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角膜塑形镜对儿童生活质量和行为影响的调查

Investigation of the Effect of Orthokeratology Lenses on Quality of Life and Behaviors of Children.

作者信息

Zhao Feng, Zhao Guiyang, Zhao Zhihua

机构信息

Department of Ophthalmology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

出版信息

Eye Contact Lens. 2018 Sep;44(5):335-338. doi: 10.1097/ICL.0000000000000529.

DOI:10.1097/ICL.0000000000000529
PMID:29944504
Abstract

PURPOSE

To investigate the changes in the quality of life and behaviors in children before and after wearing orthokeratology lenses and to analyze the potential impact of orthokeratology lenses on children's quality of life, behaviors, and the progression of myopia.

METHODS

A total of 100 children receiving orthokeratology lenses in the People's Hospital of Hebei Province and the Nanjing First Hospital from January 2016 to February 2017 were enrolled in this study. A questionnaire survey was conducted for the orthokeratology lenses wearers before and 3 months after wearing the orthokeratology lenses, and analysis was performed for the 69 valid questionnaires.

RESULTS

The scores of symptom module, entertainment module, and study and life module marked by the children differed significantly 3 months after wearing the orthokeratology lenses. Among 20 entries, the life quality scores of nine surveys before and after wearing lenses were statistically significant (P<0.05). The main reason why the children chose orthokeratology lenses was more convenience in athletic activities (43.5%). The majority of children (75.4%) were willing to accept orthokeratology lenses to correct vision and to alleviate myopia progression.

CONCLUSION

Orthokeratology lenses have a good effect on children's quality of life, behaviors, and psychology. The children who wore lenses were more self-confident, more willing to try new things, and more active in participating in sports and entertainment, resulting in an increasing trend of the total time spent on outdoor activities.

摘要

目的

探讨儿童佩戴角膜塑形镜前后生活质量和行为的变化,并分析角膜塑形镜对儿童生活质量、行为及近视进展的潜在影响。

方法

选取2016年1月至2017年2月在河北省人民医院和南京第一医院接受角膜塑形镜治疗的100例儿童纳入本研究。对角膜塑形镜佩戴者在佩戴前及佩戴3个月后进行问卷调查,对69份有效问卷进行分析。

结果

佩戴角膜塑形镜3个月后,儿童所标记的症状模块、娱乐模块及学习生活模块得分有显著差异。在20项条目中,佩戴镜片前后9项调查的生活质量得分具有统计学意义(P<0.05)。儿童选择角膜塑形镜的主要原因是体育活动更方便(43.5%)。大多数儿童(75.4%)愿意接受角膜塑形镜矫正视力并减缓近视进展。

结论

角膜塑形镜对儿童的生活质量、行为和心理有良好影响。佩戴镜片的儿童更自信,更愿意尝试新事物,更积极参与体育和娱乐活动,导致户外活动总时长呈增加趋势。

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