天津某高校新生计算机视觉综合征现状及影响因素

李炳钦; 张红梅; 王志洋; 魏瑞华

doi:10.16835/j.cnki.1000-9817.2023.06.012

天津某高校新生计算机视觉综合征现状及影响因素

doi: 10.16835/j.cnki.1000-9817.2023.06.012

天津医科大学眼科医院/眼视光学院/眼科研究所/国家眼耳鼻喉疾病临床医学研究中心天津市分中心/天津市视网膜功能与疾病重点实验室，天津 300384

基金项目:

天津市卫生健康科技项目 TJWJ2022MS014

天津市医学重点学科(专科)建设项目资助 TJYXZDXK-037A

详细信息

作者简介:
李炳钦(1999-)，男，山西临汾人，在读硕士，主要研究方向为眼视光学

通讯作者:
魏瑞华，E-mail：rwei@tmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 G478 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-11
- 修回日期: 2023-03-20
- 网络出版日期: 2023-06-28
- 刊出日期: 2023-06-25

Status quo and influencing factors of computer vision syndrome among college freshmen in Tianjin

Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin(300384), China

摘要

摘要: 目的调查新冠肺炎疫情期间天津某高校学生计算机视觉综合征(CVS)的现状及其影响因素，为改善大学生的视觉舒适度提供参考。方法 2021年10—12月，以天津某高校2021级868名新生为研究对象，采用CVS定性分析问卷、眼健康情况调查问卷与眼健康检查相结合的方式进行研究。采用χ²检验和多因素Logistic回归进行数据分析。结果学生的CVS检出率为68.5%(595名)，女生检出率(72.2%)高于男生(61.7%)。女生、非低度近视、入睡需要＞30 min、睡前习惯使用手机＞1 h、夜间睡眠时长≤8 h的学生CVS检出率(72.2%，70.4%，81.1%，72.7%，71.2%)比男生、低度近视、入睡需要≤30 min、睡前习惯使用手机≤1 h、夜间睡眠时长＞8 h高(61.7%，63.3%，67.4%，65.9%，61.1%)，差异均有统计学意义(χ²值分别为10.08，3.94，5.89，4.40，7.94，P值均＜0.05)；每日使用电子设备时间和学业压力不同的学生CVS检出率差异均有统计学意义(χ²值分别为22.03，21.24，P值均＜0.05)。多因素Logistic回归显示，每日使用电子设备的时间4~6，7~9，≥10 h，入睡需要＞30 min，平时的学业压力适中、很大与CVS呈正相关(OR值分别为1.95，2.94，2.30，2.39，3.51，4.41，P值均＜0.05)；男生、低度近视、夜间睡眠时长＞8 h与CVS呈负相关(OR值分别为0.65，0.70，0.65，P值均＜0.05)。结论天津某高校新生CVS检出率较高，应关注线上学习时学生CVS情况，对广大学生进行宣教，减少不必要电子产品使用时间，保证夜间睡眠，降低CVS的发生。
- 计算机视觉综合征 /
- 睡眠 /
- 便携式电话 /
- 回归分析 /
- 学生
Abstract: Objective To investigate the current situation and associated factors of computer vision syndrome (CVS) among college freshmen in Tianjin during the COVID-19 epidemic, and to provide a reference for visual comfort of college students. Methods A total of 868 college freshmen from one university in Tianjin were administered with CVS qualitative analysis questionnaire, eye health status questionnaire and eye health examination during Oct to Dec 2021. Chi-square test and multivariate Logistic regression were used for data analysis. Results The detection rate of CVS among the included students was 68.5% (n=595) and was higher in females (72.2%) than in males (61.7%). The CVS detection rate in girls, students without myopia, >30 min sleep onset, >1 h mobile phone usage, and ≤8 h sleep duration (72.2%, 70.4%, 81.1%, 72.7%, 71.2%) were significantly higher than boys, students with low-grade myopia, sleep onset required ≤30 min, use mobile phone for ≤1 h, and sleep duration >8 h(61.7%, 63.3%, 67.4%, 65.9%, 61.1%) (χ²=10.08, 3.94, 5.89, 4.40, 7.94, P < 0.05). Differences in CVS detection rates varied significantly by daily electronic device usage and academic stress students (χ²=22.03, 21.24, P < 0.05). Multivariate Logistic regression analysis showed that daily use of electronic devices 4-6, 7-9, ≥10 h, sleep onset required >30 min, moderate to higher academic pressure were positively associated with CVS (OR=1.95, 2.94, 2.30, 2.39, 3.51, 4.41, P < 0.05), boys, low-grade myopia, night sleep time >8 h were negatively associated with CVS (OR=0.65, 0.70, 0.65, P < 0.05). Conclusion The detection rate of CVS among freshmen in a university in Tianjing is high. Attention should be paid to the CVS situation of students with e-learning, and general public should also be educated to reduce the time of unnecessary electronic product use and ensure night sleep to reduce the prevalence of CVS.
- Computer vision syndrome /
- Sleep /
- Cellular phone /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 天津高校大学生CVS相关因素的单因素分析

