Aldebasi Yousef H
Department of Optometry, College of Applied Medical Sciences, Qassim University, Saudi Arabia.
Int J Health Sci (Qassim). 2013 Nov;7(3):291-9. doi: 10.12816/0006057.
Uncorrected Refractive errors are the most common cause of avoidable visual impairment in children worldwide. Importance of school screening of refractive errors are one of the most important initiatives outlined in WHO Vision 2020 targets for control of avoidable visual impairment in children. But the benefit depends on the compliance of the spectacle wear by children.
To study the prevalence and determinants of compliance of spectacle wear among children and to investigate the reasons of non compliance associated with the spectacle wear in primary school children.
This was a cross-sectional descriptive study of 631 students who had been prescribed spectacles for constant wear during school screening programme done by our Department of Optometry, College of Applied Medical Sciences, Qassim University during 2010-2011. After six months, experienced Optometrists conducted a follow-up visit where these students were assessed about spectacle compliance. Information on age, gender, type of refractive error, reasons for non compliance were collected and analyzed.
The non-compliance rate of spectacle wear in primary school children is 66.80%. A significantly higher proportion of boys 244(69.13%) were not wearing their spectacles compared to girls 178 (64.03%) (P<0.05). Non-compliance was not related to age of the students (P<0.05), but older and myopic children were slightly more non-compliant. The main reasons for non-compliance in primary school boys and girls for using spectacles were disapproving spectacle wear by parents, not like to wear spectacles, broken spectacles and many children feel spectacles are not needed or causes head ache.
Comprehensive eye care for primary school children with refractive error is practised in Qassim Province, but limited information is available on the magnitude of the compliance for spectacle wear and their reasons. School children were not compliant because of many issues that could and should be addressed. This information is crucial for establishing a program and will strengthen its efforts for a better eye care in primary school children with refractive errors.
未经矫正的屈光不正仍是全球儿童可避免视力损害的最常见原因。学校开展屈光不正筛查的重要性是世界卫生组织《2020年视觉》目标中概述的控制儿童可避免视力损害的最重要举措之一。但其益处取决于儿童佩戴眼镜的依从性。
研究儿童佩戴眼镜的依从性患病率及决定因素，并调查小学生不佩戴眼镜的相关原因。
这是一项横断面描述性研究，研究对象为631名学生，这些学生在2010 - 2011年期间由卡西姆大学应用医学科学学院验光系在学校筛查项目中被开具了需持续佩戴的眼镜。六个月后，经验丰富的验光师进行了随访，评估这些学生的眼镜佩戴依从情况。收集并分析了年龄、性别、屈光不正类型、不佩戴眼镜原因等信息。
小学生眼镜佩戴不依从率为66.80%。未佩戴眼镜的男孩比例为244人（69.13%），显著高于女孩的178人（64.03%）（P<0.05）。不依从与学生年龄无关（P<0.05），但年龄较大和近视的儿童不依从情况略多。小学生不佩戴眼镜的主要原因是家长不赞成佩戴、不喜欢戴眼镜、眼镜损坏，以及许多儿童觉得不需要眼镜或戴眼镜会头痛。
卡西姆省对患有屈光不正的小学生实施了全面的眼保健，但关于眼镜佩戴依从性的程度及其原因的信息有限。小学生不依从是由于许多可以且应该解决的问题。这些信息对于制定一个项目至关重要，并将加强为患有屈光不正的小学生提供更好眼保健的努力。
