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家长对近视影响的认识及其控制进展的策略:一项基于调查的研究。

Parental awareness of the implications of myopia and strategies to control its progression: A survey-based study.

机构信息

Department of Optics, Laboratory of Vision Sciences and Applications, University of Granada, Granada, Spain.

Centro Nazaríes Especialistas, Granada, Spain.

出版信息

Ophthalmic Physiol Opt. 2023 Sep;43(5):1145-1159. doi: 10.1111/opo.13190. Epub 2023 Jun 21.

Abstract

PURPOSE

Myopia has emerged as a significant public health concern. Effective methods have now been developed to delay its onset and progression. However, this information may not be reaching parents, and they are key players in terms of implementing the necessary preventive measures. This study investigated parental awareness of myopia, its implications and the strategies available for controlling it.

METHODS

A self-administered online survey was distributed to parents of children 6-16 years of age. To be eligible to respond, their child had to be myopic or at risk of developing myopia due to family history.

RESULTS

A total of 330 parents completed the survey, of which 321 were included for analysis. Sixty-seven percent of respondents had at least one myopic son/daughter, and most were between -1.00 and -1.75 D. Among parents of myopic children, 20.9% thought that their child's myopia progressed moderately. Sixty-seven percent of parents had a significant level of concern about the progression of the myopia and felt that it was caused mainly by the use of electronic devices and genetics. A generalised linear model showed that parental concern was significantly predicted by the perception of evolution (p < 0.001) and the number of known health-related consequences (p < 0.001). Almost 40% of parents were unaware of the existence of myopia control strategies. Relatives and eye care practitioners are the main sources of information. The most well-known myopia control strategy was myopia control soft contact lenses (29.2%), although the option that most parents would opt for was spectacles with peripheral defocus lenses (47.1%). The selection of a contact-lens-based myopia control method correlated significantly with the age of the children (p < 0.001).

CONCLUSIONS

Society in general and parents in particular need more information about myopia, its consequences and the options available for its control. Eye care practitioners play an important role in this issue.

摘要

目的

近视已成为一个严重的公共卫生问题。现在已经开发出有效的方法来延迟其发病和进展。然而,这些信息可能并未传达给家长,而家长在实施必要的预防措施方面是关键角色。本研究调查了家长对近视的认识、其影响以及可控制近视的策略。

方法

向 6-16 岁儿童的家长分发了一份自我管理的在线调查。要符合回答的条件,他们的孩子必须是近视或由于家族史而有发展为近视的风险。

结果

共有 330 位家长完成了调查,其中 321 位被纳入分析。67%的受访者至少有一个近视的儿子/女儿,大多数近视程度在-1.00 到-1.75 D 之间。在近视儿童的家长中,20.9%认为他们孩子的近视进展中等。67%的家长对近视的进展非常关注,并认为近视主要是由使用电子设备和遗传引起的。广义线性模型显示,家长的关注程度与对近视演变的看法(p<0.001)和对已知健康相关后果的了解程度(p<0.001)显著相关。近 40%的家长不知道存在近视控制策略。亲戚和眼科保健从业者是主要的信息来源。最知名的近视控制策略是近视控制软性隐形眼镜(29.2%),尽管大多数家长选择的是周边离焦眼镜(47.1%)。选择基于隐形眼镜的近视控制方法与儿童的年龄显著相关(p<0.001)。

结论

社会,特别是家长,需要更多关于近视、其后果和可用控制方法的信息。眼科保健从业者在这个问题上发挥着重要作用。

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