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改善儿童遵守野视治疗的干预措施
Debora Ml Chen1, Silvia Han2, Allison Summers3
1Herbert Wertheim School of Optometry and Vision Science, UC Berkeley, Berkeley, CA, USA.
The Cochrane database of systematic reviews
|July 2, 2025
概括
这次审查发现,没有足够的证据表明行为或数字干预可以改善儿童对眼治疗的坚持. 需要更多的研究,以确定有效的策略,对眼的管理.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 神经科学是一个神经科学.
背景情况:
- 眼是儿童常见的一种神经发育视觉障碍.
- 治疗的有效性往往受限于对处方疗法的不良遵守.
- 改善坚持治疗的干预措施对于成功的眼症管理至关重要.
研究的目的:
- 评估行为和数字干预措施的有效性和危害,以改善儿童对眼治疗的客观坚持.
- 评估这些干预措施对视力敏度和立体敏度的影响.
- 确定与增强坚持的干预措施相关的任何危害.
主要方法:
- 随机对照试验 (RCT) 和准RCT的系统审查和元分析.
- 搜索了多个数据库 (CENTRAL, MEDLINE, Embase.com, LILACS, ClinicalTrials.gov, ICTRP) 没有日期或语言限制.
- 包括3至18岁的患有野视的儿童的研究,将坚持干预与标准护理或没有干预进行比较.
主要成果:
- 包括18项与1456名参与者的研究;大多数研究都有高偏差风险.
- 没有明显的模式有利于改善坚持的行为干预措施;视觉敏度或立体敏度几乎没有改善.
- 数字干预表明类似或更糟糕的坚持,对视觉结果的数据有限.
- 没有研究报告严重的伤害,但不严重的伤害包括不适和修补相关问题.
结论:
- 现有数据的确定性非常低,因此不能得出关于行为或数字干预措施对眼治疗坚持有效性的结论.
- 需要进一步开展高质量的研究,并采取客观的遵守措施.
- 由于数据有限,无法得出关于视觉结果和严重伤害的结论.
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