上海市闵行区家长对学生用眼卫生健康服务态度评估  

Satisfaction of parents in myopia prevention and control for students in Shanghai Minhang District

作　　者：刘蒲[1] 尹灿灿 王昱杰 施姣姣 严玉洁 史慧静 LIU Pu;YIN Cancan;WANG Yujie;SHI Jiaojiao;YAN Yujie;SHI Huijing(Department of Prevention and Treatment of Chronic Diseases,Center for Dis-ease Control and Prevention of Minhang District,Shanghai 201101,China)

机构地区：[1]上海市闵行区疾病预防控制中心慢性病防治科,201101 [2]复旦大学公共卫生学院妇幼与儿少卫生教研室 [3]上海市闵行区新虹社区卫生服务中心主任室

出　　处：《中国学校卫生》2021年第5期702-704,708,共4页Chinese Journal of School Health

基　　金：上海市闵行区卫生健康委(2020MW28)。

摘　　要：目的评估上海市《闵行区儿童青少年近视防控三年行动计划(2019-2021年)》实施1年后家长对学生用眼卫生健康服务的态度,为优化干预措施提供科学依据和决策参考。方法采用多阶段分层整群抽样的方法进行样本选择,最终完成20 176份有效学生家长问卷,进行对学生眼卫生健康服务态度评估。结果家长对学生用眼卫生健康服务满意率前3位分别是定点医疗机构提供的服务6 849名(84.65%)、提供视力筛查结果反馈方式16 915名(83.84%)、定点医疗机构检查流程6 704名(82.91%)。认为需要改善的环节前3位分别是用眼行为和用眼环境干预8 476名(42.01%)、家长告知7 850名(38.91%)、定期随访管理7 222名(33.67%)。不同学段、既往眼部疾病诊断史对学生用眼卫生服务的满意率和改善环节需求有影响,差异均有统计学意义(P值均<0.05)。结论干预实施1年后,家长对学生用眼卫生健康服务整体较满意,不同特征学生家长对卫生健康服务需求有所侧重,建议进一步提供精细化、个性化的用眼卫生健康服务。Objective To evaluate the satisfaction of parents with students’ eye health services after one year implementation of the "Three-year Action Plan for the Prevention and Control of Myopia in Children and Adolescents in Minhang District( 2019-2021) ", and to provide a reference for optimizing intervention measures. Methods A total of 20 176 parents were selected with multi-stage sampling method for the satisfaction evaluate. Results Health services in appointed medical institutions( 6 849,84.65%), providing feedback on the vision screening( 16 915, 83.84%) and procedures in appointed medical institutions( 6 704,82.91%) were the top three terms for parents satisfaction with children and adolescents’ eye health services, respectively. While the eye behavior and eye environment intervention( 8 467, 42.01%), parents informing( 7 850, 38.91%) and regular follow-up management( 7 222, 33.67%) were the top three that were suggested to improvement. Comparative analysis showed that the school period and the history of previous diagnosis of eye diseases had an impact on the satisfaction of children and adolescents’ eye health services and the demand for improvement significantly( P< 0.05). Conclusion After one year of intervention, parents are generally satisfied with the eye health services for students. At the same time, students with different characteristics parents focused on difference needs for health services. It urges more refined and personalized eye health services should be provided.

关 键 词：眼 卫生 法定监护人 卫生保健提供 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R779.7[医药卫生—公共卫生与预防医学]