Objective To evaluate the relationship between retinal nerve fiber layer (RNFL)thickness measured by optical coherence tomography (OCT) and the refractive error and age using partial correlation analysis. Methods A total of 106 right eyes of healthy subjects, comprising 33 eyes with high myopia ( spherical equivalent [SE] < - 6. 0 D) , 60 eyes with moderate myopia ( - 6. 0 D ≤ SE < - 3.0 D) and 13 eyes with low myopia and emmetropia ( -3.0 D≤SE <0. 5 D) were analyzed in this cross-sectional study. Mean clock hour, quadrant and total average RNFL thicknesses were measured by OCT and compared among the three groups respectively. Associations among RNFL measurements and spherical equivalent and age were evaluated by partial correlation analysis. Results The mean RNFL thickness measurement in high myopia(95.74 ± 13.46) μm was significantly lower than that in moderate myopia group ( 101.43 ± 11.53 ) μm, low myopia group and emmetropia group ( 108. 06 ± 8.42) μm ( P < 0. 05 ). Positive correlations were found between RNFL measurements at 1, 5, 6 and 12 o'clock, superior and inferior quadrant, and total average RNFL and SE ( r = 0. 36,0. 33,0. 43,0. 29,0. 28,0. 39, P < 0. 01, r = 0. 22,P <0. 05), while negative correlations were found between RNFL measurements at 8, 9 and 10 o'clock and temporal quadrant and SE ( r = -0.21, P <0.05, r = -0.36, P <0.01; r = -0.24, P <0.05; r = -0. 30, P <0. 01 ). RNFL measurements at 2, 3, 4 and 6 o'clock and nasal and inferior quadrant varied with age ( r = -0.20,-0.20,-0.20,P <0.05,r =0.31,P <0.01). Conclusions RNFL measurements varied with the refractive error and age. Analysis of RNFL thickness in the evaluation of glaucoma should always be interpreted with reference to the refractive status and age. In the same time, the location of the RNFL should be noted.

Objective To explore the effects of follow-up management based on structural family therapy on self efficacy and quality of life in discharged puerpera. Methods A total of 124 hospitalized puerpera with childbirth of the Affiliated Hospital of Medical School of Ningbo University were selected from October 2015 to October 2016. All of them were divided into observation group and control group, 62 cases in each group. Puerpera of control group were treated with conventional nursing. On the basis of the conventional nursing, puerpera of observation group adopted follow-up management based on structural family therapy. We compared the scores of breast feeding knowledge questionnaire, the rate of exclusive breastfeeding and the quality of life with the Exercise of Self-Care Agency Scale (ESCA) and the quality of life index scale of puerpera in two groups. Results The mean score of breast feeding knowledge questionnaire of puerpera in the observation group was higher than that in the control group with a significant difference (P<0.05). The rate of exclusive breastfeeding of puerpera in the observation group was 93.54% higher than that in the control group (74.19%) with a significant difference (P<0.05). There was a statistically significant difference in the total score of self efficacy of puerpera between the observation group and the control group [(143.4±14.0) vs. (109.6±11.6)] (P< 0.05). The total score of quality of life of puerpera in the observation group was significantly higher than that in the control group [(8.8±1.3) vs. (5.6±1.1)](P< 0.05). Conclusions The follow-up management based on structural family therapy is favourable to improve the self efficacy on nursing and quality of life of puerpera so as to increase the rate of breast feeding.