DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20202897

Nurse led intervention on the self-management of glaucoma among patients at federal medical center Idi Aba, Abeokuta, Ogun State, Nigeria

Janet Kio, Mojisola Adelola Bankole, Kolawole Olanrewaju Ayodele

Abstract


Background: The damaging and insidious nature of glaucoma make it spread gradually without being noticed but causes serious harm. In support to this, failure to have adequate knowledge leads to late detection and poses management problem in preventing blindness from glaucoma among glaucoma patients. This study tends to fill such gap by assessing the effect of nurse-led intervention on the self-management of glaucoma among glaucoma patients at Federal Medical Center Idi Aba Abeokuta, Ogun State, Nigeria.

Methods: The study utilized one group pre-test, posttest quasi experimental research design with 97 glaucoma patients. Two research instruments were used to collect data. Data were collected over six weeks in three phases. Descriptive statistics were used to analyze the data for the research questions.

Results: Mean score of knowledge level of participants on glaucoma increased from 8.13±3.14 (pre intervention) to 15.91±1.68 (post intervention). Pre intervention knowledge mean score level of participants on glaucoma self-management increased from 9.28±3.76 to post intervention mean score of 18.12±1.09; pre intervention skills' mean score of participants on the effective eye drop instillation increased from 4.23±0.88 to 8.47±0.53 at post intervention mean score.

Conclusions: The training package enhanced the general knowledge and self-management of glaucoma, as well as skills in eye drop instillation. It is therefore recommended that there is need for nurses to provide clear and detailed instructions on how glaucoma medication must be effectively instilled.


Keywords


Federal Medical Center, Glaucoma patients, Knowledge, Self-management, Training programme

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References


Abdull MM, Gilbert CC, Evans J. Primary open angle glaucoma in northern Nigeria: stage at presentation and acceptance of treatment. BMC Ophthalmol. 2015 Dec 1;15(1):111.

Richford KO. Visual impairment as correlates of psychological trauma in the elderly: a systematic review. Nursing Sci J. 2015;11:1-13.

World Health Organization. Universal eye health: a global action plan for the prevention of avoidable blindness and visual impairment 2014-2019. World Health Organization.

Maake MM, Oduntan OA. Prevalence and causes of visual impairment in patients seen at Nkhensani Hospital Eye Clinic, South Africa. African J Prim Heal Care Fam Med. 2015;7(1):6-11.

Ashaye A, Ashaolu O, Komolafe O, Ajayi BG, Olawoye O, Olusanya B, et al. Prevalence and types of glaucoma among an indigenous African population in southwestern Nigeria. Invest Ophthalmol Vis Sci. 2018;54:7410-6.

Kyari F, Wormald R, Murthy GVS. Ethnicity and deprivation are associated with blindness among adults with primary glaucoma in Nigeria. Results from the Nigeria National Blindness and Visual Impairment Survey. J Glaucoma. 2016;25(10):e861-72.

Elflein HM. Amblyopia. Ophthalmol. 2016 Apr 1;113(4):283-8.

Azuara-Blanco A, Burr J, Ramsay C. Effectiveness of early lens extraction for the treatment of primary angle-closure glaucoma (EAGLE): a randomised controlled trial. Lancet; 2016;388:1389-97.

Tham YC, Li X, Wong TY, Quigley HA, Aung T, Cheng CY. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmol. 2014 Nov 1;121(11):2081-90.

Weinreb RN, Khaw PT. Primary open-angle glaucoma. Lancet. 2004 May 22;363(9422):1711-20.

Onakoya AO, Mbadugha CA. Self-reported adherence rates in glaucoma patients in Southwest Nigeria. J Clini Sci. 2016 Apr 1;13(2):51.

Olthoff CM, Schouten JS, van de Borne BW, Webers CA. Noncompliance with ocular hypotensive treatment in patients with glaucoma or ocular hypertension: an evidence-based review. Ophthalmol. 2005 Jun 1;112(6):953-61.

Adekoya BJ, Akinsola FB, Balogun BG, Balogun MM, Ibidapo OO. Patient refusal of glaucoma surgery and associated factors in Lagos, Nigeria. Middle East African J Ophthalmol. 2013 Apr;20(2):168.

de Voogd S, Ikram MK, Wolfs RC, Jansonius NM, Witteman JC, Hofman A, et al. Is diabetes mellitus a risk factor for open-angle glaucoma?: The Rotterdam Study. Ophthalmol. 2006 Oct 1;113(10):1827-31.

Akici A, Kalaça S, Uğurlu MÜ, Toklu HZ, Iskender E, Oktay Ş. Patient knowledge about drugs prescribed at primary healthcare facilities. Pharmacoepidemiol Drug Safety. 2004 Dec;13(12):871-6.

Cook C. Glaucoma in Africa: size of the problem and possible solutions. J Glaucoma. 2009 Feb 1;18(2):124-8.

Foster P, Quigley H, Johnson GJ. The epidemiology of eye disease. In: Johnson GJ, Minnassian DC, Weale RA, West SK, .eds. The epidemiology of eye disease. London: Imperial college press; 2012:241-266.

Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Brit J Ophthalmol. 2012 May 1;96(5):614-8.

Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Keepanasseril A, et al. Interventions for enhancing medication adherence. Cochrane database of systematic reviews. 2014(11).

Mossel PA. Problems and needs in daily self-management of patients with glaucoma: A mixed-methods study (Master's thesis). 2014;2014.

Kyari F, Abdull MM, Bastawrous A, Gilbert CE, Faal H. Epidemiology of glaucoma in sub-saharan Africa: prevalence, incidence and risk factors. Middle East African J Ophthalmol. 2013 Apr;20(2):111.

Konstas AG, Maskaleris G, Gratsonidis S, Sardelli C. Compliance and viewpoint of glaucoma patients in Greece. Eye. 2000 Sep;14(5):752-6.

Isawumi MA, Ubah JN, Olomola BV, Afolabi OM. Blindness and visual impairment among adults in a tertiary eye clinic, in Osogbo SW Nigeria. Ann Med Health Sci Res. 2014;4(4):594-7.

Kinderan YV, Shrestha E, Maharjan IM, Karmacharya S. Pattern of ocular trauma in the western region of Nepal. Nepalese J Ophthalmol. 2012;4(1):5-9.

Taylor SA, Galbraith SM, Mills RP. Causes of non-compliance with drug regimens in glaucoma patients: a qualitative study. J Ocular Pharmacol Therap. 2002 Oct 1;18(5):401-9.

Obuam-Sekyi CO. Medication Adherence among Glaucoma Patients Attending Komfo Anokye Teaching Hospital in the Asante Region (Doctoral dissertation, University of Ghana). 2016;2016.