角膜塑形镜配戴患儿知信行潜在剖面特征及影响因素

doi:10.6040/j.issn.1673-3770.0.2025.324

摘要/Abstract

摘要： 目的探讨角膜塑形镜配戴患儿知信行特征的潜在类别及其影响因素,为制定精细化健康教育方案提供依据。方法采用便利抽样法,选取2024年1月至6月于北京大学第三医院眼科就诊并配戴角膜塑形镜的患儿为研究对象。使用一般资料调查表及《近视儿童角膜塑形镜配戴知信行问卷》进行调查,采用潜在剖面分析对患儿知信行特征进行分类,采用二元logistic回归分析探讨不同类别的影响因素。结果共纳入165例患儿。知信行问卷总分为155(148,161)分,知识、行为意愿、行为感受维度得分分别为89(82,90)分、55(51,55)分、16(12,20)分。患儿知信行特征分为2个潜在类别:低知识-行为意愿型24例(14.5%)、高知识-行为意愿型141例(85.5%)。二元logistic回归分析显示,配戴年限是类别归属的独立影响因素(OR=0.751, 95%CI: 0.573~0.983, P=0.037),配戴年限每增加1年,归属于高知识-行为意愿型的概率下降24.9%。结论角膜塑形镜配戴患儿的知信行特征存在群体异质性,可划分为低知识-行为意愿型和高知识-行为意愿型两个潜在类别;配戴年限是影响类别归属的重要因素。医护人员应结合患儿的知信行特征实施针对性教育指导,尤其需关注配戴年限较长的患儿,强化其知识更新与行为维持的支持。

关键词: 近视, 儿童, 角膜塑形镜, 知信行, 潜在剖面分析, 影响因素

Abstract: Objective To explore the latent classes of knowledge, attitude, and practice characteristics among children wearing orthokeratology lenses and analyze the influencing factors, so as to inform the development of refined health education programs. Methods A convenience sampling method was used to select children who wore orthokeratology lenses and visited the Department of Ophthalmology, Peking University Third Hospital from January to June 2024. A general information questionnaire and the Questionnaire for the Knowledge, Attitude, and Practice of Orthokeratology Lens Wearing in Children with Myopia were used for data collection. Latent profile analysis(LPA)was employed to classify the knowledge, attitude, and practice characteristics of the children, and binary logistic regression analysis was used to explore the influencing factors of different latent classes. Results A total of 165 children were included. The total score of the knowledge, attitude, and practice questionnaire was 155(148, 161), with sub-scores of 89(82, 90)for knowledge, 55(51, 55)for behavioral intention, and 16(12, 20)for behavioral perception. Two latent classes were identified: low knowledge-behavioral intention type(24 cases, 14.5%)and high knowledge-behavioral intention type(141 cases, 85.5%). Binary logistic regression analysis showed that wearing duration was an independent influencing factor for class membership(OR=0.751, 95%CI: 0.573-0.983, P=0.037). For each additional year of wearing, the probability of belonging to the high knowledge-behavioral intention type decreased by 24.9%. Conclusion The knowledge, attitude, and practice characteristics of children wearing orthokeratology lenses show population heterogeneity and can be categorized into two latent classes: low knowledge-behavioral intention type and high knowledge-behavioral intention type. Wearing duration is a significant factor affecting class membership. Healthcare professionals should implement targeted education based on these characteristics, with particular attention to children with longer wearing durations to support knowledge updating and behavior maintenance.

Key words: Myopia, Children, Orthokeratology, Knowledge, attitude, and practice, Latent profile analysis, Influencing factors

中图分类号:

R778

刘君,闫京豫,陈巍,郑丽丽,陈秀红,胡晋平. 角膜塑形镜配戴患儿知信行潜在剖面特征及影响因素[J]. 山东大学耳鼻喉眼学报, 2026, 40(4): 105-110.

LIU Jun, YAN Jingyu, CHEN Wei, ZHENG Lili, CHEN Xiuhong, HU Jinping. Knowledge, attitude, and practice latent profile characteristics among children wearing orthokeratology lenses and influencing factors[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(4): 105-110.

