中高度近视学生心理健康与视觉相关生活质量的关系

Relationship between mental health status and vision-related quality of life in the students with moderate and high myopia

目的分析中高度近视学生心理健康与视觉相关生活质量(VRQL)的关系,为改善青少年VRQL提供依据。方法采用方便抽样法抽取四川省、重庆市和浙江省8~18岁中高度近视学生为研究对象,通过综合医院焦虑抑郁量表和屈光不正生活质量量表评估中高度近视学生的心理健康状况和VRQL,采用多重线性回归模型分析VRQL的影响因素。结果共发放360份问卷,回收有效问卷354份,回收有效率为98.33%。男生116例,占32.77%;女生238例,占67.23%。年龄中位数为16.65岁。中度近视211例,占59.60%;高度近视143例,占40.40%。检出焦虑情绪141例,占39.83%;检出抑郁情绪176例,占49.72%。屈光不正生活质量量表得分中位数为64分。多重线性回归分析结果显示,性别(β’=-0.179)、屈光度(β’=0.208)、戴镜视力(β’=-0.229)和焦虑(β’=0.439)是VRQL的影响因素。结论中高度近视学生心理健康问题突出,焦虑情绪对VRQL影响明显。

Objective To understand the relationship between mental health status and vision-related quality of life(VRQL)of students with moderate and high myopia,and to provide basis for the optimization of VRQL.Methods Using convenient sampling method,the 8-18 years old students with moderate and high myopia were selected from Sichuan,Chongqing and Zhejiang.The mental health status and VRQL of students with moderate and high myopia were evaluated with Hospital Anxiety and Depression Scale and Quality of Life Scale for Ametropia.The multiple linear regression model was used to analyze the influencing factors for VRQL.Results A total of 360 questionnaires were sent out and 354 were effectively recovered,with an effective rate of 98.33%.There were 116(32.77%)boys and 238(67.23%)girls;the median age was 16.65 years old.There were 211(59.60%)cases of moderate myopia and 143(40.40%)cases of high myopia.There were 141(39.83%)found to be anxious and 176(49.72%)depressed.The median score of Quality of Life Scale for Ametropia was 64.The results of multiple linear regression analysis showed that sex(β’=-0.179),diopter(β’=0.208),eyesight with glasses(β’=-0.229)and anxiety(β’=0.439)were influencing factors for VRQL.Conclusion The mental health problems of the students with medium and high myopia are prominent;anxiety has a significant impact on the VRQL of the students.