Qian Yifeng, Lu Peirong
Department of Ophthalmology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Ophthalmol Ther. 2024 Dec;13(12):3095-3109. doi: 10.1007/s40123-024-01045-3. Epub 2024 Oct 14.
The aim of this study was to assess the knowledge, attitude, and practices (KAP) of parents or guardians regarding the prevention and management of childhood myopia.
This cross-sectional study was conducted at the Department of Ophthalmology in the First Affiliated Hospital of Soochow University (Suzhou, China) between August 2023 and November 2023. Parents or guardians who willingly volunteered to take part in the study were surveyed using a self-designed questionnaire.
A total of 571 participants returned valid questionnaires, among whom 288 respondents (50.44%) fell within the 31- to 40-year age group and 474 respondents (83.01%) were identified as myopic. The mean KAP scores for the knowledge, attitude and practices dimensions were 23.34 ± 3.05 (possible range: 0-26), 46.47 ± 4.02 (possible range: 12-60), and 40.52 ± 7.07 (possible range: 11-54), respectively. Structural equation modeling analysis indicated that education had a direct effect on knowledge (estimate = 0.41, P = 0.038), while knowledge directly influenced both attitude (estimate = 0.40, P < 0.001) and practices (estimate = 0.36, P < 0.001). Also, attitude was found to have a direct impact on practices (estimate = 0.45, P < 0.001).
Parents or guardians had adequate knowledge, a positive attitude, and proactive practices towards the prevention and management of childhood myopia, which might be affected by their educational level. This comprehensive understanding of parental perspectives highlights the potential for targeted interventions in clinical settings to further enhance pediatric eye care.
本研究旨在评估父母或监护人在儿童近视预防和管理方面的知识、态度和行为（KAP）。
本横断面研究于2023年8月至2023年11月在苏州大学第一附属医院眼科进行。使用自行设计的问卷对自愿参与研究的父母或监护人进行调查。
共有571名参与者返回有效问卷，其中288名受访者（50.44%）年龄在31至40岁之间，474名受访者（83.01%）被确定为近视。知识、态度和行为维度的平均KAP得分分别为23.34±3.05（可能范围：0 - 26）、46.47±4.02（可能范围：12 - 60）和40.52±7.07（可能范围：11 - 54）。结构方程模型分析表明，教育对知识有直接影响（估计值 = 0.41，P = 0.038），而知识直接影响态度（估计值 = 0.40，P < 0.001）和行为（估计值 = 0.36，P < 0.001）。此外，态度被发现对行为有直接影响（估计值 = 0.45，P < 0.001）。
父母或监护人对儿童近视的预防和管理有足够的知识、积极的态度和主动的行为，这可能受到他们教育水平的影响。对父母观点的这种全面理解突出了在临床环境中进行有针对性干预以进一步加强儿童眼保健的潜力。
