Dumbleton Kathryn A, Spafford Marlee M, Sivak Alisa, Jones Lyndon W
Centre for Contact Lens Research, School of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Optom Vis Sci. 2013 Aug;90(8):898-908. doi: 10.1097/OPX.0b013e3182956c46.
Using both quantitative and qualitative research methods, this article explores in detail the lens wear and care habits of adapted contact lens wearers and seeks a better understanding of what enables and constrains patient compliance with appropriate lens wear and lens care.
The study was conducted in two phases: a preliminary online questionnaire (quantitative phase), identifying types of noncompliance, and a series of sequentially conducted focus groups (qualitative phase), exploring constraints to, and enablers of, compliance.
One hundred participants completed the online questionnaire; 12 of them also participated in one of four focus groups. The most frequently reported aspects of noncompliance revealed were failure to replace lenses when scheduled, inappropriate lens purchase and supply, sleeping while wearing lenses, use of tap water with lenses and failure to wash hands, failure to clean and replace cases regularly, and inappropriate use of care systems. Using an iterative process, a number of "themes" associated with noncompliance were identified in the focus group discussions. The most frequently occurring themes related to the consequences that may occur if patients were noncompliant with one or more aspects of their contact lens wear and the importance of receiving instructions regarding the most appropriate way to wear and care for their lenses. Most of the themes that emerged during the analysis were both constraints to, and enablers of, compliance.
This study confirms the frequent types of noncompliance with contact lens wear and care while offering a greater understanding of what may constrain and enables contact lens wear and care compliance. Future qualitative studies may help eye care practitioners and the contact lens industry to develop strategies and tools to aid compliance and success in contact lens wear.
本文运用定量和定性研究方法，详细探究了适配隐形眼镜佩戴者的镜片佩戴及护理习惯，并力求更好地理解促使和限制患者正确佩戴镜片及护理镜片的因素。
该研究分两个阶段进行：初步在线问卷调查（定量阶段），以确定不依从的类型；一系列依次开展的焦点小组讨论（定性阶段），探究影响依从性的制约因素和促成因素。
100名参与者完成了在线问卷调查；其中12人还参加了四个焦点小组中的一个。所揭示的最常被报告的不依从方面包括未按时更换镜片、镜片购买和供应不当、戴着镜片睡觉、戴镜片时使用自来水且不洗手、未定期清洁和更换镜盒以及护理系统使用不当。通过反复过程，在焦点小组讨论中确定了一些与不依从相关的“主题”。最常出现的主题涉及如果患者在隐形眼镜佩戴的一个或多个方面不依从可能产生的后果，以及接受关于佩戴和护理镜片最合适方式的指导的重要性。分析过程中出现的大多数主题既是依从性的制约因素，也是促成因素。
本研究证实了隐形眼镜佩戴和护理中常见的不依从类型，同时让人们对可能制约和促成隐形眼镜佩戴及护理依从性的因素有了更深入的理解。未来的定性研究可能有助于眼科护理从业者和隐形眼镜行业制定策略和工具，以促进隐形眼镜佩戴的依从性并取得成功。
