儿童弱视训练依从性的影响因素  

Influencing Factors of Compliance with Amblyopia Therapy in Children

作　　者：黄国秀[1] 周行涛[1] 薛枫[1] 牛凌凌[1] 施逸红[1] 蔡海蓉[1] 顾争红[1] 刘菁蓉[1] 冯培珏[1] 徐海鹏[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院视光学科,上海200031

出　　处：《解放军护理杂志》2011年第24期35-37,72,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：复旦大学附属眼耳鼻喉科医院护理基金资助项目(编号:200804)

摘　　要：目的探讨弱视儿童训练依从性的影响因素。方法采用问卷调查,对193名弱视儿童及家长进行训练依从性评价,对各项结果进行1～4分评分,用多因素分析方法分析影响依从性的因素。结果弱视儿童治疗依从性评分平均为(2.61±0.82),其中完全依从者为0,比较依从者占39.78%,较不依从者占38.67%,完全不依从者占21.55%。按完全依从和比较依从的比例计算,依从性最好的是"训练时戴镜状况"(90.05%),依从性最差的是"按医嘱遮盖健眼"(48.61%)和"按医嘱综合训练"(49.72%)。结论弱视患儿训练依从性较差,应从患儿及家长两方面提高弱视训练的依从性,以促进患儿康复。Objective To investigate the factors influencing the compliance with amblyopia therapy in children.Methods Questionnaires were delivered to 193 amblyopic children and their parents to evaluate the compliance with amblyopia therapy.Results were scaled into four grades,and multi-factor analysis was employed to survey the factors influencing compliance.Results The average score of compliance with amblyopia therapy was 2.61±0.82.Patients with full,partial,poor and non compliance occupied 0,39.78,38.67 and 21.55 percent of the whole population,respectively.According to the proportion of participants with full and partial compliance,＂spectacle-wearing during therapy＂ was best complied（90.05%）.In contrast,＂occlusion therapy＂ and ＂comprehensive therapy＂ were worst complied（48.61% and 49.72%,respectively）.Conclusion Compliance is poor in children with amblyopia therapy.Improving compliance with amblyopia therapy requires management of children and their parents simultaneously.

关 键 词：儿童 弱视 依从性 影响因素 

分 类 号：R473.77[医药卫生—护理学]