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.
基金：
Nature Science Foundation of Shanxi Province [202103021223402, 202103021224345]; Health Commission Foundation of Shanxi [2020004]; Shanxi Scholarship Council of China [2022-203]; Shanxi Bethune Hospital Education and Teaching Reform Foundation [2022Jx22]; Shanxi Bethune Hospital Foundation [2021RC005]
第一作者单位：[1]Shanxi Med Univ, Hosp 3, Tongji Shanxi Hosp, Shanxi Bethune Hosp,Shanxi Acad Med Sci, Taiyuan 030032, Peoples R China[2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Peoples R China
通讯作者：
通讯机构：[1]Shanxi Med Univ, Hosp 3, Tongji Shanxi Hosp, Shanxi Bethune Hosp,Shanxi Acad Med Sci, Taiyuan 030032, Peoples R China[2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Peoples R China
推荐引用方式(GB/T 7714)：
Li Yahong,Li Jining,Shao Ying,et al.Factors influencing compliance in RRD patients with the face-down position via grounded theory approach[J].SCIENTIFIC REPORTS.2022,12(1):doi:10.1038/s41598-022-24121-9.
APA：
Li, Yahong,Li, Jining,Shao, Ying,Feng, Ronghua,Li, Jinkun&Duan, Yajian.(2022).Factors influencing compliance in RRD patients with the face-down position via grounded theory approach.SCIENTIFIC REPORTS,12,(1)
MLA：
Li, Yahong,et al."Factors influencing compliance in RRD patients with the face-down position via grounded theory approach".SCIENTIFIC REPORTS 12..1(2022)
