上海市闵行区家长对学生用眼卫生健康服务态度评估

刘蒲; 尹灿灿; 王昱杰; 施姣姣; 严玉洁; 史慧静

doi:10.16835/j.cnki.1000-9817.2021.05.015

上海市闵行区家长对学生用眼卫生健康服务态度评估

doi: 10.16835/j.cnki.1000-9817.2021.05.015

1.
上海市闵行区疾病预防控制中心慢性病防治科，201101
2.
复旦大学公共卫生学院妇幼与儿少卫生教研室
3.
上海市闵行区新虹社区卫生服务中心主任室

基金项目:

上海市闵行区卫生健康委 2020MW28

详细信息

通讯作者:
严玉洁，E-mail：yanyujie@shmh.gov.cn

史慧静，E-mail：hjshi@fudan.edu.cn

中图分类号: R 179 R 779.7
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- 文章访问数: 548
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- PDF下载量: 44
- 被引次数: 0
出版历程
- 收稿日期: 2021-01-18
- 修回日期: 2021-04-01
- 网络出版日期: 2021-05-20
- 刊出日期: 2021-05-25

Satisfaction of parents in myopia prevention and control for students in Shanghai Minhang District

LIU Pu¹,
YIN Cancan²,
WANG Yujie²,
SHI Jiaojiao²,
YAN Yujie^{3
, ,},
SHI Huijing^{2
, ,}

1.
Department of Prevention and Treatment of Chronic Diseases, Center for Disease Control and Prevention of Minhang District, Shanghai(201101), China

摘要

摘要: 目的评估上海市《闵行区儿童青少年近视防控三年行动计划(2019—2021年)》实施1年后家长对学生用眼卫生健康服务的态度，为优化干预措施提供科学依据和决策参考。方法采用多阶段分层整群抽样的方法进行样本选择，最终完成20 176份有效学生家长问卷，进行对学生眼卫生健康服务态度评估。结果家长对学生用眼卫生健康服务满意率前3位分别是定点医疗机构提供的服务6 849名(84.65%)、提供视力筛查结果反馈方式16 915名(83.84%)、定点医疗机构检查流程6 704名(82.91%)。认为需要改善的环节前3位分别是用眼行为和用眼环境干预8 476名(42.01%)、家长告知7 850名(38.91%)、定期随访管理7 222名(33.67%)。不同学段、既往眼部疾病诊断史对学生用眼卫生服务的满意率和改善环节需求有影响，差异均有统计学意义(P值均＜0.05)。结论干预实施1年后，家长对学生用眼卫生健康服务整体较满意，不同特征学生家长对卫生健康服务需求有所侧重，建议进一步提供精细化、个性化的用眼卫生健康服务。
- 眼 /
- 卫生 /
- 法定监护人 /
- 卫生保健提供 /
- 学生
Abstract: Objective To evaluate the satisfaction of parents with students' eye health services after one year implementation of the "Three-year Action Plan for the Prevention and Control of Myopia in Children and Adolescents in Minhang District (2019-2021)", and to provide a reference for optimizing intervention measures. Methods A total of 20 176 parents were selected with multi-stage sampling method for the satisfaction evaluate. Results Health services in appointed medical institutions(6 849, 84.65%), providing feedback on the vision screening(16 915, 83.84%) and procedures in appointed medical institutions(6 704, 82.91%) were the top three terms for parents satisfaction with children and adolescents' eye health services, respectively. While the eye behavior and eye environment intervention(8 467, 42.01%), parents informing(7 850, 38.91%) and regular follow-up management(7 222, 33.67%) were the top three that were suggested to improvement. Comparative analysis showed that the school period and the history of previous diagnosis of eye diseases had an impact on the satisfaction of children and adolescents' eye health services and the demand for improvement significantly (P < 0.05). Conclusion After one year of intervention, parents are generally satisfied with the eye health services for students. At the same time, students with different characteristics parents focused on difference needs for health services. It urges more refined and personalized eye health services should be provided.
- Eye /
- Health /
- Legal guardians /
- Delivery of health care /
- Students

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表 1 不同组别学生家长对于用眼卫生健康服务的满意率比较

Table 1. Comparison of satisfaction from patients of different characteristics with myopia health services for children and adolescents

