首页|大学生视疲劳主观症状调查及影响因素分析

大学生视疲劳主观症状调查及影响因素分析

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目的 调查大学生视疲劳的主观症状,并分析其影响因素,为预防大学生视疲劳提供依据.方法 2022年11月以锦州医科大学1 332名在校大学生为调查对象,统计其用眼行为情况;分别用Conlon视觉不适量表、集合不足症候量表(CISS)对视疲劳情况进行调查.采用单因素、多因素logistic回归分析对视疲劳的影响因素进行统计分析.结果 1 332名在校大学生低度近视(近视<3.00 D)627名(占47.07%);父母都不近视875名(占65.69%);明确有干眼症200名(占 15.02%);近2周吸烟情况,从不吸烟的1 103名(占82.81%);近2周饮酒情况,从不饮酒的978名(占73.42%).Conlon视觉不适量表诊断为视疲劳203名,发生率为17.93%;主观症状与视疲劳相关的因素与是否有近视、干眼、调节功能异常、眼部有其他慢性眼表异常、近2周吸烟情况及每天近距离工作时间等有关(x2值分别为20.854 9、49.978 9、75.666 6、111.146 7、10.892 9、12.624 3,P<0.05);多因素 logistic 回归分析结果显示,调节功能异常、近视、眼部有其他慢性眼表异常及近2周吸烟情况是视疲劳的主要危险因素(OR值分别为0.342、0.407、2.482,P<0.05).CISS诊断为视疲劳308名,发生率为27.20%;主观症状与视疲劳相关的因素包括是否近视、干眼、眼部其他慢性眼表异常、调节功能异常、眼球运动功能、其他可能引起视疲劳的眼部因素及近2周饮酒情况、每天近距离使用电子产品的时间等(x2值分别为 43.646 4、73.053 5、89.465 1、110.839 6、61.812 2、106.537 5、8.261 8,P<0.05);多因素 logistic 回归分析得出,调节功能异常、近视、干眼及是否存在其他引起视疲劳的眼部因素是视疲劳的主要危险因素(OR值分别为0.529、0.316、0.559、1.474,P<0.05).结论 视疲劳会严重影响大学生的学习和生活,调节功能异常、近视、干眼及是否存在其他引起视疲劳的眼部因素是视疲劳的主要危险因素.
Analysis on subjective symptoms and influencing factors of visual fatigue among college students
Objective To investigate the subjective symptoms and influencing factors of visual fatigue among college students,so as to provide a basis for preventing visual fatigue among college students.Methods In November 2022,a survey was conducted on 1 332 college students from Jinzhou Medical University to investigate their eye use behavior;Vis-ual fatigue was investigated by Conlon Visual Inappropriate Scale and Convergence Insufficiency Symptom Scale(CISS)respectively.The influencing factors of visual fatigue were statistically analysed using univariate and multivariate logistic regression analysis.Results Of the 1 332 university students,627(47.07%)had low myopia(myopia<3.00 D),875(65.69%)had neither parent with myopia,and 200(15.02%)had definite dry eye.Smoking in the past 2 weeks:1 103 individuals who never smoked(82.81%).Drinking in the past 2 weeks:978 individuals who never drank(73.42%).There were 203 college students diagnosed with visual fatigue through the Conlon Visual Insufficiency Scale survey,with an incidence of 17.93%.Subjective symptoms and factors related to visual fatigue were associated with the presence of myopia,dry eyes,abnormal regulatory function,oth-er chronic ocular surface abnormalities,smoking in the past 2 weeks,and average daily close work hours(x2=20.854 9,49.978 9,75.666 6,111.146 7,10.892 9,12.624 3,respective-ly;P<0.05)Multivariate logistic regression analysis showed that abnormal regulatory function,myopia,other chronic ocular surface abnormalities,and smoking in the past 2 weeks were the main risk factors for visual fatigue(OR=0.342,0.407,2.482,respectively).A total of 308 college students were diagnosed with visual fatigue through CISS survey,with an incidence of 27.20%.The factors associated with subjective symptoms and visual fatigue were whether myopia,dry eyes,other chronic ocular surface abnormalities,abnormal regulation function,eye movement function,other eye factors that may cause visual fatigue,as well as alcohol consumption in the past 2 weeks,and the time spent using electronic prod-ucts at close range every day(x2=43.646 4,73.053 5,89.465 1,110.839 6,61.812 2,106.537 5,8.261 8,respective-ly;P<0.05).Multivariate logistic regression analysis showed that abnormal regulatory function,myopia,dry eyes,and the presence of other eye factors that may cause visual fatigue were the main risk factors for visual fatigue(OR=0.529,0.316,0.559,1.474,respectively).Conclusion Visual fatigue can seriously affect the learning and life of college students.Abnormal regulatory function,myopia,dry eyes,and the presence of other eye factors that may cause visual fa-tigue are the main risk factors for visual fatigue.

Visual fatigueMyopiaInfluencing factorsUniversity student

侯苏格、齐丽丽、赵佳钰、冯晓芳、王琪、钱程、孙皓瑞、孙丽丽

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锦州医科大学,辽宁 121001

锦州医科大学附属第三医院眼科

视疲劳 近视 大学生 影响因素

辽宁省自然科学基金联合基金面上资助计划项目辽宁省教育厅高校基本科研项目(面上项目)辽宁省教育厅大学生创新创业训练计划项目

2023-MSLH-049LJKMZ202212512022G011X

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(4)
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