乌鲁木齐市4所小学近视小学生视功能相关生存质量现状及其影响因素
|
摘要
目的分析乌鲁木齐市4所小学近视小学生视功能相关生存质量现状及其影响因素,为制定提高近视小学生生存质量的干预策略提供理论依据。方法 2018年5—7月,采用分层整群随机的抽样方法随机抽取乌鲁木齐市4所小学中552名四至六年级近视学生为研究对象,采用自行设计的调查表、视功能相关生存质量量表调查552名近视小学生的视功能相关生存质量,分析其视功能相关生存质量的影响因素。结果近视小学生视功能相关生存质量量表各个领域得分均低于视力正常小学生的得分,其中总的健康(t=12.755,P<0.01)、总的视力(t=31.289,P<0.01)、眼部疼痛(t=35.529,P<0.01)、视力状态(t=35.364,P<0.01)、外出活动(t=14.304,P<0.01)、社交功能(t=16.250,P<0.01)、心理健康(t=18.479,P<0.01)、活动受限(t=4.565,P<0.01)、依赖他人(t=10.746,P<0.01)、周边视野(t=2.213,P<0.05)、总均分(t=17.736,P<0.01),两组比较差异均有统计学意义。四、五、六年级各组内不同近视程度学生的视功能相关生存质量得分差异有统计学意义(F=10.930,P<0.01)。单因素分析结果显示,年级(F=15.490,P<0.01)、近视程度(F=19.510,P<0.01)、近视病程(F=17.584,P<0.01)、戴镜时间(F=3.549,P<0.05)为近视小学生视功能相关生存质量的影响因素。多因素logistic分析结果显示,年级、近视程度、近视病程、戴镜时间均是损伤近视小学生视功能相关生存质量的影响因素(P<0.05)。结论乌鲁木齐市四至六年级近视学生视功能相关生存质量问题突出,可能由近视程度、近视病程、戴镜时间等因素导致。针对危险因素,探索有效的干预措施,是提高近视小学生视觉生存质量的重中之重。
[Objective]To investigate the status and influencing factors of visual function-related life quality of myopic pupils,and to provide theoretical basis for formulating intervention strategies to improve the life quality of myopic pupils in 4 primary schools in Urumqi. [Methods]From May to July 2018,stratified cluster random sampling method was used to select the fourth-,fifth-,and sixth-grade myopic pupils(552 cases) from 4 primary schools in Urumqi. A self-designed questionnaire and a Chinese version of NEI-VFQ-25 were used to investigate the visual function-related life quality of 552 myopic students. Pupils' visual functionrelated life quality and its influencing factors were analyzed. [Results]The scores of the visual functio-related life quality scale for myopic pupils in all fields were lower than those of normal pupils. There were significant differences between the two groups in the aspects of total health(t=12.755,P<0.01),total visual acuity(t=31.289,P<0.01),eye pain(t=35.529,P<0.01),visual status(t=35.364,P<0.01),outgoing activities(t=14.304,P<0.01),social function(t=16.250,P<0.01),mental health(t=18.479,P<0.01),limited activities(t=4.565,P<0.01),dependence on others(t=10.746,P<0.01),peripheral visual field(t=2.213,P<0.05),total average score(t=17.736,P<0.01). There were significant differences in the scores of visual function-related life quality among the four,five and six grades students with different degrees of myopia(F=10.930,P<0.01). Univariate analysis showed that grade(F=15.490,P<0.01),degree of myopia(F=19.510,P<0.01),course of myopia(F=17.584,P<0.01),time of wearing glasses(F=3.549,P<0.05) were the influencing factors of the life quality of myopic pupils. The results of multivariate logistic analysis showed that grade,degree of myopia,course of myopia and time of wearing glasses were the influencing factors of visual function-related life quality of myopic pupils(P<0.05). [Conclusion] The life quality related to visual function of myopic pupils in grades 4 to 6 in Urumqi is prominent,which may be caused by the degree of myopia,the course of myopia and the time of wearing glasses.According to the risk factors,exploring effective intervention measures is the most important method to improve the visual life quality of myopic pupils.
