Abstract：
OBJECTIVE: To investigate the relationships among myopia treatment, decision regret, shared decision-making, and vision-related quality of life among parents of 6-12-year-old children with myopia.
METHODS: An online Google Forms questionnaire was developed using a cross-sectional design and distributed between January 16 and August 22, 2023. Parents of 6-12-year-old children with myopia were recruited through school nurses working in Taiwan. The children\'s and parents\' demographic data were collected. Study instruments included the Decisional Regret Scale, Shared Decision-Making, and Vision-Related Quality of Life questionnaires. Multivariable linear regression analysis was used to identify factors influencing vision-related quality of life.
RESULTS: Of 350 parents contacted, 314 questionnaires were analyzed. Among the respondents, 77.39 % (n = 243) were mothers, and most were aged >40 years. The mean age of children at myopia diagnosis was 7.12 ± 1.24 years; 46.50 % had < - 1.0 diopters of refractive error. Atropine eye drops were the primary treatment; 17.71 % of children were prescribed orthokeratology for myopia control. Parents reported low levels of decision regret and moderate levels of shared decision-making and vision-related quality of life. Children\'s age, use of orthokeratology lenses, decision regret, and shared decision-making significantly influenced the vision-related quality of life reported by the parents, accounting for 22.5 % of the variance.
CONCLUSIONS: The study\'s findings emphasize the importance of addressing decision regret and promoting shared decision-making in myopia treatment. Eye care professionals should discuss treatment options thoroughly before making decisions. Through shared decision-making, parents can make informed choices about treatments based on a comprehensive understanding of the benefits and drawbacks, ultimately benefitting children\'s vision health.
METHODS: An online Google Forms questionnaire was developed using a cross-sectional design and distributed between January 16 and August 22, 2023. Parents of 6-12-year-old children with myopia were recruited through school nurses working in Taiwan. The children\'s and parents\' demographic data were collected. Study instruments included the Decisional Regret Scale, Shared Decision-Making, and Vision-Related Quality of Life questionnaires. Multivariable linear regression analysis was used to identify factors influencing vision-related quality of life.
RESULTS: Of 350 parents contacted, 314 questionnaires were analyzed. Among the respondents, 77.39 % (n = 243) were mothers, and most were aged >40 years. The mean age of children at myopia diagnosis was 7.12 ± 1.24 years; 46.50 % had < - 1.0 diopters of refractive error. Atropine eye drops were the primary treatment; 17.71 % of children were prescribed orthokeratology for myopia control. Parents reported low levels of decision regret and moderate levels of shared decision-making and vision-related quality of life. Children\'s age, use of orthokeratology lenses, decision regret, and shared decision-making significantly influenced the vision-related quality of life reported by the parents, accounting for 22.5 % of the variance.
CONCLUSIONS: The study\'s findings emphasize the importance of addressing decision regret and promoting shared decision-making in myopia treatment. Eye care professionals should discuss treatment options thoroughly before making decisions. Through shared decision-making, parents can make informed choices about treatments based on a comprehensive understanding of the benefits and drawbacks, ultimately benefitting children\'s vision health.
摘要：
目的：探讨近视眼治疗的关系，决定后悔，共同决策，6-12岁近视儿童父母的视力相关生活质量。
方法：使用横截面设计开发了在线GoogleForms问卷，并在2023年1月16日至8月22日之间分发。6-12岁近视儿童的父母是通过在台湾工作的学校护士招募的。收集了儿童和父母的人口统计数据。研究工具包括决策后悔量表，共同决策,和视觉相关的生活质量问卷。采用多元线性回归分析确定影响视力相关生活质量的因素。
结果：联系了350位家长，对314份问卷进行了分析。在受访者中，77.39%（n=243）是母亲，大多数年龄>40岁。诊断为近视的儿童的平均年龄为7.12±1.24岁；46.50％的屈光度<-1.0。阿托品滴眼液是主要治疗方法；17.71％的儿童接受角膜塑形术控制近视。父母报告的决策遗憾程度较低，共同决策和与愿景相关的生活质量处于中等水平。儿童的年龄,使用角膜塑形镜，决定后悔，共同决策对父母报告的视力相关生活质量有显著影响，占差异的22.5%。
结论：研究结果强调了解决近视治疗中决策遗憾和促进共同决策的重要性。眼科护理专业人员应在做出决定之前彻底讨论治疗方案。通过共同决策，父母可以根据对利弊的全面了解，对治疗方法做出明智的选择，最终有利于儿童的视力健康。
方法：使用横截面设计开发了在线GoogleForms问卷，并在2023年1月16日至8月22日之间分发。6-12岁近视儿童的父母是通过在台湾工作的学校护士招募的。收集了儿童和父母的人口统计数据。研究工具包括决策后悔量表，共同决策,和视觉相关的生活质量问卷。采用多元线性回归分析确定影响视力相关生活质量的因素。
结果：联系了350位家长，对314份问卷进行了分析。在受访者中，77.39%（n=243）是母亲，大多数年龄>40岁。诊断为近视的儿童的平均年龄为7.12±1.24岁；46.50％的屈光度<-1.0。阿托品滴眼液是主要治疗方法；17.71％的儿童接受角膜塑形术控制近视。父母报告的决策遗憾程度较低，共同决策和与愿景相关的生活质量处于中等水平。儿童的年龄,使用角膜塑形镜，决定后悔，共同决策对父母报告的视力相关生活质量有显著影响，占差异的22.5%。
结论：研究结果强调了解决近视治疗中决策遗憾和促进共同决策的重要性。眼科护理专业人员应在做出决定之前彻底讨论治疗方案。通过共同决策，父母可以根据对利弊的全面了解，对治疗方法做出明智的选择，最终有利于儿童的视力健康。
