Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study

Abstract 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...

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Autores principales: Zhiwen Bian, Xindi Xu, Duya Chen, Hailong Ni
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:a1eca4b67ace4c128f2b6e8b7d944e942021-11-21T12:42:57ZAssessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study10.1186/s12886-021-02148-21471-2415https://doaj.org/article/a1eca4b67ace4c128f2b6e8b7d944e942021-11-01T00:00:00Zhttps://doi.org/10.1186/s12886-021-02148-2https://doaj.org/toc/1471-2415Abstract 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.Zhiwen BianXindi XuDuya ChenHailong NiBMCarticleOrthokeratologyComplianceInfluencing factorsSafetyOphthalmologyRE1-994ENBMC Ophthalmology, Vol 21, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Orthokeratology
Compliance
Influencing factors
Safety
Ophthalmology
RE1-994
spellingShingle Orthokeratology
Compliance
Influencing factors
Safety
Ophthalmology
RE1-994
Zhiwen Bian
Xindi Xu
Duya Chen
Hailong Ni
Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
description Abstract 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.
format article
author Zhiwen Bian
Xindi Xu
Duya Chen
Hailong Ni
author_facet Zhiwen Bian
Xindi Xu
Duya Chen
Hailong Ni
author_sort Zhiwen Bian
title Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
title_short Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
title_full Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
title_fullStr Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
title_full_unstemmed Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
title_sort assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study
publisher BMC
publishDate 2021
url https://doaj.org/article/a1eca4b67ace4c128f2b6e8b7d944e94
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AT xindixu assessmentofpatientcomplianceinorthokeratologyandanalysisofinfluencingfactorsacrosssectionalstudy
AT duyachen assessmentofpatientcomplianceinorthokeratologyandanalysisofinfluencingfactorsacrosssectionalstudy
AT hailongni assessmentofpatientcomplianceinorthokeratologyandanalysisofinfluencingfactorsacrosssectionalstudy
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