改变医生对遵守近视进展管理的影响
Fabian Schibli1,2, Anja Palmowski-Wolfe1,2
1Medical Faculty, University of Basel, Switzerland.
概括
医生的变化显著降低了对近视控制治疗的坚持. 保持一致的医生护理,特别是避免住院医生轮换,对于改善高近视儿童的治疗坚持至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 近视控制研究近视研究
背景情况:
- 全球高近视发病率正在上升,预计到2050年将影响10%的人口.
- 患者的坚持是近视进展控制疗法成功的关键.
- 这项研究调查了治疗医生的变化如何影响治疗坚持.
研究的目的:
- 评估医生变化对患者遵守近视控制治疗的影响.
- 为了比较稳定和不断变化的医生咨询之间的坚持率.
- 根据医生资历 (居民与高级) 评估依从差异.
主要方法:
- 从2020年到2023年,对73名患者 (平均年龄10.76岁) 进行了回顾性观察研究.
- 对坚持率的分析,比较有和没有医生更换的咨询.
- 使用未配对的t测试和千平方测试进行统计分析.
主要成果:
- 总体依从率为84.79%.
- 与稳定护理 (6.42%;p=0.0037) 相比,医生更换 (21.43%) 后的不遵守是显著更高的.
- 住院医生 (18.31%) 与高级医生 (8.70%;p=0.0310) 的不遵守也更高.
结论:
- 医生的变化会对近视进展控制治疗的坚持产生负面影响.
- 持续的医生护理对于提高治疗坚持至关重要.
- 尽量减少医生轮换,特别是在住院医生之间,可能会改善坚持的结果.
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