家庭干预方式对弱视儿童治疗依从性和治疗效果的影响  

Compliance and the clinical efficacy for children with amblyopia by family intervention

作　　者：杨清秀[1] 邓勇铮 梁成竹[1] 梁宵云 戴子娴 张宏[1] 

机构地区：[1]广东省深圳市宝安区人民医院眼科,518101

出　　处：《中国实用护理杂志（中旬版）》2007年第6期43-45,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨不同的家庭干预方式对弱视患儿的依从性和治疗效果的影响以及相应家庭护理对策的制定。方法 随机将95例弱视患儿（124眼）分为2组，弱视综合治疗组51例68眼，家庭干预综合治疗组44例56眼并再次被分为积极干预和一般干预组，同时观察治疗起效时间、依从性及治疗效果。结果1个月内起效眼数的比例在家庭干预组较综合治疗组高，差异有统计学意义（χ^2=5．865，P〈0．05），积极干预组较综合治疗组高，有统计学意义（χ^2=6．543，P〈0．05）而一般干预组和综合治疗组间有升高趋势但是差异无统计学意义（χ^2=2．449，P〉0．05）；6个月内总的起效比例干预组与综合治疗组相仿差异无统计学意义（χ^2=0．341，P〉0．05），积极干预治疗起效时间短于综合治疗组。治疗6个月后，家庭干预组患儿依从性较综合治疗组高，有统计学意义（χ^2=8．818，P〈0．01）；积极家庭干预组患儿依从性较综合治疗组高，有统计学意义（χ^2=11．140，P〈0．01）；积极家庭干预组患儿依从性较一般家庭干预组高，有统计学意义（χ^2=4．283，P〈0．05）。治疗后6个月随访，家庭干预组的总有效率与综合治疗组差异无统计学意义（χ^2=0．898，P〉0．05）；家庭干预组的治愈率高于综合治疗组（χ^2=5．045，P〈0．05），其中积极干预组的治愈率高于综合治疗组，有统计学意义（χ^2=7．799，P〈0．01）。结论 积极家庭干预可以提高学龄期儿童弱视治疗效果，缩短疗程，提高治疗依从性并提高治愈率。Objective In order to know the efficacy and compliance of the family intervention for children with amblyopia , and to provide evidence for family nursing strategy. Methods Selected 124 eyes of 95 children with amblyopia, who were divided randomly into two groups： the combined therapy group 51 children（68 eyes） and the family intervention group 44 children（56eyes） which was divided once more into the positive and general intervention group, simultaneously observed the compliance and the outcome. Results Within one month after the family intervention,the effective eye number proportion in the family intervention group was significantly higher than that of in the combined therapy group （χ^2=5.865, P〈 0.05） and in the positive intervention group significantly higher than that of in the combined therapy group （χ^2= 6.543,P 〈 0.05）,there was no significant difference between the general intervention group and the combined therapy group（χ^2=2.449, P 〉 0.05）; After 6 months, there was no significant difference in the total effect proportion of the intervention group and the combined therapy group （χ^2=0.341 ,P 〉 0.05）, the effective time of the intervention group was shorter than that in the combined therapy group. After 6 months, the compliance of the family intervention group was better than that of in the combined therapy group （χ^2= 8.818,P 〈0.01 ）. After 6 months, there was no significance in the efficacy rate of the family intervention therapy group and the combined therapy group （χ^2=0.898,P 〉 0.05）; the cure rate was higher in the family intervention group than that of in the combined therapy group （χ^2=5.045,P 〈 0.05）. Conclusions The positive family intervention for children with amblyopia may enhance the effect and compliance of them, and then shorten the treating course.

关 键 词：弱视 家庭干预 依从性 治疗 儿童 

分 类 号：R512.91[医药卫生—内科学]