间歇性外斜视患儿和家长生存质量状况调查及其影响因素分析  

Current situation and influencing factors of quality of life among intermittent exotropia children and their parents

作　　者：张新慧[1] Zhang Xinhui(Department of Ophthalmology,the Shangqiu First People's Hospital,Henan Province,Shangqiu 476100,China)

机构地区：[1]河南省商丘市第一人民医院眼科,476100

出　　处：《中华现代护理杂志》2020年第15期2091-2095,共5页Chinese Journal of Modern Nursing

摘　　要：目的:了解间歇性外斜视(IXT)患儿及家长的生存质量现状及影响因素。方法:采用便利抽样的方法进行横断面调查,选取2017年6月—2019年1月在某院眼科确诊为IXT患儿及家长189对作为研究对象,采用一般资料调查表和间歇性外斜视生存质量调查问卷进行调查。本研究发放问卷189份,所有问卷全部回收,有效回收率为100%。结果:IXT患儿及家长生存质量总得分为(58.45±20.73)分,患儿自评表得分为(60.09±21.62)分,家长代评表得分为(58.65±21.74)分,家长自评表得分为(57.16±19.29)分;单因素分析结果显示,不同患儿年龄、性别、发现斜视时间、视远斜视度、视近斜视度、斜视分型、戴眼镜与否、睡眠质量、体育运动以及被调查家长性别、年龄、文化程度、家长职业的IXT患儿及家长生存质量总分差异均有统计学意义(P<0.05)。多重线性回归分析结果显示,患儿视远斜视度、视近斜视度、睡眠质量、体育运动情况是IXT患儿及家长生存质量的主要影响因素(P<0.01)。结论:IXT患儿视远斜视度、视近斜视度、睡眠质量、体育运动情况均为患儿及家长生存质量的主要影响因素,应当采取针对性干预措施,提高父母对IXT的正确认识,帮助患儿提高睡眠质量,鼓励患儿适当增加体育运动,逐步改善患儿及家长的生存质量。Objective To explore the current situation and influencing factors of quality of life(QOL)among intermittent exotropia(IXT)children and their parents.Methods From June 2017 to January 2019,this study selected 189 IXT children and their parents of Department of Ophthalmology at a hospital with the method of cross-sectional investigation as subjects by convenience sampling.All of them were investigated with the General Information Scale and the Quality of Life Questionnaires for Intermittent Exotropia.A total of 189 questionnaires were sent out and collected with 100%for the valid recovery rate.Results The score of QOL of 189 IXT children and their parents was(58.45±20.73),the self-rating score of QOL of children was(60.09±21.62),and score of QOL of children rated by parents was(58.65±21.74),and self-rating score QOL of parents was(57.16±19.29).Single factor analysis showed that the total scores of QOL of IXT children and their parents were statistically significant in different age,gender,time of finding strabismus,farsightedness exotropia,nearsightedness exotropia,strabismus type,wearing glasses or not,sleep quality,sports and gender,age,education level and occupation of their parents(P<0.05).Multiple linear regression analysis showed that the main influencing factors of QOL of IXT children and their parents were the farsightedness exotropia,nearsightedness exotropia,sleep quality and sports among children with statistical differences(P<0.01).Conclusions The main influencing factors of QOL of IXT children and their parents include the farsightedness exotropia,nearsightedness exotropia,sleep quality and sports of children.We should take targeted intervention to enhance the correct understanding of parents on intermittent exotropia,help children to better their sleep quality,encourage children to increase sports properly so as to improve the QOL of children and their parents.

关 键 词：儿童 生存质量 家长 间歇性外斜视 斜视度 影响因素 

分 类 号：R473.77[医药卫生—护理学]