慢性病自我管理模式指导纸质视力表标准化自我视力监测的研究

Effect of vision self- monitoring with paper vision chart among myopia patients

目的:探讨慢性病自我管理模式指导纸质视力表应用于近视青少年进行标准化自我视力监测的有效性。方法:近视青少年74例随机分为试验组和对照组。试验组依据慢性病自我管理模式进行纸质视力表标准化自我视力监测及门诊定期随访。对照组常规用眼卫生教育和门诊随访。比较试验组和对照组屈光度进展情况。结果:试验前,试验组和对照组之间平均屈光度无显著性差异(P>0.05)。试验结束时,试验组和对照组之间平均屈光度存在显著性差异(P<0.05),对照组平均屈光度进展大于试验组,差别有显著性(P<0.05)。结论:慢性病自我管理模式指导纸质视力标准化自我视力监测可以控制青少年近视屈光度的进展。

AIM：To explore the effectiveness of the self-monitoring for changes in vision with paper vision chart under the guidance of chronic disease self-management program （ CDSMP） . METHODS： A total of 74 teenagers with myopia were randomly divided into the experimental group and the control group.The patients of the experimental group self-monitored their vision with paper vision chart according to the CDSMP.The patients of the control group were provided with education on tips to keep eyes healthy.All patients were followed up once every 3 months, and their myopia diopter was measured 2 years later. RESULTS： There was no statistically significant difference in average diopter between the experimental group and the control group before research （P〉0.05）. However, after the research, there was statistically significant difference in average diopter （P〈0.05）.The average diopter in the control group progressed more significantly than that in the experimental group during the research （P〈0.05）. CONCLUSION： The vision self-monitoring with paper vision chart according to CDSMP can control the progress of myopia in teenagers.