Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population
Objectives. To identify the risk factors for poor eye drop application technique in treatment-naïve subjects and to assess if patient education can benefit these subjects. Methods. Chinese subjects above 60 years were recruited. Questionnaires, including Barthel index; Lawton’s instrumental activiti...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2019/5962065 |
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| author | Bonnie Nga Kwan Choy Ming Ming Zhu Jason Chun Sum Pang Jonathan Cheuk Hung Chan Alex Lap Ki Ng Michelle Ching Yim Fan Lawrence Pui Leung Iu Joseph Shiu Kwong Kwan Jimmy Shiu Ming Lai Patrick Ka Chun Chiu |
| author_facet | Bonnie Nga Kwan Choy Ming Ming Zhu Jason Chun Sum Pang Jonathan Cheuk Hung Chan Alex Lap Ki Ng Michelle Ching Yim Fan Lawrence Pui Leung Iu Joseph Shiu Kwong Kwan Jimmy Shiu Ming Lai Patrick Ka Chun Chiu |
| author_sort | Bonnie Nga Kwan Choy |
| collection | DOAJ |
| description | Objectives. To identify the risk factors for poor eye drop application technique in treatment-naïve subjects and to assess if patient education can benefit these subjects. Methods. Chinese subjects above 60 years were recruited. Questionnaires, including Barthel index; Lawton’s instrumental activities of daily living (ADL); Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale; and Montreal Cognitive Assessment (MoCA), were used to correlate with eye drop application technique (before and after patient education) using Spearman correlation analysis. A multiple linear regression was conducted to determine the predictors of successful administration technique and the improvement of technique after education. Results. The data from 26 subjects (mean age 72) were analyzed. Eye drop instillation technique score improved from 5.42 at baseline to 7.33 after clear instructions. FRAIL score was an independent predictor of baseline score (p=0.003), as well as the improvement after patient education (p=0.012). Age, sex, education level, visual acuity, Barthel index, MoCA, and ADL score were not correlated with eye drop instillation technique, before nor after patient education. Discussion. In patients with poor functional status as reflected by FRAIL score, eye drop application is prone to be ineffective. Education with step-by-step instructions could effectively improve the success of eye drop application. |
| format | Article |
| id | doaj-art-f9693444e4e64237880585901d46adab |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-f9693444e4e64237880585901d46adab2025-02-03T06:14:10ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/59620655962065Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly PopulationBonnie Nga Kwan Choy0Ming Ming Zhu1Jason Chun Sum Pang2Jonathan Cheuk Hung Chan3Alex Lap Ki Ng4Michelle Ching Yim Fan5Lawrence Pui Leung Iu6Joseph Shiu Kwong Kwan7Jimmy Shiu Ming Lai8Patrick Ka Chun Chiu9Department of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Hong KongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Hong KongLKS Faculty of Medicine, The University of Hong Kong, Hong KongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Hong KongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Hong KongDepartment of Ophthalmology, Grantham Hospital, Hong KongDepartment of Ophthalmology, Prince of Wales Hospital, Hong KongDepartment of Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong KongDepartment of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Hong KongDepartment of Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong KongObjectives. To identify the risk factors for poor eye drop application technique in treatment-naïve subjects and to assess if patient education can benefit these subjects. Methods. Chinese subjects above 60 years were recruited. Questionnaires, including Barthel index; Lawton’s instrumental activities of daily living (ADL); Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight (FRAIL) scale; and Montreal Cognitive Assessment (MoCA), were used to correlate with eye drop application technique (before and after patient education) using Spearman correlation analysis. A multiple linear regression was conducted to determine the predictors of successful administration technique and the improvement of technique after education. Results. The data from 26 subjects (mean age 72) were analyzed. Eye drop instillation technique score improved from 5.42 at baseline to 7.33 after clear instructions. FRAIL score was an independent predictor of baseline score (p=0.003), as well as the improvement after patient education (p=0.012). Age, sex, education level, visual acuity, Barthel index, MoCA, and ADL score were not correlated with eye drop instillation technique, before nor after patient education. Discussion. In patients with poor functional status as reflected by FRAIL score, eye drop application is prone to be ineffective. Education with step-by-step instructions could effectively improve the success of eye drop application.http://dx.doi.org/10.1155/2019/5962065 |
| spellingShingle | Bonnie Nga Kwan Choy Ming Ming Zhu Jason Chun Sum Pang Jonathan Cheuk Hung Chan Alex Lap Ki Ng Michelle Ching Yim Fan Lawrence Pui Leung Iu Joseph Shiu Kwong Kwan Jimmy Shiu Ming Lai Patrick Ka Chun Chiu Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population Journal of Ophthalmology |
| title | Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population |
| title_full | Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population |
| title_fullStr | Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population |
| title_full_unstemmed | Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population |
| title_short | Factors Associated with Poor Eye Drop Administration Technique and the Role of Patient Education among Hong Kong Elderly Population |
| title_sort | factors associated with poor eye drop administration technique and the role of patient education among hong kong elderly population |
| url | http://dx.doi.org/10.1155/2019/5962065 |
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