Objective: To investigate the effect of raising family cognition on improving adherence and quality of life of 8-12-year-old children wearing orthokeratology lenses. Methods: From July 2019 to July 2020,120 children with orthokeratology lenses of our hospital were selected and randomly divided into two groups. The control group (n = 60) was given routine nursing, while the observation group (n = 60) was given home nursing intervention on the basis of the control group. To observe the treatment compliance, family cognition degree, sleep quality and quality of life in the two groups. Results: Compared with the control group, the patients in the observation group had higher treatment compliance and family cognition degree, lower scores of times to fall asleep, sleep duration, sleep disturbance and daytime function, and higher scores of physiological function, mental health, social function and emotional function (P<0.05). Conclusion: Strengthening home nursing intervention for patients wearing orthokeratology lenses can improve the cognition level of family members on the one hand, improve the compliance of children on the other hand, and improve the sleep quality and quality of life at the same time.

It was to investigate vision, sleep, quality of life (QOL), and corneal morphology changes before and after overnight orthokeratology lens wear in myopic children aged 8–12 years. 100 myopic children were randomly divided into control group and test group, and glasses and overnight orthokeratology lens wear were worn separately. Uncorrected visual acuity, refraction, axial length, corneal endothelial cells, and corneal morphology were compared beforewear (0d), and 1 month (1mo), 3 months (3mo), and 6 months (6mo) after wear. The OQASTM II was used to evaluate visual quality, the Pittsburgh sleep quality index (PSQI) was used to evaluate sleep quality, and the QOL scale was used. Compared with 0d, there were significant differences in uncorrected visual acuity, refraction, axial length, corneal cell morphology, corneal morphology, visual quality, PSQI score, and QOL score between the control group and the test group (P < 0.05). Compared with the control group, in the test group, the uncorrected visual acuity, refraction, corneal cell variation coefficient, and QOL score at 3mo and 6mo after wear increased (P < 0.05); axial length, corneal endothelial cell density, hexagonal cell ratio, sleep onset time, sleep disorders, daytime function, PSQI, and OQAS values decreased (P < 0.05); subjective sleep quality, sleep duration, and sleep aids increased at 1mo after wear (P < 0.05). Myopic children with overnight orthokeratology lens wear can improve vision, life and sleep quality, but subjective sleep quality is reduced at early wear.