Effect of Graphic Tutorials Combined with Extended Remote Assistance on Disease Knowledge and Intraocular Pres-sure Control in Homebound Patients with Primary Glaucoma
Objective:To investigate the effect of graphic tutorials combined with extended remote assistance on disease knowledge and intraocular pressure control in homebound patients with primary glaucoma.Methods:A total of 106 primary glaucoma homebound patients attending the hospital from February 2020 to February 2022 were selected as the study subjects,and were divided into 53 cases in the conventional group(using conventional continuation of teleassistance)and 53 cases in the graphic group(using graphic and textual education combined with continuation of teleassistance)according to the method of randomized number table.Disease knowledge,self-management ability[Self-Management Behavior Questionnaire(GSMQ)],adherence,and IOP control were compared between the two groups before and after the intervention.Results:Compared with the pre-treatment period,the disease etiology,clinical manifestations,complications,treatments and daily care scores of the two groups of patients increased after treatment,and patients in the graphic group were higher than those in the conventional group,with statistically significant differences(t=2.614,7.574,5.210,5.831,2.285,P<0.05).Compared with the pre-treatment period,the scores of life adjustment,functional health care,and medical management of disease increased in both groups after treatment,and the patients in the graphic group were higher than those in the conventional group,and the difference was statistically significant(t=2.057,2.105,2.029,P<0.05).Compared with the pre-treatment period,the scores of regular medication,self-testing,diet,and regular follow-ups increased in both groups after treatment,and patients in the graphic group were higher than those in the conventional group,with statistically significant differences(t=5.654,2.440,4.118,2.616,P<0.05).Compared with the pre-treatment period,the visual acuity meter values and intraocular pressure decreased in both groups after treatment,and the patients in the graphic group were lower than the patients in the conventional group,and the difference was statistically significant(t=2.019,2.036,P<0.05).Conclusion:Graphic tutoring combined with continuation of teleassistance significantly improves disease knowledge in homebound patients with primary glaucoma and effective control of intraocular pressure.
Graphic-text educationContinuous remote assistancePrimary glaucomaHomeDisease knowledge masteryIntra-ocular pressure control