摘要
目的了解大学生干眼患病情况、危险因素和日常眼保健情况,为大学生开展干眼防治和健康教育提供科学依据。方法采用整群抽样方法,以自填方式对某综合性大学723名在校大学生进行问卷调查,问卷内容包括个人基本情况、OSDI量表、干眼相关危险因素和日常护眼措施等,采用卡方检验、秩和检验和logistic回归进行统计分析。结果大学生干眼患病率为87.6%(630/719),其中轻度42.6%(306/719),中度35.6%(256/719),重度9.5%(68/719),二元logistic回归分析显示:近视(OR=2.574,95%CI=1.456~4.4551)、睡前使用手机(OR=2.012,95%CI=1.246~3.249)、自我感觉不开心,抑郁(OR=3.123,95%CI=1.461~6.676)是干眼的危险因素。正常和异常的学生在日常护眼措施,如补充维生素A、眼部热敷、眼保健操和使用人工泪液上差异无统计学意义。结论干眼在大学生中有较高的流行率,近视、睡前使用手机、自我感觉不开心提高了其发病风险,使其缺乏正确的护眼行为,应该加强干眼相关知识及预防措施的宣教。
Objective This study was designed to investigate the prevalence and risk factors of dry eye,and daily eye care behaviors among college students in order to aid prevention and care of dry eye in this population.Methods A self-administered questionnaire survey was conducted among 723 college students selected by cluster sampling.The survey included personal characteristics,the OSDI scale,risk factors related to dry eye,and daily eye care behaviors.The chi square test,rank sum test,and logistic regression were used for data analysis.Results The prevalence of dry eye among the college students was 87.6%(630/719)with 42.6%prevalence of mild dry eye,35.6%moderate,and 9.5%severe.Logistic regression analysis showed that the risk factors for dry eye included myopia(OR=2.574,95%CI=1.456-4.4551),use of mobile phones before bedtime(OR=2.012,95%CI=1.246-3.249),and feeling unhappy or depressed(OR=3.123,95%CI=1.461-6.676).There was no significant difference in daily eye care behaviors between healthy students and those with dry eye,such as use of vitamin A supplements,hot applications to the eyes,performing ocular gymnastics,and using artificial tears.Conclusions There is a high prevalence of dry eye among college students,with myopia,use of mobile phones before bedtime,and unhappiness increasing the risk of developing the condition.College students rarely use proper eye-protection behaviors.It is necessary to strengthen their health education in the knowledge and prevention of dry eye.
作者
席晓海
杨树
刘月
陈晨
王铁英
XI Xiaohai;YANG Shu;LIU Yue;CHEN Chen;WANG Tieying(School of Medicine,Jiangsu University,Zhenjiang 212013,Jiangsu,China)
出处
《中国校医》
2024年第8期581-584,610,共5页
Chinese Journal of School Doctor
基金
江苏大学2020年大学生创新创业训练计划项目(202010299527X)。
作者简介
席晓海(2000—),男,江苏徐州人,本科在读,研究方向为临床医学和流行病学;通信作者:王铁英,E-mail:tywang@ujs.edu.cn。
