视网膜母细胞瘤患儿家属对介入手术依从性的影响因素研究  

Influencing factors of retinoblastoma children’s family members’compliance with interventional surgery

作　　者：张贞贞 申洁[1] ZHANG Zhenzhen;SHEN Jie(Department of Neurosurgery,Xinhua Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai200092,China)

机构地区：[1]上海交通大学医学院附属新华医院神经外科,上海200092

出　　处：《中国医药导报》2021年第26期111-114,共4页China Medical Herald

摘　　要：目的研究视网膜母细胞瘤(RB)患儿家属对介入手术依从性的影响因素。方法选取2020年1月至12月上海交通大学医学院附属新华医院(以下简称“我院”)收治的500例RB患儿作为研究对象,每个家庭选择1名家属作为关键对象,采用我院自制依从性调查表评估所有患儿家属对介入手术的依从性,根据结果将患儿家属分为依从性差组(<8分,42例)与依从性良好组(≥8分,458例)。详细记录并比较患儿及其家属的基线资料,经单因素及多因素分析筛选RB患儿家属对介入手术依从性差的影响因素。结果依从性差组白瞳征占比、家庭月收入≥5000元占比低于依从性好组,差异有统计学意义(P<0.05)。两组家属受教育程度、家属焦虑程度比较,差异有统计学意义(P<0.05)。白瞳征、中重度焦虑是RB患儿家属对介入手术依从性差的独立危险因素(OR>1,P<0.05),家属受教育程度为中专或高中及以上、家庭月收入≥5000元是其保护因素(OR<1,P<0.05)。结论RB患儿以白瞳征为主要症状、中重度焦虑可能会导致家属对介入手术的依从性差,需给予其重视。Objective To investigate the influencing factors of retinoblastoma(RB)children’s family members’compliance with interventional surgery.Methods A total of 500 children with RB admitted to Xinhua Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University(hereinafter referred to as“our Hospital”)from January to December 2020 were selected as the research objects,and one family member from each family was selected as the key objects.The compliance questionnaire made by our hospital was used to evaluate the compliance of all the children’s family members to the interventional surgery.According to the results,the children’s family members were divided into poor compliance group(<eight points,42 cases)and good compliance group(≥eight points,458 cases).The baseline data of the children and their families were recorded and compared in detail,and the factors influencing the poor compliance of family members of RB children with interventional surgery were screened by univariate and multivariate analysis.Results The proportion of leucocoria and the proportion of monthly family income≥5000 yuan in poor compliance group were lower than those in good compliance group,and the differences were statistically significant(P<0.05).There were statistically significant differences in educational level and anxiety level between the two groups(P<0.05).Leucocoria and moderate and severe anxiety were independent risk factors for poor compliance with interventional surgery in the families of children with RB(OR>1,P<0.05),while the educational level of the family members was technical secondary school or high school or above,and the family income≥5000 yuan was the protective factors(OR<1,P<0.05).Conclusion RB children with leucocoria as the main symptom,and moderate and severe anxiety may lead to poor compliance of family members to interventional surgery,which should be paid attention to.

关 键 词：视网膜母细胞瘤 介入手术 家属依从性 白瞳征 受教育程度 焦虑 家庭收入 

分 类 号：R779.7[医药卫生—眼科]