PhD, RN, Associate Professor, Department of Nursing, Hsin Sheng College of Medical Care and Management, Taoyuan City, Taiwan.
PhD, RN, Professor, Department of Health Management, I-Shou University, Kaohsiung City, Taiwan.
J Nurs Res. 2022 Dec 1;30(6):e244. doi: 10.1097/jnr.0000000000000517.
Orthokeratology (Ortho-k) is an effective method for slowing the progression of myopia and correcting refractive error in school children. Although parents of children aged < 10 years play a major role in Ortho-k lens care, they have a generally low level of compliance in performing regular follow-up visits.
This study was developed to analyze the associations between follow-up visits by parents of Ortho-k lens wearers aged < 10 years and, respectively, the Ortho-k-related knowledge of these parents and information resources promoting Ortho-k use.
A cross-sectional study design was used. Parents of children who wear Ortho-k lenses were recruited through a private Facebook group with 3,500 members in 2020 that was created in 2018 for information sharing and exchange among parents of these children. The following data were collected: demographics of the parents and their children, four-item Ortho-k-related knowledge, information resources that prompted the decision to use Ortho-k, and the regularity of follow-up visits. These data were presented in terms of means, standard deviations, and percentages. Logistic regression was performed to compute the odds ratios ( OR s) and 95% confidence intervals (CIs).
The study showed that 83.11% had regular follow-up visits. The correct response rate on Ortho-k-related knowledge was > 80%. However, 15.51% of the participants did not recognize axial length as an indicator for monitoring myopia progress, and 10.76% did not know that at least 6 hours of nighttime sleep is required for myopia control with Ortho-k. The most common information resource leading to Ortho-k use was self-acquisition from Internet sources. The spherical equivalent refraction of < -2.0 D was 2.58 times higher in participants with regular follow-up visits than in their peers with irregular follow-up visits ( OR = 2.58, 95% CI [0.22, 5.63]). In addition, acknowledgment of "There is no need to change the Ortho-k lenses regularly as long as there is no discomfort" was 7.19 times higher in participants with regular follow-up visits than in their peers with irregular follow-up visits ( OR = 7.19, 95% CI [1.26, 13.93]). However, participants with regular follow-up visits did not receive Internet ophthalmology advertisements prompting their decision to use Ortho-k 2.62 times higher than their peers with irregular follow-up visits ( OR = 2.62, 95% CI [0.04, 4.29]).
The results support that both information sources and knowledge of Ortho-k use influence the frequency of follow-up visits among parents of Ortho-k lens wearers aged < 10 years. Related support from health professionals in terms of providing appropriate information and guidance is recommended to promote higher rates of regular follow-up visit attendance.
角膜塑形术（Ortho-k）是一种有效减缓近视进展和矫正儿童屈光不正的方法。尽管 10 岁以下儿童的家长在 Ortho-k 镜片护理方面起着主要作用，但他们定期进行随访的依从性普遍较低。
本研究旨在分析 10 岁以下 Ortho-k 镜片佩戴者的家长随访情况与他们对 Ortho-k 的相关知识和促进 Ortho-k 使用的信息资源之间的关系。
采用横断面研究设计。通过一个拥有 3500 名成员的私人 Facebook 群组，于 2020 年招募了儿童 Ortho-k 镜片佩戴者的家长，该群组于 2018 年成立，旨在为这些儿童的家长提供信息共享和交流的平台。收集的数据包括：父母和孩子的人口统计学信息、四项 Ortho-k 相关知识、促使决定使用 Ortho-k 的信息资源以及随访的规律性。这些数据以平均值、标准差和百分比表示。使用逻辑回归计算比值比（OR）和 95%置信区间（CI）。
研究表明，83.11%的家长定期进行随访。在 Ortho-k 相关知识方面的正确回答率超过 80%。然而，15.51%的参与者不认为眼轴是监测近视进展的指标，10.76%的参与者不知道 Ortho-k 控制近视需要至少 6 小时的夜间睡眠时间。导致使用 Ortho-k 的最常见信息资源是从互联网上自行获取。定期进行随访的参与者的球镜等效屈光度（spherical equivalent refraction）< -2.0 D 的可能性是不定期进行随访的参与者的 2.58 倍（OR = 2.58，95%CI [0.22，5.63]）。此外，定期进行随访的参与者认为“只要没有不适，就不需要定期更换 Ortho-k 镜片”的可能性是不定期进行随访的参与者的 7.19 倍（OR = 7.19，95%CI [1.26，13.93]）。然而，定期进行随访的参与者从互联网眼科广告中获得促使他们决定使用 Ortho-k 的可能性比不定期进行随访的参与者低 2.62 倍（OR = 2.62，95%CI [0.04，4.29]）。
研究结果表明，信息来源和 Ortho-k 使用知识都会影响 10 岁以下 Ortho-k 镜片佩戴者家长的随访频率。建议相关卫生专业人员提供适当的信息和指导，以促进更高的定期随访参与率。
