye drop to assess correct method and to cover a few aspects of questionnaire regarding medication instillation. The statistical analysis was done using Statistical Package for the Social Sciences (SPSS) software version 21.0. The p-value was determined for questions in the questionnaire using Chi-square test. The p-value <0.05 was considered significant.
Results: About 88 (30.34%) patients were educated about the nature and progression of glaucoma. Punctal occlusion was explained to 40 (13.79%) patients and assisted instillation to 25 (8.62%) patients. Approximately 62 (70.45%) patients were educated about their disease. About 244 (84.14%) patients noticed that their ophthalmologist clinic had a television in Outpatient Department (OPD). Family screening was advised in only 67 (23.1%) of the patients. Only 53 (18.28%) patients were emphasised on strict control of associated systemic illness.
Conclusion: Proper patient education about glaucoma and treatment by healthcare provider plays a crucial role. Most of the patients were not educated about method of instillation of drops. Correct instillation of drops was crucial to achieve target Intra Ocular Pressure (IOP), minimising side-effects and reducing the cost of treatment. Family screening and control of associated systemic conditions were often missed by majority of ophthalmologists however, it is important to keep in mind. |
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language | English |
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publishDate | 2022-11-01 |
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spelling | doaj.art-f17f2f85e36648618a0f9c56177651892023-02-25T04:54:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-11-011611NC01NC0610.7860/JCDR/2022/59381.17024Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, IndiaPriyanka Gupta0Vatsala Vats1Ashish Kakkar2Aeshvarya Dhawan3Tarannum Shakeel4Monika Jain5Assistant Professor, Department of Ophthalmology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.Associate Professor, Department of Ophthalmology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.Associate Professor, Department of Ophthalmology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.Fellow, Department of Ophthalmology, Sitapur Eye Hospital, Sitapur, Uttar Pradesh, India.Professor, Department of Ophthalmology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.Assistant Professor, Department of Ophthalmology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.Introduction: Glaucoma is most common cause of irreversible blindness in the world. Hence, awareness about the disease, importance of drugs effect and its side-effects and accurate method of eye drop instillation is very crucial. Aim: To assess Knowledge, Attitude and Practice (KAP) at the medication, doctor and patient level in clinical practice. Materials and Methods: It was a cross-sectional, descriptive, questionnaire based study conducted at Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India, for duration of two years from July 2020 to June 2022. It included 290 patients diagnosed with glaucoma. They were asked to demonstrate method of instillation of eye drop to assess correct method and to cover a few aspects of questionnaire regarding medication instillation. The statistical analysis was done using Statistical Package for the Social Sciences (SPSS) software version 21.0. The p-value was determined for questions in the questionnaire using Chi-square test. The p-value <0.05 was considered significant. Results: About 88 (30.34%) patients were educated about the nature and progression of glaucoma. Punctal occlusion was explained to 40 (13.79%) patients and assisted instillation to 25 (8.62%) patients. Approximately 62 (70.45%) patients were educated about their disease. About 244 (84.14%) patients noticed that their ophthalmologist clinic had a television in Outpatient Department (OPD). Family screening was advised in only 67 (23.1%) of the patients. Only 53 (18.28%) patients were emphasised on strict control of associated systemic illness. Conclusion: Proper patient education about glaucoma and treatment by healthcare provider plays a crucial role. Most of the patients were not educated about method of instillation of drops. Correct instillation of drops was crucial to achieve target Intra Ocular Pressure (IOP), minimising side-effects and reducing the cost of treatment. Family screening and control of associated systemic conditions were often missed by majority of ophthalmologists however, it is important to keep in mind.https://jcdr.net/articles/PDF/17024/59381_CE(AD)_F(KM)_PF1(AG_KM)_PFA(AG_KM)_PN(KM).pdfawarenesseye drop instillationscreeningtopical antiglaucoma medications |
spellingShingle | Priyanka Gupta Vatsala Vats Ashish Kakkar Aeshvarya Dhawan Tarannum Shakeel Monika Jain Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India Journal of Clinical and Diagnostic Research awareness eye drop instillation screening topical antiglaucoma medications |
title | Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India |
title_full | Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India |
title_fullStr | Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India |
title_full_unstemmed | Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India |
title_short | Knowledge, Attitude and Practice in Medical Management of Glaucoma: A Cross-sectional Study from a Tertiary Care Hospital at Uttarakhand, India |
title_sort | knowledge attitude and practice in medical management of glaucoma a cross sectional study from a tertiary care hospital at uttarakhand india |
topic | awareness eye drop instillation screening topical antiglaucoma medications |
url | https://jcdr.net/articles/PDF/17024/59381_CE(AD)_F(KM)_PF1(AG_KM)_PFA(AG_KM)_PN(KM).pdf |
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