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. 2022 Nov 25;12(1):20320.
doi: 10.1038/s41598-022-24121-9.

Factors influencing compliance in RRD patients with the face-down position via grounded theory approach

Yahong Li #  1   2 , Jining Li #  3   4 , Ying Shao  1   2 , Ronghua Feng  1   2 , Jinkun Li  5 , Yajian Duan  6   7
Affiliations

Factors influencing compliance in RRD patients with the face-down position via grounded theory approach

Yahong Li et al. Sci Rep. .

Abstract

Patients with rhegmatogenous retinal detachment (RRD) require face-down positioning (FDP) for 3-6 months or longer after pars plana vitrectomy (PPV) combined with silicone oil (SO) tamponade. This paper aimed to identify the factors that influenced FDP compliance. This study adopted semi-structured interviews with patients who require FDP after SO tamponade. Constructivist grounded theory was utilized in this study. The qualitative data was analyzed and coded via NVivo 11.0 through open coding, axial coding and selective coding. Twenty-four RRD patients were involved. The interviews yielded five main themes that defined home FDP compliance were identified: posture discomfort, doctor-patient communication, psychological factors, occupational character, and family factors. A theoretical model of the influencing factors of postural compliance of FDP was constructed based on the interview analysis. A variety of factors can affect FDP conformity. We can increase compliance of RRD patients by enhancing comfort, encouraging doctor-patient communication, providing comprehensive care, promoting community-based intervention, and strengthening family education.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
A diagrammatic representation of the silicon tamponade position in two different head postures. (A) shows silicon filled eye during face down position. (B) shows silicon filled eye during forward-facing position.
Figure 2
Figure 2
Patient’s face down position. (A) shows the patient’s prone position. (B,C) shows the front and side of the patient’s sitting posture.
Figure 3
Figure 3
Schematic diagram of the theme of influencing factors of FDP postural compliance in patients with retinal detachment. According to grounded theory, five themes were identified. Among them, posture discomfort and psychological factors are the patient’s intrinsic factors; occupational character and family factors are the extrinsic factors; and doctor-patient communication is the overlapping factor.
See this image and copyright information in PMC

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