Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study
Xin Zhang, Jie Ren, Li Tang, Ji-Hong Zeng, Jing Tang Department of Ophthalmology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, 610041, People’s Republic of China.Correspondence: Jing Tang, Department of Ophthalmology, West China...
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Dove Medical Press
2025-08-01
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| author | Zhang X Ren J Tang L Zeng JH Tang J |
| author_facet | Zhang X Ren J Tang L Zeng JH Tang J |
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| description | Xin Zhang, Jie Ren, Li Tang, Ji-Hong Zeng, Jing Tang Department of Ophthalmology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, 610041, People’s Republic of China.Correspondence: Jing Tang, Department of Ophthalmology, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People’s Republic of China, Email tangjing0802@163.comBackground: 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.Keywords: glaucoma, self-management behavior, influencing factor |
| format | Article |
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| language | English |
| publishDate | 2025-08-01 |
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| spelling | doaj-art-5b28b1d4c73a4d31923dfe2cc234dc392025-08-20T04:02:27ZengDove Medical PressPatient Preference and Adherence1177-889X2025-08-01Volume 19Issue 123772389105653Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional StudyZhang X0Ren J1Tang L2Zeng JH3Tang J4ophthalmologyophthalmologyophthalmologyDepartment of OphthalmologyophthalmologyXin Zhang, Jie Ren, Li Tang, Ji-Hong Zeng, Jing Tang Department of Ophthalmology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, 610041, People’s Republic of China.Correspondence: Jing Tang, Department of Ophthalmology, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041, People’s Republic of China, Email tangjing0802@163.comBackground: 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.Keywords: glaucoma, self-management behavior, influencing factorhttps://www.dovepress.com/influencing-factors-of-self-management-behavior-in-patients-with-glauc-peer-reviewed-fulltext-article-PPAglaucomaself-management behaviorinfluencing factor. |
| spellingShingle | Zhang X Ren J Tang L Zeng JH Tang J Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study Patient Preference and Adherence glaucoma self-management behavior influencing factor. |
| title | Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study |
| title_full | Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study |
| title_fullStr | Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study |
| title_full_unstemmed | Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study |
| title_short | Influencing Factors of Self-Management Behavior in Patients with Glaucoma in West China: A Cross-Sectional Study |
| title_sort | influencing factors of self management behavior in patients with glaucoma in west china a cross sectional study |
| topic | glaucoma self-management behavior influencing factor. |
| url | https://www.dovepress.com/influencing-factors-of-self-management-behavior-in-patients-with-glauc-peer-reviewed-fulltext-article-PPA |
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