湖北省襄阳地区早产儿视网膜病变认知调查

Cognitive survey of retinopathy in premature infants in Xiangyang area

  • 摘要:
    目的 分析湖北省襄阳地区新生儿重症监护病房(NICU)及产科医护人员、早产儿家长对早产儿视网膜病变(ROP)的认知情况。
    方法 本研究采用问卷调查方法选择2020年10月—2022年10月在湖北省襄阳市中心医院眼科行ROP筛查的115名早产儿家长及85名襄阳地区新生儿重症监护病房(NICU)人员和产科医护人员为研究对象。记录早产儿基本情况,采用调查问卷对新生儿家长、NICU人员及产科医护人员关于ROP相关知识的认知情况进行调查,并记录调查结果。
    结果 本研究家长版调查问卷共回收有效问卷115份。54位家长(46.96%)听说过ROP, 61位家长(53.04%)未听说过ROP。在所有听说过ROP的早产儿家长中, 10位家长(18.52%)通过网上查询或朋友得知, 41位家长(75.93%)通过NCIU医生得知,分别有1位(1.85%)通过NCIU护士、产科医生、产科护士告知得知,家长ROP听说途径情况比较,差异有统计学意义(χ2=122.709, P < 0.001)。医护人员调查问卷共回收有效问卷95份, 仅有7名医护人员可正确写出ROP筛查标准,且均为NICU医生。NICU医生对早产儿家长ROP告知率高于NICU护士、产科医生、产科护士,差异有统计学意义(P < 0.05)。
    结论 湖北省襄阳地区进行ROP筛查的早产儿的家长对ROP相关知识的了解十分欠缺,学历水平是早产儿家长了解ROP相关知识的重要影响因素。相关科室医护人员也应加强ROP相关知识的学习, NICU医生对于ROP宣传具有最重要作用,应重点加强ROP相关知识的宣传力度。

     

    Abstract:
    Objective To analyze the awareness of retinopathy of prematurity (ROP) among medical workers in Neonatal Intensive Care Unit (NICU) and obstetrical department, and parents of premature infants in Xiangyang area of Hubei Province.
    Methods This study used a questionnaire survey to select 115 parents of premature infants who underwent ROP screening from October 2020 to October 2022 and 85 neonatologists and obstetricians in NICU and obstetrics departments of Xiangyang Central Hospital in Hubei Province. The basic situation of premature infants was recorded, and the questionnaires were used to investigate the cognitive status of parents of premature infants, neonatologists, and obstetricians on ROP-related knowledge, and the results were recorded.
    Results A total of 115 valid questionnaires were collected from parents. Fifty-four parents (46.96%) had heard of ROP, and 61 parents (53.04%) had never heard of ROP. Among all parents who had heard of ROP, 10 parents (18.52%) learned through online queries or friends, 41 parents (75.93%) learned through NCIU doctors, and 1 guardian learned through NCIU nurses, 1 through obstetricians, and 1 through obstetric nurses. There were significant differences in the ways parents heard about ROP (χ2=122.709, P < 0.001). A total of 95 valid questionnaires were collected from medical staff, and only 7 medical staff could correctly write the ROP screening criteria, all of whom were NICU doctors. The NICU doctors had a higher rate of informing parents of premature infants about ROP than NICU nurses, obstetricians, and obstetric nurses (P < 0.05).
    Conclusion Parents of premature infants who undergo ROP screening in Xiangyang, Hubei Province have a serious lack of knowledge about ROP-related knowledge, and education level is an important factor influencing parents' understanding of ROP-related knowledge. Medical staff in relevant departments should also strengthen their learning of ROP-related knowledge. NICU doctors play the most important role in promoting ROP, and the publicity of ROP-related knowledge should be strengthened.

     

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