Bennett E S, Stulc S, Bassi C J, Schnider C M, Morgan B W, Henry V A, Henderson B, Roskam S
School of Optometry, University of Missouri-St. Louis, 63121-4499, USA.
Optom Vis Sci. 1998 Jul;75(7):500-5. doi: 10.1097/00006324-199807000-00018.
Rigid gas permeable (RGP) lenses have numerous benefits, including quality of vision, ocular health, and reduction of myopic progression in young people. Nevertheless, RGP lens use is not increasing in the United States. It is possible that certain patient personality characteristics and/or how a practitioner presents RGP lenses to a new patient may affect satisfaction and success. The purpose of this study was to evaluate the effect of individual patient's personality and the practitioner's method of presenting RGP lenses to new patients on their ability to adapt to these lenses.
Forty-nine subjects, all noncontact lens wearers, were entered into this 1-month study, which was conducted at both the University of Missouri-St. Louis School of Optometry and the Pacific University College of Optometry. All subjects initially completed standardized questionnaires pertaining to locus of control, openness to new experiences, and motivation/expectations. After diagnostic fitting with a RGP lens material, the subjects were placed into one of the following three groups: (1) Fear-Arousing Non-Enthused; (2) Neutral Content Non-Enthused; or (3) Neutral Content Enthused. They observed one of three video presentations on RGP lens wear. Subjects submitted daily questionnaires providing their evaluation of such factors as comfort, wearing time, and handling.
The results showed that there was a significant difference (chi(2) = 6.99; p < 0.05) among the different groups in the number of dropouts: 6/19 with the Fear-Arousing Non-Enthused group, 2/17 with the Neutral Content Non-Enthused group, and 0/13 with the Neutral Content Enthused group. There was also a significant difference (ANOVA F = 4.1, p < 0.05) among the groups on compliance, with the Neutral Content Enthused group demonstrating greater compliance. In terms of satisfaction, there was no significant difference among presentation groups.
It was concluded that the method of presentation is important for successful RGP contact lens wear. If presented with genuine interest and a positive and realistic attitude, patients are more likely to succeed in RGP lens wear during the initial critical period.
硬性透气性（RGP）镜片有诸多益处，包括视觉质量、眼部健康以及减缓年轻人近视进展。然而，在美国，RGP镜片的使用量并未增加。某些患者的个性特征以及从业者向新患者介绍RGP镜片的方式可能会影响患者的满意度和佩戴成功率。本研究旨在评估个体患者的个性以及从业者向新患者介绍RGP镜片的方式对患者适应这些镜片能力的影响。
49名受试者均为非隐形眼镜佩戴者，参与了这项为期1个月的研究，该研究在密苏里大学圣路易斯分校视光学院和太平洋大学视光学院开展。所有受试者最初都完成了关于控制点、对新体验的开放性以及动机/期望的标准化问卷。在用一种RGP镜片材料进行诊断性试戴后，受试者被分为以下三组之一：（1）引起恐惧且不热情组；（2）中立且不热情组；或（3）中立且热情组。他们观看了三段关于佩戴RGP镜片的视频演示之一。受试者每天提交问卷，对舒适度、佩戴时间和操作等因素进行评估。
结果显示，不同组的退出人数存在显著差异（卡方值=6.99；p<0.05）：引起恐惧且不热情组有6/19人退出，中立且不热情组有2/17人退出，中立且热情组有0/13人退出。在依从性方面，组间也存在显著差异（方差分析F=4.1，p<0.05），中立且热情组的依从性更高。在满意度方面，各演示组之间没有显著差异。
得出的结论是，介绍方式对于成功佩戴RGP隐形眼镜很重要。如果以真诚的兴趣以及积极和现实的态度进行介绍，患者在最初的关键时期更有可能成功佩戴RGP镜片。
