Intravitreale Injektionen – welche Informationen aus dem Aufklärungsgespräch bleiben Patienten im Gedächtnis?

Abstract

BACKGROUND: Intravitreal treatment (IVT) is one of the most common ophthalmological procedures. Therapeutic effectiveness is however dependent on patient compliance. Unwanted treatment cessation rates are high though. The authors therefore decided to analyse the patient s knowledge and treatment expectations, as discrepancies are known to negatively affect compliance and thus treatment outcomes. PATIENTS AND METHODS: The study was designed as an exploratory survey. In total, 100 patients presenting to an outpatient clinic of a tertiary care centre from October to December 2016 were included. A structured, anonymised questionnaire was handed out, consisting mainly of question items with closed code lists as response domains. Solely descriptive analysis of results was performed. ERGEBNISSE: Das mediane Alter betrug 73 Jahre. Uber die Halfte der Patienten hatte bereits 3 oder mehr IVOMs an einem Auge bekommen. Die haufigste Erkrankung war eine altersbezogene Makuladegeneration (52%). 64% der Patienten erhofften sich eine Verbesserung des Sehvermogens. 42% der Patienten konnten das verwendete Praparat nicht benennen. 55% der Patienten fuhlten sich ausreichend aufgeklart. 69% der Patienten konnten nicht einschatzen, wie haufig eine Endophthalmitis nach IVOM auftritt. CONCLUSION: Patient s knowledge of their underlying disease, treatment goals and complications rates exhibited some deficiencies. Standardised patient information sheets could be of significant use and were actively suggested by patients to improve the informed consent process.