Table 1. Univariate Logistic regression analysis of CVS-related risk factors among the college sutdents in Tianjin

组别	选项	人数	CVS人数	χ²值	P值
性别	男	303	187(61.7)	10.08	＜0.01
	女	565	408(72.2)
BMI分级	过轻	156	104(66.7)	2.46	0.48
	正常	543	382(70.3)
	过重	104	68(65.4)
	肥胖	65	41(63.1)
屈光状态	高度近视	251	183(72.9)	9.15	0.06
	中度近视	343	241(70.3)
	低度近视	226	143(63.3)
	正视	35	22(62.9)
	远视	13	6(46.2)
是否高度近视	是	251	183(72.9)	3.11	0.08
	否	617	412(66.8)
是否中度近视	是	343	241(70.3)	0.77	0.38
	否	525	354(67.4)
是否低度近视	是	226	143(63.3)	3.94	< 0.05
	否	642	452(70.4)
是否正视	是	35	22(62.9)	0.55	0.46
	否	833	573(68.8)
是否远视	是	13	6(46.2)	2.11	0.15
	否	855	589(68.9)
每日使用电子设备	1~3	62	29(46.8)	22.03	＜0.01
时间/h	4~6	376	247(65.7)
	7~9	345	259(75.1)
	≥10	85	60(70.6)
入睡需要＞30 min	是	74	60(81.1)	5.89	0.02
	否	794	535(67.4)
睡前习惯使用手机＞1 h	是	337	245(72.7)	4.40	0.04
	否	531	350(65.9)
夜间使用手机时开灯	是	437	293(67.0)	0.92	0.34
	否	431	302(70.1)
夜间睡眠时长＞8 h	是	226	138(61.1)	7.94	＜0.01
	否	642	457(71.2)
平时的学业压力	很大	133	87(65.4)	21.24	＜0.01
	适中	702	497(70.8)
	轻松	33	11(33.3)
是否佩戴眼镜	是	706	482(68.3)	0.13	0.71
	否	162	113(69.8)
注：()内数字为检出率/%。

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表 2 天津市高校大学生CVS相关因素的多因素Logistic回归分析(n=868)

Table 2. Multivariate Logistic regression analysis of CVS-related risk factors among the college students in Tianjin(n=868)

自变量	选项	OR值(95%CI)
性别	男	0.65(0.47~0.88)^**
	女	1.00
低度近视	是	0.70(0.50~0.97)^*
	否	1.00
每日使用电子设备的时长/h	1~3	1.00
	4~6	1.95(1.11~3.43)^*
	7~9	2.94(1.64~5.30)^**
	≥10	2.30(1.10~4.79)^*
入睡需要>30 min	是	2.39(1.27~4.51)^**
	否	1.00
睡前习惯使用手机>1 h	是	1.18(0.85~1.64)
	否	1.00
夜间睡眠时长>8 h	是	0.65(0.46~0.91)^*
	否	1.00
平时的学业压力	很大	4.41(2.05~9.48)^**
	适中	3.51(1.53~8.07)^**
	轻松	1.00
注：P < 0.05，*P < 0.01。

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