关键词: Adherence Awareness Compliance Contact lens Knowledge

Mesh : Humans Female Adult Cross-Sectional Studies Mexico / epidemiology Contact Lens Solutions Patient Compliance Contact Lenses Contact Lenses, Hydrophilic

来  源:   DOI:10.1016/j.clae.2024.102126

Abstract:
OBJECTIVE: Despite the increasing prevalence of contact lens (CL) wear, knowledge and compliance with proper care remain suboptimal. This study aims to assess the level of knowledge and compliance with lens care practices in patients attending a third-level institution in Northeast Mexico.
METHODS: A cross-sectional study using a self-administered online survey was conducted. Patients at the Instituto Tecnolgico de Monterrey were invited to participate. The questionnaire consisted of three sections: demographic data and CL information, CL practices, and CL care knowledge. Participants responding correctly to 6/7 questions from the second and third sections were classified as having good compliance and good knowledge, respectively. Predictive factors for good compliance and knowledge were calculated using a logistic regression model.
RESULTS: A total of 287 users participated in the study. The median age was 25 (14-78) years with a female (n = 221, 77 %) predominance. Good knowledge was observed in 215 (74.9 %), whereas only 42 (14.6 %) presented good compliance. Failing to replace CL as prescribed (n = 199, 69.3 %) and sleeping with the devices (n = 198, 69 %) were the most frequent practices causing non-compliance. Whereas prohibition of swimming with CL was the least known practice (n = 74, 25 %). Users with recent (≤5 years) wearing experience were more likely to present good knowledge (OR 2.19, p = 0.014) and compliance (OR 3.15, p < 00.01). No statistical correlation was established between knowledge and compliance.
CONCLUSIONS: Non-compliance and lack of knowledge of proper CL care were prevalent among in this population. Long-term CL users were at higher risk of non-compliance and lack of knowledge. Moreover, knowledge was not related to compliance; therefore, different strategies must be implemented to reduce CL misconduct.
摘要:
目的:尽管隐形眼镜(CL)佩戴的患病率越来越高,知识和对适当护理的依从性仍然欠佳。这项研究旨在评估在墨西哥东北部三级机构就诊的患者对镜片护理实践的知识水平和依从性。
方法:进行了一项使用自我管理的在线调查的横断面研究。蒙特雷技术研究所的患者应邀参加。问卷包括三个部分:人口统计数据和CL信息,CL做法,和CL护理知识。参与者正确回答第二和第三部分的6/7问题被归类为具有良好的合规性和良好的知识,分别。使用逻辑回归模型计算了良好依从性和知识的预测因素。
结果:共有287名用户参与了这项研究。中位年龄为25(14-78)岁,女性(n=221,77%)占优势。215人(74.9%)有良好的知识,而只有42人(14.6%)表现良好。未按规定更换CL(n=199,69.3%)和使用设备睡觉(n=198,69%)是导致不遵守的最常见做法。而禁止与CL一起游泳是最不为人所知的做法(n=74,25%)。最近(≤5年)佩戴经验的用户更有可能表现出良好的知识(OR2.19,p=0.014)和依从性(OR3.15,p<00.01)。在知识和依从性之间没有建立统计相关性。
结论:在该人群中普遍存在不依从性和缺乏对适当CL护理的了解。长期CL用户面临更高的不合规和缺乏知识的风险。此外,知识与合规无关;因此,必须实施不同的策略来减少CL不当行为。
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