儿童后巩膜加固术的家长依从性研究

Abstract

目的：探讨儿童病理性近视行后巩膜加固术的适应症及家长依从性。方法：随访2015年4月至2016年4月我院门诊确诊病理性近视的患儿及家长，并分析影响入院行后巩膜加固术家长依从性的因素。结果：我院门诊确诊病理性近视眼的18岁以下青少年儿童120名，介绍手术，结果仅23人(19.17%)同意行手术治疗。影响家长依从性的因素主要包括患儿年龄、家庭条件、家长知识水平、态度及信念、治疗方案及其他外部因素。结论：儿童病理性近视的手术时机选择很关键，对于适应症患儿，医护人员应通过建立互相信任的沟通体系增强家长依从性。 Objective: To discuss the indication and parental compliance of children posterior scleral rein-forcement. Methods: Children who were diagnosed as pathologic myopia at our out-patient clinics between April 2015 and April 2016 were investigated and followed with their parents. Factors in-fluencing the parental compliance of posterior scleral reinforcement were analyzed. Results: A total of 120 children under 18 years old were diagnosed as pathologic myopia at our out-patient clinics during the study period; however, only 23 children (19.17%) agreed to receive the surgery. Factors influencing parental compliance mainly include age of the children, familial conditions, parental education level, attitude and belief toward the disease, therapeutic schedule and other external factors. Conclusion: Timing for the surgery of children pathologic myopia is crucial; therefore, for surgery requiring children, medical personnel should strengthen the parental compliance by establishing a trustful and effective communication system between the two parties.