[关键词]
[摘要]
目的:从卫生和镜片、镜片盒及镜片护理液的更换来调查隐形眼镜配戴者的依从性。
方法:以每天配戴镜片至少8h、持续配戴≥6mo的隐形眼镜配戴者为研究对象。采用半结构化、经过预先测试和验证的问卷调查表,在接受口头知情同意后评估软性隐形眼镜配戴者的依从性。每位受试者都接受访问,收集有关戴隐形眼镜使用历史的信息。年龄、性别、使用的镜片类型、配戴经验(a)、配戴时间和习惯、一天中持续使用镜片的时间和护理方法的细节都进行了记录。
结果:共73名参与者的平均年龄为23.63±5.23y。观察到:依从性最高的项目为镜片清洁和消毒程序(98%); 依从性最低的是隐形眼镜配件护理(81%)。依从性较差的是:更换镜片盒(41%),检查并丢弃过期的护理液(22%)和未能进行后续随访(22%)。镜片配戴的性别、配戴方式、配戴类型以及隐形眼镜使用年限依从性间无统计学差异。
结论:这项研究结果证明总体上配戴者依从性良好。然而,在隐形眼镜盒和护理液等镜片配件的护理中,存在一定程度的不遵嘱执行。我们认为有必要考虑改善镜片护理操作依从性的方法。
[Key word]
[Abstract]
AIM: To investigate the rate of compliance of contact lens users regarding hygiene and replacement of soft contact lenses, lens case and lens care solution.
METHODS: A candidate who used their lenses for a minimum of 8h a day for a period of 6mo or more was considered as a contact lens user. A semi-structured, pre-tested and validated questionnaire was used to assess the compliance among the soft contact lens users after receiving informed verbal consent. Each candidate was interviewed to collect the information about their contact lens wearing history. Age, gender, type of lens used, wearing experience(y), wearing time and schedule, duration of lens use in a day and details of care system were noted.
RESULTS: The mean(±SD)age of the total 73 participants was 23.63 ± 5.23y. The status of compliance observed was highest in the category of lens cleaning and disinfecting procedures(98%); the least was in the category of care of contact lens accessories(81%). Major non-compliance aspects identified were replacement of lens case(41%), check discard after date of the solution, cleaning lens case(22%)and failure to attend after-care visits(22%). The gender, modality of lens wear, type of lens wear and years of experience in contact lens use did not show any statistically significant difference in the level of compliance.
CONCLUSION: The results from this study demonstrated good compliance overall. However, some degree of non-compliance was present among the subjects in the care of lens accessories like contact lens case and solution. Approaches intended to improve compliance with lens care practices is considered necessary.
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