Abstract:Objective To investigate the influencing factors of retinoblastoma (RB) children’s family members’ compliance with interventional surgery. Methods A total of 500 children with RB admitted to Xinhua Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University (hereinafter referred to as “our Hospital”) from January to December 2020 were selected as the research objects, and one family member from each family was selected as the key objects. The compliance questionnaire made by our hospital was used to evaluate the compliance of all the children’s family members to the interventional surgery. According to the results, the children’s family members were divided into poor compliance group (< eight points, 42 cases) and good compliance group (≥ eight points, 458 cases). The baseline data of the children and their families were recorded and compared in detail, and the factors influencing the poor compliance of family members of RB children with interventional surgery were screened by univariate and multivariate analysis. Results The proportion of leucocoria and the proportion of monthly family income ≥5000 yuan in poor compliance group were lower than those in good compliance group, and the differences were statistically significant (P < 0.05). There were statistically significant differences in educational level and anxiety level between the two groups (P < 0.05). Leucocoria and moderate and severe anxiety were independent risk factors for poor compliance with interventional surgery in the families of children with RB (OR > 1, P < 0.05), while the educational level of the family members was technical secondary school or high school or above, and the family income ≥5000 yuan was the protective factors (OR < 1, P < 0.05). Conclusion RB children with leucocoria as the main symptom, and moderate and severe anxiety may lead to poor compliance of family members to interventional surgery, which should be paid attention to.
[1] 郝冰,李佳,李秀红,等.118例视网膜母细胞瘤临床治疗分析[J].第三军医大学学报,2020,42(9):93-98.
[2] Rao R,Honavar SG,Reddy VP. Preservation of retinoblastoma group E eyes with neovascular glaucoma using intravenous chemotherapy:risk factors and outcomes [J]. Br J Ophthalmol,2019,103(12):1856-1861.
[3] 刘元真.眼动脉介入化疗对眼内晚期视网膜母细胞瘤的临床疗效观察[J].实用癌症杂志,2017,32(8):1247-1250.
[4] Rishi P,Sharma T,Sharma M,et al. Intra-Arterial chemotherapy for retinoblastoma:Two-year results from tertiary eye-care center in India [J]. Indian J Ophthalmol,2017,65(4):311-315.
[5] 许思思,朱冬梅.长春新碱+依托泊苷+卡铂静脉化疗方案在视网膜母细胞瘤中的应用分析[J].癌症进展,2020, 18(7):72-75.
[6] 杨培增,范先群.眼科学[M].北京:人民卫生出版社,2018:202-203.
[7] Daabiss M. American Society of Anaesthesiologists physical status classification [J]. Indian J Anaesth,2011,55(2):111-115.
[8] 中华医学会眼科学分会眼底病学组,中华医学会儿科学分会眼科学组,中华医学会眼科学分会眼整形眼眶病学组.中国视网膜母细胞瘤诊断和治疗指南(2019年)[J].中华眼科杂志,2019,55(10):726-738.
[9] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[10] Fabian ID,Naeem Z,Stacey AW,et al. Long-term Visual Acuity,Strabismus,and Nystagmus Outcomes Following Multimodality Treatment in Group D Retinoblastoma Eyes [J]. Am J Ophthalmol,2017,134(179):137-144.
[11] 高进保,李文德,于斌,等.短程同步放疗联合替莫唑胺对胶质母细胞瘤患者生存情况的影响[J].中国医药导报,2018,15(17):102-105.
[12] Mourits DL,Hartong DT,Lissenberg-Witte BI,et al. Cosmetic results of enucleation and/or external beam radiation therapy in 195 retinoblastoma survivors [J]. Acta Ophthalmol,2018,96(6):631-640.
[13] Abramson DH,Catalanotti F,Brodie SE,et al. Intravitreal chemotherapy and laser for newly visible subretinal seeds in retinoblastoma [J]. Ophthalmic Genet,2018,39(3):353-356.
[14] Pierre P,Bioulac S,Elemarije A,et al. Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients [J]. PLoS One,2018,13(4):e0195343.
[15] Dubrovsky B,Inamac A,Gikashvili L,et al. 0712 CPAP Compliance:Roles Of Depressive Symptoms,Polysomnographic And Self-report Sleep Measures [J]. Sleep,2020,43(1):A271.
[16] 王欣迪,段超,张大伟,等.神经母细胞瘤患儿首发症状及其诊断意义分析[J].中华实用儿科临床杂志,2019, 34(5):359-363.
[17] 闫丽,于晓明,张秀萍.儿童视网膜母细胞瘤的临床病理特点和治疗方法分析[J].中国肿瘤临床与康复,2020, 27(4):19-21.
[18] Ebru B,Tulay SM. Effects of structured patient education on knowledge level and INR control of patients receiving warfarin:Randomized Controlled Trial [J]. Pak J Med Sci,2018,34(2):240-246.
[19] Jin L,Zhang W,Pan H,et al. Retrospective investigation of retinoblastoma in Chinese patients [J]. Oncotarget,2017,8(65):108492-108497.
[20] 周思睿,闵晓雪,陶韵涵,等.66例视网膜母细胞瘤患儿临床资料分析[J].中华眼底病杂志,2020,36(1):42-45.
[21] 李敏燕,周元敏,陈婧华,等.医护联合延续护理对视网膜母细胞瘤患儿介入术后父母希望水平和应对方式的影响[J].护理实践与研究,2017,14(22):81-83.
[22] Collins MLZ,Bregman J,Ford JS,et al. Depression,Anxiety,and Stress in Parents of Patients With Retinoblastoma [J]. Am J Ophthalmol,2019,136(207):130-143.
[23] 廖佳,廖明德,韦敏,等.以家庭为中心的教育干预对血管瘤患儿服药依从性及健康状况的影响[J].广西医科大学学报,2018,35(4):575-578.
[24] 张萍.基于微信平台的家长协同护理模式对学龄前期支气管哮喘患儿吸入治疗依从性及疗效分析[J].中国医药科学,2019,9(7):101-104,115.
[25] 史小曼.家庭参与疼痛管理护理模式对小儿先天性心脏病术后治疗依从性及并发症的影响[J].现代医学,2020, 48(2):108-112.
[26] 杜静,梁娟.哮喘急性期患儿雾化治疗依从性及影响因素分析[J].中国医药导报,2021,18(12):131-134.
[27] Wang J,Yue P,Huang J,et al. Nursing Intervention on the Compliance of Hemodialysis Patients with End-Stage Renal Disease:A Meta-Analysis [J]. Blood purif,2018, 45(1/3):102-109.