[Objective]To investigate the status and influencing factors of visual function-related life quality of myopic pupils,and to provide theoretical basis for formulating intervention strategies to improve the life quality of myopic pupils in 4 primary schools in Urumqi. [Methods]From May to July 2018,stratified cluster random sampling method was used to select the fourth-,fifth-,and sixth-grade myopic pupils(552 cases) from 4 primary schools in Urumqi. A self-designed questionnaire and a Chinese version of NEI-VFQ-25 were used to investigate the visual function-related life quality of 552 myopic students. Pupils' visual functionrelated life quality and its influencing factors were analyzed. [Results]The scores of the visual functio-related life quality scale for myopic pupils in all fields were lower than those of normal pupils. There were significant differences between the two groups in the aspects of total health(t=12.755,P<0.01),total visual acuity(t=31.289,P<0.01),eye pain(t=35.529,P<0.01),visual status(t=35.364,P<0.01),outgoing activities(t=14.304,P<0.01),social function(t=16.250,P<0.01),mental health(t=18.479,P<0.01),limited activities(t=4.565,P<0.01),dependence on others(t=10.746,P<0.01),peripheral visual field(t=2.213,P<0.05),total average score(t=17.736,P<0.01). There were significant differences in the scores of visual function-related life quality among the four,five and six grades students with different degrees of myopia(F=10.930,P<0.01). Univariate analysis showed that grade(F=15.490,P<0.01),degree of myopia(F=19.510,P<0.01),course of myopia(F=17.584,P<0.01),time of wearing glasses(F=3.549,P<0.05) were the influencing factors of the life quality of myopic pupils. The results of multivariate logistic analysis showed that grade,degree of myopia,course of myopia and time of wearing glasses were the influencing factors of visual function-related life quality of myopic pupils(P<0.05). [Conclusion] The life quality related to visual function of myopic pupils in grades 4 to 6 in Urumqi is prominent,which may be caused by the degree of myopia,the course of myopia and the time of wearing glasses.According to the risk factors,exploring effective intervention measures is the most important method to improve the visual life quality of myopic pupils.
引文
[1]夏飞,吴良成.儿童近视防控干预方法的研究进展[J].国际眼科杂志,2016,16(7):1298-1301.
[2]WONG T,FERREIRA A,HUGHES R,et al. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization:an evidence-based systematic review[J]. Am J Oph,2014,57(1):9-25.e12.
[3]诸晓枫,朱剑锋,邹海东,等.2010年上海市宝山区小学生屈光不正和视力损伤的患病率调查[J].中华实验眼科杂志,2014,32(5):451-456.
[4]陈晓冲,楚艳华,韩梅,等.高度近视患者视觉相关生活质量的评估[J].中国实用眼科杂志,2013,31(3):368-372.
[5]朱姝妍,邸瑢,康前雁,等.特发性脉络膜新生血管患者视觉相关生活质量问卷调查[J].临床眼科杂志,2018,26(5):442-445.
[6]宋佳鑫,王兆京,卢丽丽,等.白内障患者生命质量及其相关因素分析[J].现代预防医学,2018,45(11):2009-2012,2022.
[7]徐广第.眼科屈光学[M].北京:军事医学科学出版社,2001:54.
[8]林素兰,王丹,咸亚静,等.乌鲁木齐市小学生社交焦虑和抑郁现状调查[J].中国当代儿科杂志,2018,20(8):670-674.
[9]李巧莉.青少年近视对视觉相关生活质量与心理健康的影响[D].广州:广州医科大学,2014:6-7.
[10]杨钰.葡萄膜炎患者视觉相关生活质量及心理状态调查[D].天津:天津医科大学,2017:2-3.
[11]章旭峰,杨卫华.高度近视合并白内障患者手术前后视觉相关生活质量评估研究[J].中国现代医生,2016,54(22):53-56,60.
[12]CHAI Y,SHAO Y,LIN S,et al. Vision-related quality of life and emotional impact in children with strabismus:a prospective study[J].J Int Med Res,2009,37(4):1108-1114.
[13] LANYON R,GIDDINGS J. Psychological approaches to myopia:a review[J]. Am J Opt&Phy Opt,2004,51(51):271-281.
[14]郭秀伟,周丽英.聊城市城区部分近视和正常视力高中生人格特征及心理健康状况[J].中国健康心理学杂志,2015,23(1):136-139.
