摘要
目的 了解2021年南昌市东湖区小学生近视及视觉相关生活质量现状,为近视防控提供依据。方法对南昌市东湖区所有在校小学生进行近视筛查,采用分层整群抽样法对部分小学生进行视觉相关生活质量问卷调查。结果 2021年南昌市东湖区小学生总体筛查性近视率为29.22%,轻/中/重近视分别占比70.06%/28.51%/1.42%;女生总体近视率30.37%,高于男生总体近视率(28.24%),比较男女生近视率差异有统计学意义(χ^(2)=56.749,P<0.001);小学生近视率随年龄的递增而上升;近视小学生总体健康,视觉相关生活质量各维度评分及总分均低于未近视小学生,差异均有统计学意义(Z=-7.503、-15.481、-10.376、-17.663、-16.915、-10.252、-16.409、-16.493、-16.544、-5.453、-13.522、-18.313,P均<0.001);不同近视程度小学生总体健康、总体视力、近视力、远视力、角色困难及视觉相关生活质量总分差异均有统计学意义(H=6.509、30.038、9.942、13.873、9.189、16.863,P均<0.05);近视戴镜小学生总体视力、眼球疼痛、远视力、社会依赖性、周边视力及总均分均高于近视未戴镜小学生,差异均有统计学意义(Z=-2.567、-4.004、-2.244、-2.827、-2.930、-2.979,P均<0.05)。结论 南昌市东湖区小学生总体筛查性近视率低于全国水平,近视不仅会损害小学生视觉健康,还会对小学生视觉相关生活质量造成影响。
Objective To investigate the current status of myopia and vision-related quality of life among primary school students in Donghu District,Nanchang City in 2021,so as to provide evidence for myopia prevention and control.Methods All primary school students in the Donghu District of Nanchang City were screened for myopia and a vision-related quality of life questionnaire survey was conducted on some primary school students by stratified cluster sampling.Results In 2021,the overall screening myopia rate of primary school students in the Donghu District of Nanchang City was 29.22%,with mild/moderate/severe myopia accounting for 70.06%,28.51%,and 1.42%,respectively.The overall myopia rate of girls was 30.37%,which was higher than that of boys by 28.24%,and the difference in myopia rate between boys and girls was statistically significant(χ^(2)=56.749,P<0.001).The rate of myopia in primary school students increased with age.The overall health of myopic primary school students,and the scores and total scores of vision-related quality of life were lower than those of non-myopic primary school students,and the differences were statistically significant(Z=-7.503,-15.481,-10.376,-17.663,-16.915,-10.252,-16.409,-16.493,-16.544,-5.453,-13.522,-18.313,and all P<0.001).There were significant differences in overall health,overall visual acuity,near vision,distance vision,role difficulties,and vision-related quality of life among primary school students with different degrees of myopia(H=6.509,30.038,9.942,13.873,9.189,16.863,all P<0.05).The overall visual acuity,eye pain,distance vision,social dependence,peripheral visual acuity,and the total mean score of myopic primary school students who wore glasses were higher than those of myopic primary school students without glasses,and the differences were statistically significant(Z=-2.567,-4.004,-2.244,-2.827,-2.930,-2.979,all P<0.05).Conclusion The overall rate of screening myopia among primary school students in the Donghu District of Nanchang is lower than the national level,and myopia willnot only damage the visual health of primary school students but also affect their vision-related quality of life.
作者
高云倩
吴利
郭思琪
GAO Yunqian;WU Li;GUO Siqi(School of Nursing,Nanchang University,Nanchang 330006,Jiangxi,China;Eye Hospital Affiliated to Nanchang University,Nanchang 330006,Jiangxi,China)
出处
《中国校医》
2023年第10期743-747,共5页
Chinese Journal of School Doctor
关键词
近视
小学生
视觉相关生活质量
Myopia
Primary school student
Vision-related quality of life
作者简介
高云倩(2000-),女,福建南平人,护士,硕士研究生在读,研究方向为近视防控、眼科护理;通信作者:吴利,E-mail:1275041325@qq.com。
