摘要
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1145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。
Objective To explore the influencing factors of referral wllingness 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 1145 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.ConclusionIn 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.
作者
邵洁
陈金枝
黄倩
陈姿妍
黄蛟灵
Shao Jie;Chen Jinzhi;Huang Qian;Chen Ziyan;Huang Jiaoling(Pudong New Area Weifang Community Health Care Center,Shanghai 200122,China;Shanghai Zhiyuan Middle School,Shanghai 200120,China;School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)
出处
《健康教育与健康促进》
2024年第4期375-378,共4页
Health Education and Health Promotion
基金
上海市浦东新区卫健委课题(PW2021A-62)
上海市“沪眼星光”培养计划(HYXG-SQ07)
国家自然科学基金面上项目(72274122)
上海市浦东新区卫健委学科带头人项目(PWRd2021-08)。
关键词
儿童
青少年
视力不良
转诊意愿
影响因素
Children
Teenagers
Poor eyesight
Willingness to refer
Influencing factor
