首页|视力不良儿童青少年转诊意愿及影响因素分析

视力不良儿童青少年转诊意愿及影响因素分析

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目的 探讨视力不良儿童青少年转诊意愿的影响因素,以期为完善筛查、转诊、干预的近视防治模式提供参考依据.方法 选取2022年10月—2023年4月屈光建档初筛视力异常的1 145名儿童青少年作为调查对象,通过问卷调查收集研究对象的转诊意愿及相关因素.结果 初筛视力异常的儿童青少年中,有转诊意愿的学生为 86.72%.多因素logistic回归分析结果显示,近视程度、家长近视、老师要求孩子去复诊、复诊时间满意度、视力认知水平、认为扩瞳验光可以获得准确的屈光情况、关注视力保护信息、参加过学校/社区组织的讲座、认为视力下降需要进一步检查治疗等因素均会影响视力不良儿童青少年的转诊意愿.结论 为了提高儿童青少年视力初筛异常的转诊率,需要优化信息系统复诊端,加强对学生和家长的健康宣教和复诊指导,优化转诊和指导流程,提高复查医院的服务质量和专业性,进一步完善视力筛查、转诊和干预机制,提高近视防控效果.
Analysis of Referral Willingness and Influencing Factors of Children and Adolescents with Poor Vision
Objective To explore the influencing factors of referral willingness of visually impaired children and adolescents,so as to provide the reference for improving the prevention and treatment model of myopia through screening,referral and intervention.Methods From October 2022 to April 2023,a total of 1 145 children and adolescents with abnormal vision were selected as the subjects.The referral willingness and related factors of the subjects were collected through questionnaire survey.Results Among the children and adolescents with abnormal vision,86.72%were willing to refer.The results of multivariate logistic regression analysis showed that the degree of myopia,parents'myopia,teachers'request for children to go for a follow-up visit,satisfaction with the time of follow-up,the level of vision cognition,the belief that pupil dilation optometry can obtain accurate refraction,attention to vision protection information,participation in lectures organized by schools/communities,and the belief that children and adolescents with poor vision need further examination and treatment would all affect their willingness to refer.Conclusion In order to improve the referral rate of children and adolescents with abnormal vision screening,it is necessary to optimize the referral terminal of information system,strengthen the health education and referral guidance for students and parents,optimize the referral and guidance process,improve the service quality and professionalism of the review hospital,further improve the mechanism of vision screening,referral and intervention,and improve the prevention and control effect of myopia.

ChildrenTeenagersPoor eyesightWillingness to referInfluencing factor

邵洁、陈金枝、黄倩、陈姿妍、黄蛟灵

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上海市浦东新区潍坊社区卫生服务中心,上海,200122

上海市致远中学,上海,200120

上海交通大学医学院公共卫生学院,上海,200025

儿童 青少年 视力不良 转诊意愿 影响因素

2024

健康教育与健康促进
上海市健康促进中心

健康教育与健康促进

ISSN:1673-6192
年,卷(期):2024.19(4)