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中医护理方案在青少年低度近视中的效果评价

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目的 评价对青少年低度近视实施中医护理方案的效果.方法 选取2022年3月—2022年11月在中国中医科学院眼科医院眼科门诊就诊的青少年低度近视患儿130例(260只眼),随机分为对照组和观察组,各65例(130只眼).对照组予常规护理和框架眼镜矫正,观察组在对照组的基础上给予中医护理方案干预,包括耳穴压丸、梅花针、眼部刮痧及个性化健康教育,每周2次,连续干预3个月.干预前及干预后分别填写《中小学生近视一般状况调查问卷》,观察患者用眼健康行为变化,采用近视疾病相关知识及预防保健知识答题评估近视知识掌握程度,检查患者裸眼视力和屈光度,进行统计学分析.结果 (1)用眼健康行为:观察组干预后的每日户外活动时间高于对照组(t=3.018,P=0.003),每次使用电子产品的时间(t=2.822,P=0.006)、每日持续近距离读写的时间(t=2.648,P=0.009)、每周课外学习时间低于对照组(t=2.093,P=0.038),差异均有统计学意义.(2)近视知识掌握程度:2组干预后近视知识答题得分均较干预前升高(t对照组=5.576、t观察组=11.626,均P=0.000),干预后2组比较,观察组得分高于对照组(t=4.350,P=0.000),差异均有统计学意义.(3)裸眼视力:对照组干预后裸眼视力较干预前降低(t=3.310,P=0.001),观察组干预后裸眼视力较干预前升高(t= 5.118,P=0.000),差异均有统计学意义.干预后2组比较,观察组裸眼视力优于对照组(t= 5.109,P=0.000),差异均有统计学意义.(4)屈光度:对照组干预后屈光度较本组干预前升高,差异有统计学意义(t=4.176,P=0.000),观察组干预后屈光度较干预前比较,差异无统计学意义(P>0.05);干预后2组比较,观察组屈光度优于对照组,差异有统计学意义(t=2.092,P= 0.037).结论 耳穴压丸、梅花针、眼部刮痧及个性化健康教育的中医护理方案在一定程度上能延缓青少年低度近视的进展.
Evaluation of the Efficacy of Traditional Chinese Medicine Nursing Protocols in Mild Myopia Among Adolescents
OBJECTIVE To evaluate the effectiveness of implementing Traditional Chinese Medicine(TCM)nursing protocols in adolescents with mild myopia.METHODS A total of 130 adolescents with mild myopia(260 eyes)who visited the ophthalmology clinic at Eye Hospital of China Academy of Chinese Medical Sciences from March 2022 to November 2022 were randomly divided into a control group(CG)and an observation group(OG),with 65 cases in each group(130 eyes).The CG received routine care and frame glasses correction,while the OG received an intervention based on the CG,including ear acupressure pills,plum blossom needle,eye scraping,and personalized health education,twice a week for three consecutive months.The"General Survey Questionnaire on Myopia in Primary and Secondary School Students"was filled out before and after the intervention to observe changes in patients' eye health behaviors.The evaluation included questions about myopia-related knowledge and preventive health knowledge to assess the mastery of myopia knowledge.The patients' uncorrected visual acuity and refraction were also examined,and statistical analysis was performed.RESULTS(1)Eye health behavior:The daily outdoor activity time after intervention in the OG was higher than that in the CG(t=3.018,P=0.003).The time of using electronic products each time(t=2.822,P=0.006),the daily continuous near-distance reading and writing time(t=2.648,P=0.009),and the extracurricular study time per week were lower than those in the CG(t=2.093,P=0.038),all with statistical significance.(2)Mastery of myopia knowledge:The scores of myopia knowledge questionnaire in both groups increased after the intervention(tCG= 5.576,tOG=11.626,both P=0.000).After the intervention,the OG's scores were higher than those of the CG(t=4.350,P=0.000),with statistical significance.(3)Uncorrected visual acuity:After intervention,the uncorrected visual acuity of the CG decreased compared to before intervention(t= 3.310,P=0.001),while the OG increased after intervention(t=5.118,P=0.000),with statistical significance.After the intervention,the OG had better uncorrected visual acuity than the CG(t= 5.109,P=0.000),with statistical significance.(4)Refraction:The refraction in the CG increased after the intervention,with statistical significance(t=4.176,P=0.000).The refraction in the OG was not significantly different before and after the intervention(P>0.05).After the intervention,the OG had lower refraction than the CG,with statistical significance(t=2.092,P=0.037).CONCLUSIONS TCM nursing protocols,including ear acupressure pills,plum blossom needle,eye scraping,and personalized health education,can delay the progression of mild myopia in adolescents.

adolescentsmild myopiaTraditional Chinese Medicine nursing protocolsear acupressure pillspersonalized education

杨剑英、李鹏斐、李静、黄少兰、吴宁玲、解棕雯、李晓宇

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中国中医科学院眼科医院,北京 100040

青少年 低度近视 中医护理方案 耳穴压丸 个性化教育

中国中医科学院科技创新工程项目

CI2021A03219

2024

中国中医眼科杂志
中国中医科学院

中国中医眼科杂志

CSTPCD
影响因子:0.476
ISSN:1002-4379
年,卷(期):2024.34(3)
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