【摘要】 目的探讨"医院—幼儿园—家庭"一体化管理模式应用于学龄前儿童眼保健管理的效果及价值。方法选取2018年5月—2019年7月江门市托幼机构学龄前儿童共2 550名作为研究对象,其中2家城区、2家乡镇托幼机构作为观察组(1212名),行眼保健"医院—幼儿园—家庭"一体化管理,其他4家托幼机构儿童(1 338名)作为对照组,行常规健康教育,观察儿童屈光异常、视力异常、近视率、异常复查率和家长视力防控知识知晓率等情况。结果观察组经干预后视力异常率为12.28%,屈光异常率为12.05%,均显著低于对照组,异常儿童复查率为86.67%,显著高于对照组(P<0.05);观察组的家长视力防控知识得分为(95.5±2.4)分高于对照组的(78.5±2.2)分(P<0.05)。结论将"医院—幼儿园—家庭"一体化管理模式应用于学龄前儿童眼保健管理中,可有效提高儿童眼保健管理质量,降低儿童视力不良、屈光不正等发生率,有助于提高儿童眼部的防治效果。更多还原

【Abstract】 OBJECTIVE To explore the effect and value of "hospital kindergarten family" integrated management mode in preschool children’s eye care management. METHODS From May 2018 to July 2019, a total of 2 550 preschool children from kindergartens in Jiangmen were selected as the subjects of study. 2 kindergartens in urban areas and 2 hometown towns were selected as the observation group(1212 children) to carry out the integrated management of"hospital kindergarten family"for eye care. Children in 4 kindergartens(1338 children) were selected as the control group. In the control group, routine health education was applied to observe children’s abnormal refraction, vision, myopia, abnormal reexamination rate, and parents’ awareness of vision prevention and control knowledge. RESULTS After intervention, the abnormal rate of vision and refraction in the observation group were 12.28% and 12.05%,which were significantly lower than the control group, the reexamination rate of abnormal children was 86.67%, which was significantly higher than the control group(P<0.05); the score of parents’ visual control knowledge in the observation group was(95.5±2.4),which was higher than the control group(78.5 ± 2.2)(P<0.05). CONCLUSION The application of "hospital kindergarten family" integrated management mode in preschool children’s eye care management could effectively improve the quality of children’s eye care management, reduce the incidence of childrenn’ss poor vision and ametropia, and improve the prevention and treatment effect of children’s eyes.更多还原