Xu Yanjiao, Li Shunping, Gao Zhongchun, Nicholas Stephen
Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
School of Health Care Management, Shandong University, Jinan, China.
Optom Vis Sci. 2019 Mar;96(3):206-212. doi: 10.1097/OPX.0000000000001352.
Myopia is a major health issue in East Asian countries, especially in China. By identifying Chinese patients' motivations for laser in situ keratomileusis (LASIK) surgery, our results are expected to help clinicians counsel patients before LASIK surgery and to maximize patients' post-operative LASIK surgery satisfaction, improving the quality of LASIK surgery services.
Laser in situ keratomileusis has become a popular type of refractive surgery for the correction of myopia worldwide. This study uses qualitative inquiry approaches to understand the motives and processes of patients' LASIK surgery decision making.
A purposive sample of 45 patients who had decided to undergo LASIK was recruited. Our qualitative study used in-depth interviews and used content analysis to interpret the data.
Among 45 participants, 48.9% reported that career requirements were the most important reason for seeking LASIK surgery. The inconvenience of wearing glasses or lenses during activities of daily life was also a primary motive. Improving facial appearance was a main reason for female but not male respondents. Potential complications of spectacles and contact lenses in addition to maturation of LASIK technology were also reported motives to seek surgery. Participants gave multiple, overlapping reasons for LASIK surgery.
These findings suggest that motives to seek LASIK surgery are not only a desire to correct refractive error but also social factors and confidence in improved surgical technology. The implications for clinicians are to be aware of these multiple motives for LASIK to improve the quality and effectiveness of health services for myopia patients.
近视是东亚国家尤其是中国的一个重大健康问题。通过确定中国患者进行准分子原位角膜磨镶术（LASIK）手术的动机，我们的研究结果有望帮助临床医生在LASIK手术前为患者提供咨询，并使患者术后对LASIK手术的满意度最大化，从而提高LASIK手术服务的质量。
准分子原位角膜磨镶术已成为全球范围内矫正近视的一种流行的屈光手术类型。本研究采用定性研究方法来了解患者LASIK手术决策的动机和过程。
招募了45名决定接受LASIK手术的患者作为目的抽样样本。我们的定性研究采用深入访谈，并使用内容分析来解释数据。
在45名参与者中，48.9%的人表示职业需求是寻求LASIK手术的最重要原因。在日常生活活动中佩戴眼镜或隐形眼镜带来的不便也是一个主要动机。改善面部外观是女性而非男性受访者寻求手术的主要原因。眼镜和隐形眼镜的潜在并发症以及LASIK技术的成熟也被报告为寻求手术的动机。参与者给出了LASIK手术的多个重叠原因。
这些发现表明，寻求LASIK手术的动机不仅是矫正屈光不正的愿望，还包括社会因素以及对改进手术技术的信心。对临床医生的启示是要意识到LASIK手术的这些多种动机，以提高近视患者医疗服务的质量和效果。
