Fry Mark, Wilson Graham A
Nelson Hospital, Nelson, New Zealand.
J Paediatr Child Health. 2005 Jul;41(7):344-6. doi: 10.1111/j.1440-1754.2005.00628.x.
To assess the coverage and quality of routine red reflex screening in a single region and to consider the results in the context of the current New Zealand guidelines.
All the health practitioners partaking in routine Well Child - Tamariki Ora checks in the Nelson-Tasman region were asked to complete a simple one-page questionnaire on red reflex screening.
Out of 127 providers potentially involved in routine infant examinations, the response rate was 92%. Red reflex screening was not being performed at the appropriate routine infant check with an ophthalmoscope by 16% (10/61) of the general practitioners and 29% (10/35) of the midwives. Eighteen per cent of the doctors and 47% of the midwives did not understand why red reflex screening was important or what was being looked for.
There is substantial scope for improving the coverage and quality of red reflex screening in this region to meet national guidelines. The importance and technique of examining the red reflex should be stressed in the training of both doctors and midwives who are lead maternity carers in New Zealand.
评估单个地区常规红光反射筛查的覆盖率和质量，并结合新西兰现行指南考量结果。
要求所有参与尼尔森-塔斯曼地区常规儿童健康——塔玛基奥拉检查的医护人员填写一份关于红光反射筛查的单页简易问卷。
在可能参与常规婴儿检查的127名医护人员中，回复率为92%。16%（10/61）的全科医生和29%（10/35）的助产士未在适当的常规婴儿检查中使用检眼镜进行红光反射筛查。18%的医生和47%的助产士不明白为什么红光反射筛查很重要或要检查什么。
该地区在提高红光反射筛查的覆盖率和质量以符合国家指南方面有很大空间。在新西兰担任主要产科护理人员的医生和助产士的培训中，应强调检查红光反射的重要性和技术。
