Navigating decisional conflict:laser peripheral iridotomy for primary angle-closure glaucoma prevention  

作　　者：Yi-Jie Chen Jing-Yao Dai Rong-Rong Le Xiao-Xian Zhang Jia-Li Huang Hu-Jie Lu Yi-Wen Sun Yuan-Bo Liang Yan-Yan Chen Wen-Zhe Zhou 

机构地区：[1]School of Ophthalmology and Optometry,Biomedical Engineering,Wenzhou Medical University,Wenzhou 325027,Zhejiang Province,China [2]National Clinical Research Center for Ocular Diseases,Eye Hospital,Wenzhou Medical University,Wenzhou 325027,Zhejiang Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2025年第4期627-636,共10页国际眼科杂志(英文版)

基　　金：Supported by Basic Scientific Research Projects of Wenzhou(No.Y20220155).

摘　　要：AIM:To investigate decisional conflict among patients diagnosed with primary angle-closure suspect(PACS)or primary angle-closure(PAC)who are considering laser peripheral iridotomy(LPI)treatment.METHODS:A total of 111 individuals diagnosed with PACS or PAC were selected through convenient sampling from March 2023 to December 2023.These participants then completed a general information questionnaire and the Decision Conflict Scale.Data analysis was performed using multiple linear regression to reveal factors influencing decisional conflict.RESULTS:The mean Decisional Conflict Score among patients with PACS or PAC was 48.58±10.01,with 99.1%of these individuals reporting experiencing decisional conflict.Multiple linear regression analysis revealed that females(P=0.002)and patients with a shorter duration of the disease(P=0.006)had higher levels of decisional conflict.Additionally,patients diagnosed during medical visits(P=0.049),those who refused LPI treatment(P=0.032),and individuals facing significant economic burdens related to medical expenses(P=0.005)exhibited higher levels of decisional conflict.Furthermore,patients who preferred to make medical decisions independently(P=0.023)and those who favored involving family members in decisionmaking(P=0.005)experienced increased levels of decisional conflict.CONCLUSION:Patients with PACS or PAC who undergo LPI treatment often encounter significant decisional conflict.Healthcare professionals should thoroughly assess a range of factors that influence this conflict,including gender,duration of disease,method of diagnosis acquisition,LPI treatment,economic burden of medical expenses,and patient preferences regarding medical decision-making.By considering these variables,tailored decision support can be developed to address individual patient needs,ultimately reducing decisional conflict and optimizing the quality of decisions made regarding treatment options.

关 键 词：GLAUCOMA primary angle-closure suspect primary angle-closure laser peripheral iridotomy decisional conflict 

分 类 号：R73[医药卫生—肿瘤]