Follow-UpApplication of Management Mode Based on WeChat Platform in Teenagers Wearing Orthokeratology
Wenzhi Ding, Jinyan Zhang, Dongdong Jiang, Zhaorong Gao, Weicong Lu,Yuyin Tian, Rongyuan Ji, Lin Leng
Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, School of Ophthalmology, Shandong First Medical University, Qingdao 266071, China
Abstract：Objective: To determine the influence of management mode based on WeChat platform on follow-up compliance of teenagers wearing orthokeratology. Methods: This was a case-control study. Teenagers with myopia who wore orthokeratology in Qingdao Eye Hospital of Shandong First Medical University from May 2020 to October 2021 were collected using random number table. They were randomly divided into WeChat group (100 cases), telephone group (100 cases), and control group (100 cases) by using random number table. Subjects in this study were asked to complete 7 follow-ups at 1 day, 1 week, 1 month, 3 months, 6 months, 9 months, and 12 months after wearing orthokeratology. The number of follow-up visits and incidence of ocular complications were compared and analyzed among the three groups. One-way analysis of variance and Nonparametric tests were used to compare the parameters among three groups. And spearman correlation analysis was used to analyze the relationships of the frequency of ocular complications, age, refractive diopter, axial length with the follow-up compliance rate. Results: The average follow-up times of WeChat group, telephone group, and control group were 5.47 (5.00, 6.00), 4.86 (4.00, 6.00), and 4.77 (4.00, 6.00), respectively, with a statistically signifcant difference (H=13.40, P=0.001). Participants in the WeChat group had the highest number of follow-up visits, compared with the telephone group and the control group (Z=35.25, P=0.010; Z=40.37, P=0.002). The loss of follow-up rate of the three groups was 20.9%, 28.0%, and 30.9%, respectively, showing a statistically difference (χ2=19.20, P<0.001). The loss of follow-up rate of participants in the WeChat group was the lowest, compared with the other two groups (χ2=9.67, P=0.002; χ2=18.26, P<0.001). The incidence of ocular complications in the three groups were 16.0%, 19.0% and 35.0%, respectively, with a statistically significant difference (χ2=11.67, P=0.003). The follow-up compliance rate was correlated with the frequency of complications and age negatively (r=-0.12, P=0.038; r=-0.23, P<0.001), but had no correlation with other parameters (all P>0.05). Conclusions: During the orthokeratology wearing, the follow-up management based on WeChat platform can effectively improve follow-up compliance and reduce the occurrence of orthokeratology-related eye complications.
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