专科科普创意玩具在眼科门诊学龄前近视患儿候诊中的应用研究  

Research on the application of specialized popular science creative toys to preschool children with myopia during the waiting period in the ophthalmic clinic

作　　者：江燕[1] 王颖[2] 汪茵[3] 姜莹[1] JIANG Yan;WANG Ying;WANG Yin;JIANG Ying(Ophthalmic Clinic,Tongji Hospital,Tongji Medical College Huazhong University of Science&Technology,Wuhan,430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院眼科门诊,武汉市430030 [2]华中科技大学同济医学院附属同济医院护理部,武汉市430030 [3]华中科技大学同济医学院附属同济医院过敏反应科,武汉市430030

出　　处：《中国护理管理》2020年第9期1413-1417,共5页Chinese Nursing Management

摘　　要：目的:设计开发专科科普创意玩具,并评价其在学龄前近视患儿眼科门诊候诊中的应用效果。方法:于2019年3—8月采用便利抽样法选取在武汉市某三级甲等医院眼科门诊候诊的107例学龄前近视患儿作为研究对象。实验组在常规候诊的基础上增设游戏区,应用专科科普创意玩具进行干预;对照组实施常规候诊措施。比较两组患儿配合诊疗的依从性;两组家长在候诊过程中的焦虑程度、对近视环境影响因素的知晓率以及对候诊环境的满意度。结果:实验组患儿在眼科门诊候诊期间均无哭闹、均未要求看手机,诊疗时抗拒情绪明显低于对照组患儿(P<0.05);实验组家长在候诊过程中的焦虑程度评分低于对照组(P<0.05),同时实验组家长对近视环境影响因素的知晓率以及对候诊环境的满意度均高于对照组(P<0.05)。结论:专科科普创意玩具在眼科门诊候诊期间的应用能有效提高患儿诊疗依从性;缓解家长候诊时的焦虑情绪、增加对近视环境影响因素的知晓率以及对候诊环境的满意度。同时,本研究有效实现了不同学科间的交叉融合、以护士为主导的门诊管理创新。Objective:To design and develop specialized popular science creative toys and to evaluate the effects of applying specialized popular science creative toys to preschool children with myopia in the ophthalmology clinic.Methods:A convenience sample of 107 preschool children with myopia who were waiting for treatment in the ophthalmic clinic of a Grade Three Level A hospital in Wuhan was selected from March to August 2019.While the routine waiting procedure was applied to both groups,participants in the experimental group were provided with specialized popular science creative toys in a game area.The compliance rate of children,the anxiety level,the mastery rate of environmental factors affecting myopia and the satisfaction towards the waiting environment of parents were compared between the two groups.Results:During the waiting period in the ophthalmology clinic,none of children in the experimental group cried or requested to look at their parents'cell phones.Their resistance mood was significantly lower than that in the control group(P<0.01).The anxiety score during the waiting period for parents in the experimental group was lower than that for parents in the control group(P<0.05).Meanwhile,parents'mastery rate of environmental factors affecting myopia and the satisfaction towards the waiting environment in the experimental group were both higher than those in the control group(P<0.05).Conclusion:The application of specialized popular science creative toys in the waiting period of ophthalmic clinic can effectively improve the children's compliance rate with diagnosis and treatment,reduce the anxiety level of parents,increase their mastery rate of environmental factors affecting myopia and the satisfaction towards the waiting environment.At the same time,this study effectively achieves the innovation of nurse-led multidisciplinary integration in outpatient management.

关 键 词：近视 学龄前 科普创意玩具 候诊 眼科门诊 

分 类 号：R47[医药卫生—护理学]