参考文献

[1] 中华人民共和国中央人民政府. 国家疾控局积极推进儿童青少年近视防控近视率呈下降趋势[EB/OL].(2024-03-13)[2025-10-13]. https://www.gov.cn/lianbo/bumen/202403/content_6939270.htm
[2] Bullimore MA, Johnson LA. Overnight orthokeratology[J]. Cont Lens Anterior Eye, 2020, 43(4): 322-332. DOI:10.1016/j.clae.2020.03.018
[3] Vincent SJ, Cho P, Chan KY, et al. BCLA CLEAR-orthokeratology[J]. Contact Lens Anterior Eye, 2021, 44(2): 240-269. DOI:10.1016/j.clae.2021.02.003
[4] 靳慧霞, 陈霞. 长期配戴角膜塑形镜对青少年视觉质量及细菌感染发生的影响[J]. 中国学校卫生, 2022, 43(12): 1847-1850. DOI:10.1016/j.clae.2021.02.003
[5] Sartor L, Hunter DS, Vo ML, et al. Benefits and risks of orthokeratology treatment: a systematic review and meta-analysis[J]. Int Ophthalmol, 2024, 44(1): 239. DOI:10.1007/s10792-024-03175-w
[6] 陈影, 杨韵博, 庞辰久. 角膜塑形镜佩戴致铜绿假单胞菌感染性角膜炎诊疗一例[J]. 中华实验眼科杂志, 2023, 41(5): 482-483. DOI:10.3760/cma.j.cn115989-20221207-00578
[7] Cope JR, Collier SA, Schein OD, et al. Acanthamoeba Keratitis among rigid gas permeable contact lens wearers in the United States, 2005 through 2011[J]. Ophthalmology, 2016, 123(7): 1435-1441. DOI:10.1016/j.ophtha.2016.03.039
[8] 白国欣, 曹明聪, 李海月, 等. 近视儿童青少年角膜塑形镜配戴依从性纵向轨迹分析[J]. 中国学校卫生, 2025, 46(5): 728-731, 736. DOI:10.16835/j.cnki.1000-9817.2025148
[9] Bian ZW, Xu XD, Chen DY, et al. Assessment of patient compliance in orthokeratology and analysis of influencing factors: a cross-sectional study[J]. BMC Ophthalmol, 2021, 21(1): 396. DOI:10.1186/s12886-021-02148-2
[10] 扶城宾, 何瑞霞, 杨洁, 等. 东莞地区近视青少年儿童配戴角膜塑形镜的依从性及影响因素[J]. 国际眼科杂志, 2019, 19(12): 2111-2114. DOI:10.3980/j.issn.1672-5123.2019.12.26
[11] 李维瑜, 刘静, 余桂林, 等. 知信行理论模式在护理工作中的应用现状与展望[J]. 护理学杂志, 2015, 30(6): 107-110. DOI:10.3980/j.issn.1672-5123.2019.12.26
[12] 郭艳童, 于媛媛, 陈莹莹, 等. 山东省主动健康示范区域老年人慢病管理知信行现状及影响机制[J]. 山东大学学报(医学版), 2024, 62(7): 98-105. DOI:10.6040/j.issn.1671-7554.0.2024.0166
[13] 朱雪梅, 李新雨, 戚瑞亭, 等. 知信行理论在学龄前儿童眼保健健康教育中的应用与效果[J]. 解放军护理杂志, 2019, 36(11): 15-18. DOI: 10.3969/j.issn.1008-9993.2019.11.004
[14] 尹奎, 彭坚, 张君. 潜在剖面分析在组织行为领域中的应用[J]. 心理科学进展, 2020, 28(7): 1056-1070. DOI: 10.3724/SP.J.1042.2020.01056
[15] 刘君, 闫京豫, 陈巍, 等. 基于德尔菲法近视儿童角膜塑形镜配戴知信行问卷的研制及信效度检验[J]. 中华眼视光学与视觉科学杂志, 2024, 26(10): 772-779. DOI:10.3760/cma.j.cn115909-20240125-00040
[16] 刘君, 王志稳, 胡晋平, 等. 角膜塑形镜佩戴依从性影响因素及改善策略的研究进展[J]. 中国护理管理, 2024, 24(5): 797-800. DOI:10.3969/j.issn.1672-1756.2024.05.030
[17] 张春花, 林书丹, 陈燕燕. 儿童青少年角膜塑形镜配戴依从性研究的范围综述[J]. 中国学校卫生, 2024, 45(5): 746-750, 756. DOI:10.16835/j.cnki.1000-9817.2024153
[18] 胡晋平, 刘君, 刘征, 等. 医护人员对临床操作不确定感问卷的编制及信效度评价[J]. 中国实用护理杂志, 2014, 30(33): 70-72. DOI:10.16835/j.cnki.1000-9817.2024153
[19] 何坤夏, 卢海燕, 黄惠瑶. 翻转课堂教学在角膜塑形术首次戴镜患儿中的应用[J]. 护理学杂志, 2020, 35(1): 61-63. DOI:10.3870/j.issn.1001-4152.2020.01.061
[20] Kam KW, Yung W, Li GKH, et al. Infectious keratitis and orthokeratology lens use: a systematic review[J]. Infection, 2017, 45(6): 727-735. DOI:10.1007/s15010-017-1023-2
[21] 中华医学会眼科学分会眼视光学组, 中国医师协会眼科医师分会眼视光学专业委员会. 角膜塑形镜护理专家共识(2024)[J]. 中华眼视光学与视觉科学杂志, 2024, 26(4): 241-248. DOI:10.3760/cma.j.cn115909-20231215-00226
[22] Baumeister RF, Bratslavsky E, Muraven M, et al. Ego depletion: is the active self a limited resource [J]. J Pers Soc Psychol, 1998, 74(5): 1252-1265. DOI:10.1037/0022-3514.74.5.1252
[23] Herschbach A, Wels A, Dieckmann P, et al. The role of motivation in weight reduction programs for children and adolescents with overweight or obesity: a systematic review[J]. Eat Weight Disord, 2025, 30(1): 53. DOI:10.1007/s40519-025-01763-y
[24] 刘宇伟, 吕淑荣. 个人健康行为改变主要理论及其整合应用[J]. 中国健康教育, 2018, 34(3): 284-287. DOI:10.16168/j.cnki.issn.1002-9982.2018.03.023

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