初级医疗保健环境中泪液采集的患者可接受性。
Patient acceptability of tear collection in the primary healthcare setting.
作者信息
Quah Joanne Hui Min, Tong Louis, Barbier Sylvaine
机构信息
*MMed(FM), MCI(NUS) †MBBS, PhD ‡MSc SingHealth Polyclinics (JHMQ), Singapore; Singapore Eye Research Institute (LT), Singapore; and Duke-NUS Graduate Medical School (SB), Singapore, Singapore.
出版信息
Optom Vis Sci. 2014 Apr;91(4):452-8. doi: 10.1097/OPX.0000000000000188.
PURPOSE
The primary healthcare setting is well placed for health screening. Tear fluid composition gives valuable information about the eye and systemic health, and there is now significant interest in the potential application of tears as a tool for health screening; however, the acceptability of tear collection in the primary healthcare setting as compared with other methods of human sample collection has not been previously addressed. The objective of this study was to evaluate the patient acceptability of tear collection in a primary healthcare setting.
METHODS
This was a cross-sectional study on 383 adult patients seeking primary healthcare, who were not diabetic and were not attending for an eye-related complaint. Tear collection was done using Schirmer strips, and an interviewer-administered questionnaire was conducted to collate information on the pain score (0-10) of the Schirmer tear collection, as well as to score the pain associated with their previous experience of antecubital venous puncture and finger prick test.
RESULTS
The pain score for Schirmer tear collection was significantly lower (p < 0.001) than antecubital venous puncture but higher (p < 0.001) than finger prick. The pain scores for all three procedures were significantly higher in participants of younger age, female gender, and higher education level. Among the participants, 70% did not mind their tears being collected to screen for eye problems, whereas only 38% did not mind this procedure being performed for general health screening. Nevertheless, 69% of the participants preferred tear to urine collection, and 74% of participants preferred tear to blood collection.
CONCLUSIONS
Tear collection using Schirmer strips is a highly acceptable form of investigation that has the potential for use in health screening in the primary healthcare setting. This study has implications on using tear collection as a method of ocular and systemic health screening in the primary healthcare setting.
目的
基层医疗环境非常适合进行健康筛查。泪液成分能提供有关眼部和全身健康的宝贵信息，目前人们对将眼泪作为健康筛查工具的潜在应用有着浓厚兴趣；然而，与其他人体样本采集方法相比，在基层医疗环境中采集眼泪的可接受性此前尚未得到探讨。本研究的目的是评估在基层医疗环境中患者对采集眼泪的接受程度。
方法
这是一项针对383名寻求基层医疗服务的成年患者的横断面研究，这些患者无糖尿病且并非因眼部相关问题前来就诊。使用泪液滤纸条进行泪液采集，并通过访谈者管理的问卷收集有关泪液滤纸条采集的疼痛评分（0 - 10分）信息，以及对与他们之前肘前静脉穿刺和手指采血试验经历相关的疼痛进行评分。
结果
泪液滤纸条采集的疼痛评分显著低于肘前静脉穿刺（p < 0.001），但高于手指采血（p < 0.001）。在年龄较小、女性和教育水平较高的参与者中，这三种操作的疼痛评分均显著更高。在参与者中，70%不介意采集他们的眼泪用于眼部问题筛查，而只有38%不介意进行此项操作以进行一般健康筛查。尽管如此，69%的参与者更喜欢采集眼泪而非尿液，7
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