早产儿视网膜病变患儿家庭坚韧性调查及影响因素分析

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Investigation of Family Hardinessand Analysis of Influencing Factors in Children with Retinopathy of Prematurity/ZHAN Chang， CUI Wenwen， LIU Fang. //Medical Innovation of China， 2025， 22（11）：161165

[Abstract]Objective： To investigate the family hardiness of children with retinopathy of prematurity （ROP）and its influencing factors.Method： A total of 70 children with ROP and their family members who were admitted to Jiujiang Maternaland Child Health Hospital from September 2023 to January 2024 were selected as the study objects.According to thefamily hardinessindex （FHl）score， the children were divided into high group （FHI scores >50 points， n=47 ） and low group （FHI scores ≤50 points， n=23 ）. The psychological status， coping style， self-effcacy and general information of the two groups were compared， and the influencing factors of family hardiness were analyzed.Result：There were statistically significant differences in psychological status， coping style， self-effcacy score，clinical stage，family age，familyeducation level， work status，per capita monthly income，whether chronic diseases were combined， and medical expense payment method between the two groups （ P <0.05）.Theresults of multivariatelogistic regression analysis showed that clinical stage，family education level， work status， medical expense payment method，per capita monthly income，and combined chronic diseases were the independent risk factors affecting family hardiness of children with ROP （ P <0.05）. Conclusion： The family tenacity ofchildrenwith ROPisafectedbythe severityof thedisease，thefamily'seducation level，work status，

基金项目：九江市科技计划项目（S2023ZDYFN453） ① 眼科江西九江332000 通信作者：詹昶

per capita monthly income and other factors.

[Key words] Retinopathy of prematurity Familyhardiness Psychological status Influencing factors

First-author's address： Department of Ophthalmology， Jiujiang Maternal and Child Health Hospital， Jiujiang 332000， China

doi：10.3969/j.issn.1674-4985.2025.11.036

早产儿视网膜病变（ROP）为新生儿致盲的主要原因，多发生于出生后3～6周，病灶位于视网膜血管上，临床多以激光、巩膜环扎等方法治疗，虽然部分患者可治愈，但仍有部分患儿会存在弱视、青光眼、斜视等后遗症，甚至部分患儿会进展为失明，增加家庭照护负担，为家属造成较大心理及经济压力，易影响家庭健康关系[-]。（剩余5326字）