目的 通过观察实验组和对照组儿童在一学年后视力、认知与行为的变化,探讨医教结合模式下的儿童眼保健健康教育课程在改善学龄前儿童对眼保健知识的认知、用眼行为以及预防和降低视力不良发生的效果。方法 对实验组和对照组实施为期一学年的不同形式的健康教育课程,并对干预效果进行评价与分析。结果 1)实验组儿童视力低常率有明显下降,差异有统计学意义(P＜0.05),而对照组视力低常率变化无统计学意义;2)实验组儿童在眼保健知识的认知条目中有17项发生明显改善,对照组有6项改善,差异有统计学意义(P＜0.05);3)实验组儿童在用眼行为条目中有6项发生明显改善,对照组有3项发生改善,差异有统计学意义(P＜0.05)。结论 医教结合模式眼保健健康教育课程切实可行,可有效改善儿童眼保健知识的认知与用眼行为、预防及降低视力不良的发生。

Objective To observe children′s change of eyesight,cognition and behavior after one school year ,to explore the combination of medical education mode of children′s eye care health education,and to improve cognition of preschool children′s eye care knowledge,eye behavior and prevent and reduce low vision effect. Methods The implementation of different forms of health education curriculum for the school year were carried between experimental group and control group,and the intervention effects were evaluated and analysed. Results 1) The subnormal vision of the experimental group had significantly reduced (P＜0.05),whereas the control group had no statistical significance;2) 17 of the cognitive entry of eye care knowledge in experimental group had improved,6 of the control group had obviously improved (P＜0.05);3) 6 of the eye behavior in the experimental group had improved,3 of the control group had obviously improved (P＜0.05). Conclusions The combination of medical education and health education curriculum is feasible.It can effectively improve the knowledge of children′s eye health care knowledge and the use of eye behavior,and can prevent and reduce the occurrence of low vision.