保健医学研究与实践2024,Vol.21Issue(3) :20-25.DOI:10.11986/j.issn.1673-873X.2024.03.04

同伴教育对近视中小学生视力相关生存质量干预效果分析

Impact of peer education on vision-related quality of life among myopic primary and secondary school students

李厚源 郝永东 魏科 邹丛光 邓丽雅 王宏
保健医学研究与实践2024,Vol.21Issue(3) :20-25.DOI:10.11986/j.issn.1673-873X.2024.03.04

同伴教育对近视中小学生视力相关生存质量干预效果分析

Impact of peer education on vision-related quality of life among myopic primary and secondary school students

李厚源 1郝永东 2魏科 2邹丛光 1邓丽雅 1王宏1
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作者信息

  • 1. 重庆医科大学公共卫生学院/医学与社会发展研究中心,重庆 401331
  • 2. 重庆市渝北区疾病预防控制中心公共卫生科,重庆 401120
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摘要

目的 探讨同伴教育对近视中小学生视力相关生存质量的影响,以冀为中小学生近视干预提供参考.方法 采用分层整群抽样方法,选取重庆市某区8所中小学校共1 511名近视学生,随机分为干预组(767名)和对照组(744名),干预组接受为期半年的同伴教育,对照组不采取任何干预措施.采用中小学生视力相关生存质量量表于干预前后对近视学生进行问卷调查.结果 2组近视学生的性别分布差异无统计学意义(P>0.05),但2组近视学生的学段、住校情况、独生子女情况、学习成绩和学业负担的差异均有统计学意义(P<0.05).干预前后,2组近视学生视力相关生存质量量表各维度得分及总分比较,差异均无统计学意义(P>0.05).干预后,干预组近视学生的视功能和身体机能、社会活动能力维度得分及视力相关生存质量量表总分均有所下降,差异均有统计学意义(P<0.05);对照组近视学生的视功能和身体机能、社会活动能力维度得分及视力相关生存质量量表总分也均有所下降,差异均有统计学意义(P<0.05).干预后,五年级、六年级、八年级的干预组和对照组近视学生的视力相关生存质量量表各维度及总分比较,差异均无统计学意义(P>0.05);但在九年级学生中,干预组近视学生的生理功能维度得分及视力相关生存质量量表总分均高于对照组,差异均有统计学意义(P<0.05).结论 同伴教育对近视中小学生视力相关生存质量的改善效果尚有待提升,更好的近视干预模式尚待进一步深入研究.

Abstract

Objective This paper aims to investigate the impact of peer education on the vision-related quality of life(VRQoL)of myopic primary and secondary school students,providing a reference for myopia intervention in this demo-graphic.Methods Using stratified cluster sampling,1 511 myopic students from eight primary and secondary schools in a district of Chongqing were selected and randomly assigned to an intervention group(n=767)and a control group(n=744).The intervention group received six months of peer education,while the control group received no intervention.The VRQoL of myopic students was assessed using a vision-related quality of life questionnaire before and after the intervention.Results No statistically significant difference was observed in gender distribution between the two groups(P>0.05).However,significant differences were found in school grade,boarding status,only-child status,academic performance,and study bur-den(P<0.05).There was no significant difference in VRQoL scores between the two groups before and after the interven-tion(P>0.05).Post-intervention,VRQoL scores for visual function and physical functioning,social activity,and overall VRQoL significantly decreased in both groups(P<0.05).No significant differences were noted in VRQoL scores between the intervention and control groups for fifth,sixth,and eighth graders post-intervention(P>0.05).However,for ninth graders,the intervention group showed significantly higher scores in physical functioning and overall VRQoL compared to the control group(P<0.05).Conclusion Peer education's effectiveness in improving the VRQoL of myopic primary and secondary school students needs further enhancement.More effective myopia intervention models warrant further research.

关键词

同伴教育/近视/生存质量/干预模式

Key words

Peer education/Myopia/Quality of life/Intervention model

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基金项目

重庆市卫生健康委项目(2022WSJK048)

出版年

2024
保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
参考文献量16
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