Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, Chuncheon, Korea.
Sci Rep. 2019 Mar 7;9(1):3783. doi: 10.1038/s41598-019-40539-0.
This study was performed to evaluate the prevalence and risk factors of dry eye disease (DED) among paramedical workers at a university hospital in Korea. This cross-sectional study included 566 paramedical workers at a university hospital in Korea. Dry eye symptoms were assessed using a 9-item questionnaire, and DED was defined as having 1 or more dry eye symptoms often or all the time. A survey including demographic data and potential risk factors of DED was also performed. Psychological stress was measured using stress VAS and perceived stress scale 4 (PSS-4) questionnaires. Of the 566 paramedical workers, 232 (35 male and 197 female) completed the survey. Prevalence of DED was 42.7% (99/232). Univariate analysis revealed that female sex (P < 0.001), prolonged computer use (P = 0.003) and higher stress VAS (P < 0.001) and PSS-4 (P = 0.009) scores had significant association with DED. In multivariate analysis, DED had significant association with female sex (P = 0.003) and stress VAS (P = 0.013) after adjustment for sex, duration of computer use and stress VAS, and had significant association with female sex (P = 0.003) and durations of computer use (P = 0.029) after adjustment for sex, duration of computer use and PSS-4 score. In conclusion, DED was prevalent among paramedical workers in Korea. Its risk increased among females and workers with increased psychological stress. Prolonged use of computer was possibly associated with DED.
本研究旨在评估韩国某大学医院辅助医务人员干眼（DED）的患病率和危险因素。本横断面研究纳入了韩国某大学医院的 566 名辅助医务人员。干眼症状采用 9 项问卷进行评估，定义 DED 为经常或总是存在 1 项或多项干眼症状。还进行了包括人口统计学数据和 DED 潜在危险因素的调查。使用应激 VAS 和感知应激量表 4（PSS-4）问卷评估心理应激。在 566 名辅助医务人员中，有 232 名（35 名男性和 197 名女性）完成了调查。DED 的患病率为 42.7%（99/232）。单因素分析显示，女性（P<0.001）、长时间使用计算机（P=0.003）以及更高的应激 VAS（P<0.001）和 PSS-4（P=0.009）评分与 DED 有显著相关性。多因素分析显示，调整性别、计算机使用时间和应激 VAS 后，DED 与女性（P=0.003）和应激 VAS（P=0.013）显著相关，调整性别、计算机使用时间和 PSS-4 评分后，DED 与女性（P=0.003）和计算机使用时间（P=0.029）显著相关。总之，DED 在韩国辅助医务人员中较为普遍。女性和心理应激增加的工作人员的发病率更高。长时间使用计算机可能与 DED 有关。
