A survey of eye-using behavior among myopia adolescents and analysis of influencing factors on parental care service needs

Objective To analyze the present situation of eye-using behavior of adolescents with myopia, and to explore the influencing factors of parents' nursing service demand.

Methods A total of 198 myopia patients(aged 12 to 18 years) and their parents were selected as research objects. General Data Questionnaire, Patients' Eye Behavior Questionnaire, Parents' Myopia Prevention and Control Knowledge Assessment Scale and Parents' Demand for Myopia Nursing Service Questionnaire were used to investigate the adolescents' myopia.

Results Among the 198 myopic patients, 41.92% of them could maintain reasonable posture in reading and (or) writing, 71.72% of them could read and (or) write for less than 40 min each time, 58.59% of them could overlook 6 m far away for 20 s after reading and (or) writing for 20 min, 31.82% of the participants had outdoor exercise time >2 hours in sun-drenched environment, 53.54% of the participants used electronic products < 20 minutes per day, 35.86% of the participants had sleep time >8 hours per day, 66.16% of the participants had reasonable diet and no picky eating and the total formation rate of correct eye use behavior was 51.37%. Among the 198 parents of children, 168(84.85%) needed professional health education guidance in myopia prevention and control; 87 parents(43.94%) obtained knowledge about myopia prevention and control through WeChat or Tik Tok. Binary Logistic regression analysis showed that parents' educational level, whether parents were nearsighted or not, and parents' awareness of prevention and control knowledge for myopia were the main influencing factors on the demand for myopia prevention and control nursing services for parents (P < 0.05).

Conclusion Myopia adolescents have poor eye behavior, while parents have high demand for healthy eye care services. Therefore, we should formulate nursing approaches and forms according to the different characteristics of parents of children with myopia prevention and control, and further improve the knowledge level of myopia prevention and control, thereby improving the healthy eye behavior of adolescents with myopia.