儿童青少年角膜塑形镜配戴依从性研究的范围综述

A scoping review on compliance in orthokeratology among children and adolescents

目的对国内外儿童青少年角膜塑形镜配戴依从性研究现状进行描述与分析,为今后该领域的研究提供指导。方法采用主题词与自由词相结合的方式,系统检索PubMed、Web of Science、Embase、Scopus、Cochrane Library、中国知网、万方、维普、中国生物医学文献数据库中与儿童青少年角膜塑形镜配戴依从性相关的研究。检索时限为建库至2023年9月1日。由2名研究者独立筛选和提取资料。结果最终纳入35篇文献,提炼出4个主题:依从性的现状水平、评价指标、影响因素、干预方案。角膜塑形镜的依从性评价指标多样化,且影响因素涉及一般人口学特征、个人内部因素、外部因素、角膜塑形镜相关特定临床情境等多个方面。结论多种因素对角膜塑形镜配戴依从性产生影响,眼科从业人员应根据具体情况选择合适的评价工具,并以理论为指导实施多样化、实用的干预策略,以提高儿童青少年角膜塑形镜配戴的安全性与有效性。

Objective To describe and analyze the current research status of compliance in orthokeratology among children and adolescents in and beyond China,so as to guide future research in this field.Methods By combining subject words with free words,the paper systematically searched the research related to the compliance of children and adolescents wearing orthokeratology lenses in PubMed,Web of Science,Embase,Scopus,Cochrane Library,China National Knowledge Infrastructure,Wanfang,VIP and China Biomedical Literature Database.The retrieval time limit was until September 1,2023.Two researchers independently screened and extracted data.Results A total of 35 articles were included,and four themes were identified:the current level of compliance,evaluation indicators,influencing factors,and intervention programs.The evaluation indicators of orthokeratology lens-wearing compliance were diverse,and the influencing factors involved general demographic characteristics,personal internal factors,external factors,and specific clinical situations related to orthokeratology.Conclusions Multiple factors are associated with compliance in orthokeratology.Eyecare practitioners should choose suitable evaluation tools based on specific conditions and implement diverse and practical intervention strategies guided by theory to enhance the safety and effectiveness of orthokeratology lens-wearing among children and adolescents.