东莞地区近视青少年儿童配戴角膜塑形镜的依从性及影响因素

目的：研究东莞地区青少年儿童配戴角膜塑形镜控制近视进展的依从性，分析其影响因素。

方法：收集2017-01/12在我院验配角膜塑形镜用于控制近视进展的青少年儿童757例，通过查阅角膜塑形镜在院病历以及电话、短信、微信等形式进行回访，将收集的资料整理、归纳、总结，分析配戴者的复查情况及坚持戴镜情况，从而掌握东莞地区青少年儿童配戴角膜塑形镜控制近视进展的依从性和影响因素。

结果：入选病例757例，其中男363例，平均年龄11.66±2.256岁，女394例，平均年龄11.96±2.206岁，总体平均年龄11.82±2.234岁，男生与女生年龄比较差异无统计学意义(t=-1.855，P>0.05)。教育阶段、就读方式、父母文化程度对复查依从性和坚持戴镜依从性的影响差异有统计学意义(P<0.05)，而性别、区域、家庭经济情况、塑形前后视力、控制近视效果对复查依从性和坚持戴镜依从性的影响无统计学意义(P>0.05)。多因素Logistic回归分析发现：教育阶段、就读方式、父母文化程度与复查依从性和坚持戴镜依从性有相关性(P<0.05)。

结论：东莞地区青少年儿童配戴角膜塑形镜控制近视进展的依从性与教育阶段、就读方式、父母文化程度相关，为提高青少年儿童配戴角膜塑形镜的依从性，规范验配、规范护理、规范宣教、按时复查和定期回访至关重要。

Compliance and influencing factors of wearing orthokeratology in children with myopia in Dongguan

AIM: To investigate the compliance and the relative influencing factors of orthokeratology lens in the treatment of teenagers'' and children''s myopia in Dongguan,and provide a scientific basic for prevention and control of myopia.

METHODS: Totally 757 patients of teenagers'' and children''s myopia with orthokeratology lens in our hospital from January 2017 to December 2017 were collected. Data from medical records and return visits by telephone, short message and Wechat were collated and summarized, then grasp the compliance and the relative influencing factors of orthokeratology lens in the treatment of teenagers'' and children''s myopia in Dongguan by analyzing re-examine time and persistence in wearing lens.

RESULTS: Totally 757 patients with mean age at 11.82±2.234 years old, including 363 males, mean aged 11.66±2.256 years old, and 394 females, mean aged 11.96±2.206 years old, there was no significant difference in age comparison of boys and girls(t=-1.855, P>0.05). In terms of re-examination compliance and persistence on wearing lens, significant difference was observed in educational stage, studying way and parents'' education level(P<0.05), no significant difference was observed in gender, area, family economic status, vision before and after wearing lens and myopia control effect(P>0.05). Multivariate Logistic regression analysis showed that educational stage, studying way and parents'' education level were correlated with re-examination compliance and persistence on wearing lens(P<0.05).

CONCLUSION: Compliance of orthokeratology lens in the treatment of teenagers'' and children''s myopia in Dongguan was correlated with educational stage, studying way and parents'' education level, to improve the compliance of orthokeratology lens in the treatment of teenagers'' and children''s myopia, Standardize fitting, standardize care, normative propaganda and education, review on time and regular return visits were important.