目标患者教育后软性隐形眼镜佩戴者风险评分和行为的变化。

Change in Risk Score and Behaviors of Soft Contact Lens Wearers After Targeted Patient Education.

机构信息

Southern California College of Optometry (D.L.), Marshall B. Ketchum University, Fullerton, CA; The Ohio State University College of Optometry (H.W., A.B.Z., G.L.M.), Columbus, OH; Harvard T.H. Chan School of Public Health (B.R.), Boston MA; Pacific University College of Optometry (B.K.), Forest Grove, OR; Nova Southeastern University College of Optometry (C.M.), Fort Lauderdale, FL; Department of Pediatrics (M.M.), University of Wisconsin-Madison, Madison WI; and College of Optometry (K.R.), University of Houston, Houston, TX.

出版信息

Eye Contact Lens. 2022 Aug 1;48(8):347-354. doi: 10.1097/ICL.0000000000000900. Epub 2022 May 17.

DOI:10.1097/ICL.0000000000000900

PMID:35580482

Abstract

OBJECTIVES

To determine if targeted education can influence the behaviors and scores of soft contact lens (SCL) wearers via the Contact Lens Risk Survey (CLRS).

METHODS

This was a multicenter, prospective, case-control study. Cases were symptomatic red eye SCL wearers (age, 18-39 years), and controls were age , sex, and site matched. Participants completed the CLRS and were provided targeted patient education at three time points: baseline, one, and six months. Change in scores and behaviors were analyzed using the Wilcoxon signed rank test.

RESULTS

Forty-one cases and 71 controls were analyzed. The mean risk score (mean±SE) from baseline to follow-up improved (reduced) for all participants (-1.96±0.73; P =0.01), mostly driven by the improvement among cases (-2.55±1.32; P =0.05). Case subjects reported a decrease in frequency of wearing lenses while showering (-0.32±0.07; P <0.0001), discarding lens solution (-0.13±0.06; P =0.03), and rinsing lenses with tap water (-0.19±0.08; P =0.02) after targeted education.

CONCLUSIONS

Targeted patient education can influence some behaviors of SCL wearers, especially those who experienced a red eye event. Further study is needed to determine how to improve other risk behaviors and whether these changes are sustained long term.

摘要

目的

通过接触镜相关风险调查（CLRS）确定目标教育是否可以影响软性隐形眼镜（SCL）佩戴者的行为和评分。

方法

这是一项多中心、前瞻性、病例对照研究。病例为有症状的眼红 SCL 佩戴者（年龄 18-39 岁），对照组为年龄、性别和地点匹配的患者。参与者完成 CLRS 并在三个时间点（基线、1 个月和 6 个月）接受针对性的患者教育。使用 Wilcoxon 符号秩检验分析评分和行为的变化。

结果

分析了 41 例病例和 71 例对照。所有参与者的平均风险评分（平均值±SE）从基线到随访均有改善（降低）（-1.96±0.73；P =0.01），主要是由于病例组的改善（-2.55±1.32；P =0.05）。病例组报告在洗澡时佩戴隐形眼镜的频率降低（-0.32±0.07；P <0.0001）、丢弃隐形眼镜护理液（-0.13±0.06；P =0.03）和用自来水冲洗隐形眼镜（-0.19±0.08；P =0.02）的频率降低，接受目标教育后。