角膜塑形术患者依从性评估及影响因素分析：一项横断面研究。
Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study.
机构信息
The Second Affiliated Hospital, Zhejiang University School of Medicine, Eye Center, 88 Jiefang Road, Shangcheng District, Hangzhou, 310009, Zhejiang, China.
出版信息
BMC Ophthalmol. 2021 Nov 16;21(1):396. doi: 10.1186/s12886-021-02148-2.
BACKGROUND
Patient non-compliance, that is, failure to perform standard wear and care orthokeratology (ortho-k) lenses procedures, has been shown to be a major risk factor for contact lens-associated complications. Therefore, this study aimed to investigate the compliance with wear and care behaviors of ortho-k patients and analyze its influencing factors.
METHODS
Patients who were successfully prescribed ortho-k lenses at the Eye Center of the Second Affiliated Hospital of Zhejiang University School of Medicine (ECSAHZU) were enrolled in the study. Patient compliance with wear and care behaviors was examined through a questionnaire.
RESULTS
This study assessed 238 subjects. The subjects' ages ranged from 7 to 25 (mean ± SD, 11.3 ± 2.5) years. The compliance with wear and care behaviors was 19.7%, and the subjects' self-assessment compliance was 96.6%. The compliance rate of subjects wearing lenses for less than 1 year was higher than that of subjects wearing lenses for more than 1 year (p < 0.001). In the first year, the compliance rates of wearing experiences for less than 1 month, 1 month, 3 months, 6 months, and more than 6 months were 45, 29, 21.6, 20, and 27.6%, respectively, and there were no statistically significant differences in compliance among these periods (p = 0.314). No correlation was identified between compliance and age (r = - 0.061, p = 0.527) or sex (r = 0.114, p = 0. 751). There was no correlation between compliance and lens care operator (r = - 0.626, p = 0.151).
CONCLUSIONS
The compliance of ortho-k patients was poor. After wearing ortho-k lenses for more than 1 year, compliance with wear and care behaviors declined. In clinical practice, measures should be taken to solve these problems and improve the safety of wearing ortho-k lenses.
背景
患者不依从，即未能执行标准的硬性透气性角膜接触镜（ortho-k）佩戴和护理程序，已被证实是接触镜相关并发症的一个主要危险因素。因此，本研究旨在调查 ortho-k 患者的佩戴和护理行为依从性，并分析其影响因素。
方法
在浙江大学医学院第二附属医院眼科中心（ECSAHZU）成功验配 ortho-k 镜片的患者被纳入本研究。通过问卷调查评估患者对佩戴和护理行为的依从性。
结果
本研究评估了 238 名受试者。受试者年龄为 7 至 25 岁（平均±标准差，11.3±2.5 岁）。佩戴和护理行为的依从率为 19.7%，受试者自我评估的依从率为 96.6%。佩戴时间不足 1 年的受试者的依从率高于佩戴时间超过 1 年的受试者（p<0.001）。在第一年，佩戴时间不足 1 个月、1 个月、3 个月、6 个月和超过 6 个月的受试者依从率分别为 45%、29%、21.6%、20%和 27.6%，各时间段的依从率无统计学差异（p=0.314）。依从性与年龄（r=-0.061，p=0.527）或性别（r=0.114，p=0.751）无相关性。依从性与镜片护理人员（r=-0.626，p=0.151）也无相关性。
结论
ortho-k 患者的依从性较差。佩戴 ortho-k 镜片超过 1 年后，其佩戴和护理行为的依从性下降。在临床实践中，应采取措施解决这些问题，提高佩戴 ortho-k 镜片的安全性。
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