早期护理干预对儿童弱视治疗效果的影响的研究.docVIP

精品论文 参考文献 早期护理干预对儿童弱视治疗效果的影响的研究 吴珠英 马燕 赖雪燕 李月招 莫翠 　　（广西贺州市人民医院五官科 542800） 　　【摘要】目的：探讨早期护理干预对儿童弱视治疗效果的影响。方法 随机抽取经幼儿园筛查后确诊的3～6岁弱视患儿100 例（144眼）作为干预组与同期门诊治疗的弱视患儿100例（138眼）作为对照组，干预组采用常规治疗和系统护理干预方法（健康教育，心理干预、治疗指导、跟踪随访），对照组延用常规治疗方法及护理。跟踪随访3年后进行疗效对比。结果 干预组的依从性、治疗效果明显高于对照组（lt;0.5）有统计学意义。结论 早期护理干预能有效提高家长对弱视的认识 ，提高患儿及家长对治疗的依从性，提高弱视治疗效果。 　　【关键词】儿童弱视 依从性 护理干预 　　【中图分类号】R473.77 【文献标识码】A 【文章编号】1672-5085（2014）21-0062-03 　　 　　【Abstract】 Objective:To investigate the early nursing intervention on the treatment of amblyopia in children. Methods: Among 3 to 6-year-old children with amblyopia who are diagnosed by screening,we randomly selected 100 cases (144eyes) as the intervention group, and selected the out-patient treatment for children with amblyopia 100 cases (138) as the control group. The intervention group were treated with conventional treatment and system of nursing interventions (health education, psychological intervention, treatment guidance, tracking visit). The control group were treated by conventional treatment and care methods. We have followed up these two groups for three years to find the curative effects by contrast.Result: In the intervention group compliance and curative effects was significantly higher (lt;0.5) than the control group,which was statistically significant.Conclusions: Early nursing intervention can effectively improve the compliance of patients and their parents on the treatment of amblyopia,it also can improve and consolidate amblyopia treatment. 　　【Key words】children with amblyopia Compliance nursing intervention 　　弱视是视觉发育相关性疾病，其治疗效果不仅取决于治疗开始的年龄、治疗持续时间、弱视类型及程度、屈光矫正的准确度还与患儿及家长对治疗的依从性等密切相关。我国发病率为2.8%［1］，在缺乏必要基本医疗条件的地区弱视发病率更高［2］。为提高人们对弱视危害的认识，实现弱视的早发现、早干预、巩固远期疗效，提高治愈率的目标。课题组于2009年1月对城区内幼儿园3～6岁的儿童进行视力筛查，对弱视患儿实施早期系统的护理干预，取得初步成效。现报告如下： 　　1 研究对象与方法 　　1.1 研究对象 　　选择2009年贺州市区 22 所幼儿园3～6岁儿童12565例进行弱视筛查,其中男6762例，女5803例。随机选择本次筛查确诊的弱视患儿100例（144眼）其中男性46例（70眼），女性54例（74眼）作为干预组，与同期门诊治疗的弱视患儿100例（1