Abstract:
Abstract
Introduction: Coping strategy is the mechanism by which patients adjust to the condition
they face. It can be adaptive or maladaptive. It is common among patients with chronic
illnesses. Despite the higher prevalence of glaucoma in Ethiopia, there was no evidence
found on maladaptive coping strategy among patients with glaucoma.
Objectives: The main aim of this study was to assess the magnitude of maladaptive
coping strategy and its associated factors among adult glaucoma patients attending
University Gondar, Tertiary Eye Care and Training Center, Northwest Ethiopia, 2022.
Methods and materials: Institution-based cross-sectional study was conducted on a
sample of 423 glaucoma patients selected by systematic random sampling technique
from May 15 – June 30, 2022 at University Gondar, Tertiary Eye Care and Training
Center. Pretested, structured questionnaire of brief cope inventory tool was administered
through interview by optometrists and review of medical chart. The data was collected
and entered into kobo collect version 2021.2.4 and analyzed with statistical package for
social sciences version 26. The descriptive analysis was summarized by frequency,
percent and summary statistics. Binary logistic regression was used to determine the
associated factors and significance were considered when the p –value is less than 0.05
at 95% confidence interval in the multivariable logistic regression.
Results: A total of 415 study subjects participated with a response rate of 98.1%. The
median age of the participants was 56 years with an interquartile range of 18. Among
study participants 208(50.1%) (95%CI: 45.1%-54.5%) had maladaptive coping strategy.
Female sex (AOR=2.031, 95%CI:1.185-3.480), chronic medical illness (AOR=1.760,
95%CI:1.036-2.989), bilateral glaucoma (AOR=2.321, 95%CI: 1.328-4.055), receiving
both drug and surgery treatment(AOR=1.895, 95%CI: 1.002-3.585), severe visual
impairment(AOR=2.758, 95%CI:1.110-6.852), absolute glaucoma (AOR=2.543,
95%CI:1.048-6.169), duration of diagnosis >12 months (AOR=3.886, 95%CI: 2.2956.580)
were
significantly
associated
with
maladaptive
coping
strategy.
Conclusion
and recommendation: Half of the participants had maladaptive coping
strategy. It is better to integrate coping strategy care in to the current treatment of patients
with glaucoma by giving advice to use positive coping strategies than maladaptive one.
Keywords: Adult, Ethiopia, Gondar, Maladaptive coping strategy
