A Study On The Application Effect Of Family Support Education Model Based On Protective Motivation Theory On Myopic Children

Objective:1.Myopia growth in children can be slowed down by being aware of the information,beliefs,behavior level,and influencing factors connected to eye cleanliness in myopic children.2.The best research on environmental factors that can be used to treat myopia in children should be thoroughly searched,analyzed,and integrated.References should also be provided for creating complete,scientific myopia management programs.3.Construct a family support education program based on the theory of protective motivation for myopic children and their parents.4.To explore the application effect of family support education model based on protective motivation theory in myopic children.Methods:1.A questionnaire survey on the level of knowledge and practice related to eye hygiene for myopic children,as well as a questionnaire survey on the attitudes of their parents toward vision care,were conducted among children aged 5 to 12 who visited a provincial tertiary eye hospital between January 2022 and February 2022.2.The appropriate literature on the management of myopia in children was retrieved using a computer system in accordance with the evidence-based nursing technique,the quality of which was assessed,and the evidence was extracted and summarized based on expert judgment.3.To build a family support education model for myopic children based on protective motivation theory,the paper will use a literature review to understand the research status of conservation motivation theory in the promotion of healthy behavior.It will also combine evidence summary,two rounds of expert meetings,and pre-experiments.4.By convenient sampling,a total of 124 children and their parents who had myopia between June and July 2022 were randomly assigned to two groups of 62 cases each.The control group underwent routine health education,while the experimental group underwent the family support education model based on the theory of protection motivation.These groups were then compared for eye knowledge,belief,behavior level,and outdoor activity level in the sun exposure.Results:1.The scores of eye hygiene related knowledge of myopic children were(10.27±3.45),the related belief score was(4.15±2.47),and the related behavior score was(17.30±2.82),Regression analysis showed that parents’ education level and parents’ vision health care attitude of myopic children were the influencing factors of eye hygiene level of myopic children(P<0.05).2.A total of 23 articles were included,including 6 guidelines,3 expert consensus articles and 14 systematic reviews.The 27 best pieces of evidence were summarized from four aspects: management objectives,risk assessment,environmental management measures and health education.3.A family support education model for myopic children based on the theory of protective motivation was formed.4.Results of randomized controlled trials:(1)The general data for myopic children were comparable between the two groups(P>0.05).(2)There were no significant differences in the scores of eye knowledge,beliefs,behaviors and sunlight exposure outdoor activity levels between the two groups of myopic children(P>0.05).(3)The pre-intervention control group and the experimental group of myopic children scored(11.29±3.50),(4.53±2.46),(15.71±3.62),(11.76±3.62),(4.94±2.37) and(16.24±3.79),respectively.The scores of eye knowledge,beliefs and behaviors of myopic children in the post-intervention group were(14.94±2.59),(6.31±0.95) and(21.27±3.68),respectively,which were significantly higher than those of(11.11±3.59),(4.55±2.27)and(17.47±2.69)(t=6.809,P<0.001;t=5.632,P<0.001;t=6.574,P<0.001).The scores of eye knowledge,beliefs and behaviors of myopic children in the experimental group one month after intervention were(13.63±2.74),(6.02±1.22)and(19.95±3.48),respectively,which were significantly higher than those of(10.58±3.51),(5.06±2.19),and(17.13±2.95)(t=5.395,P<0.001;t=2.991,P=0.004;t= 4.871,P<0.001)。 The results of repeated measures of ANOVA showed that the group,time and interaction effects of eye knowledge,beliefs and behavior scores in the two groups were significant before,after and one month after the intervention,and the difference was statistically significant(P<0.05).(4)The scores of sunlight exposure outdoor activity levels of myopic children in the experimental group after the intervention and 1 month after the intervention were(50.89±5.41)and(54.42±6.95),respectively,which were significantly higher than those in the control group(43.45±12.21)and(44.94±13.36)(t=4.382,P<0.001;t=4.959,P<0.001).Conclusion:Myopia management strategies should be developed by medical professionals,and management measures for myopic children should begin with parents to increase their knowledge and belief level regarding their children’s eye hygiene.Myopic children need to have better knowledge,beliefs,and behaviors related to eye hygiene.Therefore,this study constructs a family-supported education model based on the theory of protective motivation as the theoretical framework of conservation motivation theory,and the application of this model to myopic children can improve their understanding of healthy eye knowledge,improve eye awareness,and form correct eye use behavior habits.