الفهرس 
Introduction and ReviewOnly 14 pages are availabe for public view
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Abstract
Glaucoma has been called the “silent thief of sight” as it is asymptomatic but causes irreversible vision loss. One of the most common ophthalmic conditions in the world, it is also the leading cause of irreversible blindness. Glaucoma is an umbrella term for a large group of disorders characterized by diverse clinical and pathological features. The common characteristics are: Optic nerve damage, Visual field loss and irreversible blindness (182-183). It is a silent progressive disease and is one of the leading causes of preventable blindness or significant visual impairment if arrested before significant effects occur. Screening is key to diagnosis, and treatment adherence is critical to prevent vision loss in those who are diagnosed. Patients with long-term conditions such as glaucoma should work in partnership with their care team, be given and take appropriate responsibility, and feel that things are being “done with”, not “done to” them (184). Key to stopping irreversible and preventable sight loss is detecting those who are at risk of glaucoma and encouraging them to be screened (185). Providing optometry services for all residents of residential and nursing homes is also important. Recognizing that eye drops are powerful drugs that can reduce the burden of avoidable blindness is also crucial. The therapies available for glaucoma can prevent or slow vision loss, but once vision has been lost it cannot be restored (186). The aim of the study was: To evaluate self-care practice of patients with glaucoma post implementation of educational training program. Research design: The present study was a quasi- experimental research design. Setting of the study: The study was conducted at Ophthalmology Department at Tanta Main University Hospital. Subjects: A convenience sample of (40) adult patients who are diagnosed with glaucoma were selected according to inclusion criteria. The sample size was calculated based on Epi- Info (power analysis) according to the total at Tanta Main University Hospital record of glaucoma patients. The subjects were selected according to the following criteria: Inclusion criteria for the patients: - Adult patient (35-55 y). - Both sexes patients. - Intraocular pressure ≤ 21 mmHg. - Patient without history of ocular or neurologic disease. - Free from congenital or secondary glaucoma. Tools of the study: Two tools were used to collect the data for this study Tool I: -Interview Schedule Sheet and Biosociodemographic data:-It was developed by the researcher after reviewing of the related literatures (95-96-97-98). It comprised of three parts: Socio-demographic data of the patients, Patient’s clinical data, Structured Knowledge assessment Interview Sheet. Tool II: Patients’ Self-Reported Checklist regarding Self Care Practice: This tool was developed by the researcher after reviewing relevant literatures (99-100-101-102). It was included the following: Self-care practice regarding medication administration, Self-care practice regarding eye care, infection control measure during medication administration. Method: 1. Assessment phase:- It included the following: Assessment of the baseline data for glaucoma patients was carried out immediately once within admission to the department by using all tools to assess patients knowledge and self care practice before implementation of the educational training program. 2. Planning phase: It included ; - Preparation of the content of educational training program, the environment for the patient. - An illustrative structured colored booklet was prepared and written in simple Arabic language supported by illustrative pictures as a guide for the patients. - The program was covered in (2) sessions individually for every patient, each session lasts for 1 hour, 2 days per a week. 3. Implementation phase: Educational training program was carried out by the researcher for the study subjects throughout the following 2 basic sessions as following:- - Session (1):- The researcher met each participant individually at the ophthalmology hospital to inform his/her about knowledge about glaucoma, infection control measures , prevention of disease transmission, prevention of blindness, and importance of follow-up care schedule about treatment regimen. - Session (2):- The researcher demonstrate the patient about self-care practice about the following procedure; medication administration, eye exercises, eye compresses and eye care, Prevention of disease transmission during medication administration. 4. Evaluation Phase: Every patient was assessed 3 times by Tool I part (3) and Tool II were used to assess knowledge and self- care practice for patients with glaucoma before, immediately and three months post implementation of educational training program. Results: • The implementation of educational training program had an effect on improving the knowledge level of glaucoma patients and correcting their eye care practice. • There was a highly significant improvement in the level of knowledge and self care practice of the studied patient regarding glaucoma , self care management of glaucoma, medication and infection control measures. • There was highly positive significant correlation between total practice level of the studied patients and their total knowledge level throughout periods of study. Recommendations: For patient: ▪ Glaucoma patient should be encouraged to attend training program about glaucoma and its complication. ▪ Glaucoma patient should be informed about the importance of follow up and periodical check up for early detection of any deterioration of their eye condition. For Nurses: ▪ Nurses should be encouraged to attend workshop and seminars held about glaucoma and other eye diseases to be acquainted with the most common complications and recent advances and skills in the field. ▪ Ophthalmic nurses should be encouraged to facilitate, adapt and develop their skills and knowledge to reflect modern care needs.