ArticlePatient preference and adherence2025
Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study.
Article in Patient preference and adherence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Glaucoma is the world's leading cause of irreversible blindness, and poor self-management behavior is a global public health problem. Effective self-management behavior is crucial for controlling the progression of the disease. Nevertheless, few studies have carried out large-sample research on the factors influencing self-management behavior in glaucoma patients. The aim of this study was to comprehend the influencing factors of self-management behavior in glaucoma patients in western China and to provide a scientific basis for further exploring the intervention measures to enhance self-management behavior. Methods: This cross-sectional study was conducted at West China Hospital, Sichuan University. It enrolled 538 participants from 12 provinces, municipalities, and autonomous regions across western China via convenience sampling. Survey instruments included: 1) a self-developed general information questionnaire (covering demographic and disease-related data); 2) the Glaucoma Self-Management Questionnaire (GSMQ); 3) the Social Support Rating Scale (SSRS); and 4) the Brief Illness Perception Questionnaire (BIPQ). Results: The mean total score of the glaucoma self-management questionnaire was 50.64±6.06. The mean total score of the social support rating scale was 31.04±7.65. The mean total score on the brief illness perception questionnaire was 47.65±7.33. Patients with glaucoma identified various contributing factors to their condition, with emotion ranking highest at 29.4%, followed by stress at 22.5%, and genetics at 18.2%. Multivariate analysis showed that smoking, type of glaucoma, annual follow-up frequency, assignment of a follow-up doctor, social support, and illness perception significantly affected self-management behaviors (P<0.05). Conclusion: Self-management behaviors, social support and disease perception of glaucoma patients are all at a moderate level. Smoking, less than two annual follow-ups, primary open-angle glaucoma and not having a designated follow-up doctor are all associated with poorer self-management behaviors. A higher level of social support is associated with improved self-management behavior. Patients who perceived greater harm to their physical wellbeing due to the disease tended to show poorer self-management behavior.
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