童趣化游戏干预在2~4岁儿童视力检测中的应用效果  

Application effect of child-friendly gamified intervention strategies in visual acuity testing for children aged 2-4 years

作　　者：王靖[1] 周炼红[1] 欧阳方慧 叶美红[1] Wang Jing;Zhou Lianhong;Ouyang Fanghui;Ye Meihong(Department of Ophthalmology,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院眼Ⅳ科,武汉430060

出　　处：《中国实用护理杂志》2024年第33期2588-2593,共6页Chinese Journal of Practical Nursing

基　　金：湖北省卫健委指定性项目(WJ2021D009)。

摘　　要：目的开发适用于2~4岁儿童的E字视力表认知卡片,并设计童趣化游戏干预方法,以提高该年龄段儿童视力检测的成功率、依从性,并评估家长对检测过程的满意度。方法采用非同期历史对照研究设计,便利抽样法选取2023年1—6月在武汉大学人民医院眼科门诊就诊的143例2~4岁儿童及家长为研究对象。根据就诊时间,将儿童分为对照组和干预组。2组均使用E字视力表进行双眼视力检测。对照组采用传统视力检测方法,干预组采用童趣化游戏干预。通过比较2组的视力检测成功率、儿童检查依从性和家长满意度评估干预效果。结果最终,对照组的样本量为69例,干预组样本量为74例。对照组儿童年龄为(3.06±0.47)岁,男36例,女33例;干预组儿童年龄为(2.99±0.45)岁,男38例,女36例。对照组儿童家长年龄为(29.37±4.00)岁,男24名,女45名;干预组儿童家长年龄为(29.35±3.50)岁,男27名,女47名。干预组儿童视力检测成功率为63.5%(47/74),高于对照组的34.8%(24/69),差异有统计学意义(χ^(2)=7.45,P<0.01)。干预组儿童在检查中的依从性分别为Ⅰ级0例,Ⅱ级19例,Ⅲ级21例,Ⅳ级34例,优于对照组的Ⅰ级17例,Ⅱ级23例,Ⅲ级15例,Ⅳ级14例,差异有统计学意义(Z=4.61,P<0.01)。干预组儿童家长满意度为(4.53±0.56)分,高于对照组的(3.74±0.78)分,差异有统计学意义(t=-4.88,P<0.01)。结论童趣化游戏干预显著提高了2~4岁儿童的视力检测成功率和依从性,并显著提升了家长的满意度。这一干预方法为2~4岁儿童视力检测提供了一种有效的解决方案。Objective To develop an E-chart visual acuity recognition card suitable for children aged 2-4 years and to design a child-friendly gamified intervention method to improve the success rate,compliance,and parental satisfaction in visual acuity testing for this age group.Methods A non-concurrent historical control study design was employed,involving 143 children aged 2-4 years and parents who attended the ophthalmology outpatient clinic of Renmin Hospital of Wuhan University from January to June 2023.The children were divided into the control group and the intervention group based on their appointment times.Both groups underwent binocular visual acuity testing using the E-chart visual acuity recognition cards.The control group received conventional visual acuity testing,while the intervention group was subjected to a child-friendly gamified intervention.The effectiveness of the intervention was assessed by comparing the success rate of visual acuity testing,examination compliance,and parental satisfaction between the two groups.Results Finally,the sample size of the control group and the intervention group were 69 and 74 cases.The children in the control group was(3.06±0.47)years old,with 36 males and 33 females;whereas the children in the intervention group was(2.99±0.45)years old,with 38 males and 36 females.The parents in the control group was(29.37±4.00)years old,with 24 males and 45 females;whereas the parents in the intervention group was(29.35±3.50)years old,with 27 males and 47 females.The success rate of visual acuity testing in the intervention group was significantly higher at 63.5%(47/74)compared to the control group′s 34.8%(24/69),with a statistically significant difference(χ^(2)=7.45,P<0.01).The compliance of the children during the examination in the intervention group,categorized as no grade I cases,19 gradeⅡcases,21 gradeⅢcases,and 34 gradeⅣcases,was significantly higher than that of the control group,which had 17 grade I cases,23 gradeⅡcases,15 gradeⅢcases,and 14 gradeⅣcases(Z=4.

关 键 词：儿童 童趣化游戏干预 视力检测 依从性 家长满意度 

分 类 号：R770.4[医药卫生—眼科]