[15]邹志礼,陈品红,蒙华庆,等.4~6年级小学生社交焦虑与自尊及自我意识的关系[J].中华行为医学与脑科学杂志,2012,21(5):436-439.
[16]赵荣凤,孙雅丽.小学生近视与心理健康的调查分析[J].中国中医眼科杂志,2009,19(1):45-46.
[17]CONGDON P,FOSTER Y,JIANG.Epidemiology of myopia[J]. Eye,2014,28(2):202-208.
[18]冯竞仰,陈凤娥,马明明.高度近视黄斑裂孔性视网膜脱离术后视功能及视觉相关生存质量分析[J].眼科新进展,2018,38(8):742-745.
[19]蔡洁,邹文进,蒋林志,等.高度近视LASIK术后远期视觉相关生活质量调查[J].中山大学学报(医学科学版),2013,34(6):966-972.
[20]吴含春.克拉玛依市不同民族中小学生近视眼流行病学调查[D].石河子:石河子大学,2012:1-44.
[2]WONG T,FERREIRA A,HUGHES R,et al. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization:an evidence-based systematic review[J]. Am J Oph,2014,57(1):9-25.e12.
[3]诸晓枫,朱剑锋,邹海东,等.2010年上海市宝山区小学生屈光不正和视力损伤的患病率调查[J].中华实验眼科杂志,2014,32(5):451-456.
[4]陈晓冲,楚艳华,韩梅,等.高度近视患者视觉相关生活质量的评估[J].中国实用眼科杂志,2013,31(3):368-372.
[5]朱姝妍,邸瑢,康前雁,等.特发性脉络膜新生血管患者视觉相关生活质量问卷调查[J].临床眼科杂志,2018,26(5):442-445.
[6]宋佳鑫,王兆京,卢丽丽,等.白内障患者生命质量及其相关因素分析[J].现代预防医学,2018,45(11):2009-2012,2022.
[7]徐广第.眼科屈光学[M].北京:军事医学科学出版社,2001:54.
[8]林素兰,王丹,咸亚静,等.乌鲁木齐市小学生社交焦虑和抑郁现状调查[J].中国当代儿科杂志,2018,20(8):670-674.
[9]李巧莉.青少年近视对视觉相关生活质量与心理健康的影响[D].广州:广州医科大学,2014:6-7.
[10]杨钰.葡萄膜炎患者视觉相关生活质量及心理状态调查[D].天津:天津医科大学,2017:2-3.
[11]章旭峰,杨卫华.高度近视合并白内障患者手术前后视觉相关生活质量评估研究[J].中国现代医生,2016,54(22):53-56,60.
[12]CHAI Y,SHAO Y,LIN S,et al. Vision-related quality of life and emotional impact in children with strabismus:a prospective study[J].J Int Med Res,2009,37(4):1108-1114.
[13] LANYON R,GIDDINGS J. Psychological approaches to myopia:a review[J]. Am J Opt&Phy Opt,2004,51(51):271-281.
[14]郭秀伟,周丽英.聊城市城区部分近视和正常视力高中生人格特征及心理健康状况[J].中国健康心理学杂志,2015,23(1):136-139.
[15]邹志礼,陈品红,蒙华庆,等.4~6年级小学生社交焦虑与自尊及自我意识的关系[J].中华行为医学与脑科学杂志,2012,21(5):436-439.
[16]赵荣凤,孙雅丽.小学生近视与心理健康的调查分析[J].中国中医眼科杂志,2009,19(1):45-46.
[17]CONGDON P,FOSTER Y,JIANG.Epidemiology of myopia[J]. Eye,2014,28(2):202-208.
[18]冯竞仰,陈凤娥,马明明.高度近视黄斑裂孔性视网膜脱离术后视功能及视觉相关生存质量分析[J].眼科新进展,2018,38(8):742-745.
[19]蔡洁,邹文进,蒋林志,等.高度近视LASIK术后远期视觉相关生活质量调查[J].中山大学学报(医学科学版),2013,34(6):966-972.
[20]吴含春.克拉玛依市不同民族中小学生近视眼流行病学调查[D].石河子:石河子大学,2012:1-44.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |