首页|中医眼保健操联合家庭联动式管理方案对屈光不正儿童青少年用眼习惯及视力的影响

中医眼保健操联合家庭联动式管理方案对屈光不正儿童青少年用眼习惯及视力的影响

扫码查看
目的 观察中医眼保健操联合家庭联动式管理方案对屈光不正儿童青少年用眼习惯及视力的影响.方法 将120 例屈光不正儿童青少年患者按照随机数字表法分为2 组,对照组60 例予常规门诊宣教及屈光不正纠正方法干预,观察组60 例在对照组基础上予中医眼保健操联合家庭联动式管理方案.2 组均干预 3 个月.比较 2 组干预前及干预后1、3 个月裸眼视力,干预3 个月后不良用眼习惯纠正情况、简易应对方式问卷(SCSQ)评分,干预前后儿童抑郁障碍自评量表(DSRS)、儿童焦虑性情绪障碍筛查表(SCARED)评分,并统计家属满意度和临床疗效.结果 观察组屈光不正纠正有效率91.67%(55/60),对照组有效率76.67%(46/60),观察组屈光不正纠正有效率高于对照组(P<0.05).2 组干预后1、3 个月裸眼视力均较本组干预前提高(P<0.05),且观察组干预后 1、3 个月裸眼视力均高于对照组(P<0.05).观察组各种不良用眼习惯纠正率和各项遵医行为评分均高于对照组(P<0.05).2 组干预后SCARED、DSRS评分、SCSQ消极应对评分均较本组干预前降低(P<0.05),且观察组干预后均低于对照组(P<0.05);2 组干预后SCSQ积极应对评分均较本组干预前升高(P<0.05),且观察组干预后高于对照组(P<0.05).观察组患儿家属对干预方案的满意度评分高于对照组(P<0.05).结论 中医眼保健操联合家庭联动式管理方案能够更好地纠正患儿屈光不正症状,提高裸眼视力,改正其不良用眼习惯,提高遵医行为,改善其负性情绪,促使患儿建立积极的疾病应对方式,患儿家属满意度好.
Effect of traditional Chinese medicine eye health exercises combined with family interaction management program on the improvement of eye habits and visual acuity in children and adolescents with refractive errors
Objective To observe the effects of traditional Chinese medicine(TCM)eye health exercises combined with family interactionmanagement program on the improvement of eye habits and visual acuity in children and adolescents with refrac-tive errors(REs).Methods A total of 120 cases of children and adolescents with REs were randomly divided into two groups.Patients in the control group(n=60)were treated with routine outpatient education and correction method,and those in the ob-servation group(n=60)were treated with TCM eye exercise combined with family interaction management program.Both groups were treated for 3 months.Naked visual acuity,correction rate of poor eye habit,scoresof simple coping style questionnaire(SCSQ),depression self-rating scale(DSRS),andthe Screen for Childhood Anxiety-Related Disorders(SCARED)were in-cluded as comparatorsbefore intervention and on months 1 and 3 of intervention,and family satisfaction and clinical efficacy were counted.Results The RES correction rate in the observation group was significantly higher than that of the control group(91.67%[55/60]vs 76.67%[46/60],P<0.05).The naked visual acuity on months 1 and 3 of intervention in the two groups was significantly improved,and which was significantly higher in the observation group than in the control group(P<0.05).The score of compliance behavior in the observation group was significantly higher than that of the control group(P<0.05).After intervention,the scores of SCARED and DSRS,negative coping of SCSQ in the both groups were significantly lower than those before intervention,but positive coping of SCSQ scores were significantly higher,the observation group was superior to the control group for the scores of SCARED and DSRS,and the negative and positive coping of SCSQ scores(all P<0.05).The satisfaction scores of family members in observation group were sig-nificantly higher than those of control group(P<0.05).Conclu-sion TCM eye health exercises combined with family interaction management program can better correct REs in children,im-prove their naked eye vision,correct poor eye habits,improve the level of compliance behavior and negative emotions,promote the children to establish a positive disease coping style,and it has good satisfaction in the family members of children.

Refractive errorsChildren and adolescentsPoor eye habitsFamily interaction management programTraditional Chinese medicine eye health exercises

陆新华、潘静娟

展开 >

江苏省常州市武进中医医院门诊部,江苏 常州 213000

屈光不正 儿童青少年 不良用眼习惯 家庭联动式管理 中医眼保健操

常州市武进区科技计划

WS201823

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(5)