组别	选项	人数	统计值	健康教育	视力筛查	进校视力检查医护人员业务能力	筛查结果反馈方式	定点医疗机构服务	去定点医疗机构检查流程
性别	男	10 561		8 219(77.82)	8 551(80.97)	8 597(81.40)	8 834(83.66)	3 557(84.79)	3 475(82.90)
	女	9 615		7 508(78.09)	7 812(81.25)	7 909(82.26)	8 081(82.26)	3 292(84.50)	3 229(82.92)
			χ²值	1.63	0.57	5.70	1.57	2.95	1.63
			P值	0.80	0.80	0.70	0.57	0.57	0.80
学段	幼儿园	8 224		6 684(81.27)	6 908(84.00)	6 889(83.77)	7 045(85.56)	2 495(86.69)	2 450(85.13)
	小学	8 587		6 658(77.54)	6 964(81.10)	7 039(81.97)	7 224(84.13)	3 227(83.69)	3 165(82.08)
	初中	3 365		2 385(70.88)	2 491(74.03)	2 578(76.61)	2 646(78.63)	1 127(83.05)	1 089(80.55)
			χ²值	3.10	3.49	3.32	3.67)	1.11	1.36
			P值	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01
了解程度	非常了解	18 538		14 602(78.77)	15 168(81.82)	15 297(82.52)	15 676(84.56)	6 374(85.34)	6 239(83.61)
	一般了解	1 584		1 085(68.50)	1 156(72.98)	1 170(73.86)	1 196(75.51)	464(76.32)	454(74.55)
	不太了解	54		40(74.07)	39(72.22)	39(72.22)	43(79.63)	11(78.57)	11(73.33)
			χ²值	1.72	1.55	1.45	1.68	69.29	62.89
			P值	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01
学生是否被诊断眼部疾病	是	5 217		3 715(73.93)	4 053(77.10)	4 143(78.81)	4 280(81.42)	4 582(85.00)	4 513(83.71)
(近视、远视、散光、弱视等)	否	14 919		11 807(79.56)	12 310(82.51)	12 363(82.87)	12 635(84.64)	2 267(83.93)	2 191(81.30)
			χ²值	1.58	1.50	1.43	1.59	5.53	1.54
			P值	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01
注：()内数字为满意率/%。

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表 2 不同组别学生家长对于用眼卫生健康服务需求改善流程选择率比较

Table 2. Comparison of process needed to be improved in the myopia health services in the opinion of parents with different characteristics

组别	选项	人数	统计值	宣传发动	家长告知	基本信息收集	入校筛查	结果反馈流程	分类管理和诊疗	用眼行为和用眼环境干预	建立视觉发育档案	定期随访管理
性别	男	10 561		3 325(31.48)	4 133(39.13)	2 471(23.40)	3 340(31.63)	3 757(35.57)	2 837(26.83)	4 435(41.99)	3 562(33.73)	3 753(35.54)
	女	9 615		2 941(30.59)	3 717(38.66)	2 205(22.93)	2 998(31.18)	3 461(36.00)	2 605(27.09)	4 041(42.03)	3 231(33.60)	3 469(36.08)
			χ²值	1.89	0.48	0.61	0.46	0.39	0.14	0.01	0.04	0.65
			P值	0.17	0.49	0.44	0.50	0.53	0.71	0.96	0.85	0.42
学段	幼儿园	8 224		2 635(32.04)	3 263(39.68)	1 816(22.08)	2 824(34.34)	3 077(37.41)	2 210(26.87)	3 406(41.42)	2 967(36.08)	3 059(37.20)
	小学	8 587		2 516(29.30)	3 170(36.92)	1 986(23.13)	2 496(29.07)	2 864(33.35)	2 222(25.88)	3 498(40.74)	2 716(31.63)	2 959(34.46)
	初中	3 365		1 115(33.14)	1 417(42.11)	874(25.97)	1 018(30.25)	1 277(37.95)	1 010(30.01)	1 572(46.72)	1 110(32.99)	1 204(35.78)
			χ²值	22.88	30.89	20.33	56.70	38.49	21.09	37.51	38.06	13.69
			P值	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.01	＜0.05
了解程度	非常了解	18 538		5 770(31.13)	7 205(38.87)	4 248(51.65)	5 842(31.51)	6 658(35.92)	5 044(27.21)	7 892(42.57)	6 328(34.14)	6 711(36.20)
	一般了解	1 584		478(30.18)	624(39.39)	414(4.82)	482(30.43)	544(34.34)	387(24.43)	569(35.92)	446(28.16)	495(31.25)
	不太了解	54		18(33.33)	21(38.89)	14(0.42)	14(25.93)	16(29.63)	11(20.37)	15(27.78)	19(35.19)	16(29.63)
			χ²值	0.74	0.17	8.74	1.55	2.46	6.91	31.00	23.41	14.46
			P值	0.69	0.92	0.01	0.46	0.29	0.03	＜0.01	＜0.01	＜0.01
学生是否被诊断眼部疾病	是	5 217		1 510(28.94)	1 923(36.86)	1 235(23.67)	1 520(29.14)	1 798(34.46)	1 657(31.76)	2 526(48.42)	1 787(34.25)	1 955(37.47)
(近视、远视、散光、弱视等)	否	14 919		4 756(31.88)	5 927(39.73)	3 441(23.06)	4 818(32.29)	5 420(36.33)	3 785(25.37)	5 950(39.88)	5 006(33.55)	5 267(35.30)
			χ²值	18.07	16.21	0.40	20.62	7.66	74.63	1.07	0.33	6.01
			P值	＜0.01	＜0.01	0.35	＜0.01	＜0.05	＜0.01	＜0.01	0.56	0.01
注：()内数字为选择率/%。

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