Alashqar Mohammad, Taqatqa Shahed, Ayaseha Abdalrahman, Shanab Abdul Raheem Abu, Shawahna Ramzi
Department of Medicine, Faculty of Medicine and Allied Health Sciences, An- Najah National University, Nablus, Palestine.
An-Najah National University Hospital, Nablus, Palestine.
BMC Ophthalmol. 2025 Jul 30;25(1):436. doi: 10.1186/s12886-025-04263-w.
BACKGROUND: Dry eye disease (DED) is a prevalent ophthalmological health condition affecting university students. This study was conducted to assess the prevalence of DED among medical and nonmedical university students. In addition, another objective was to assess the impact of electronic device exposure on DED symptoms among medical and nonmedical Palestinian university students. METHODS: This was a large multicenter cross-sectional study that was conducted among medical and nonmedical students in the largest five major universities across the West Bank of Palestine. The study was conducted in the period between May 2024 and October 2024. DED symptoms were assessed using the Arabic version of the ocular surface disease index. RESULTS: A total of 426 students completed the questionnaire (response rate = 93.4%). Of the university students, 259 (60.8) were medical and 167 (39.2) were nonmedical students. The majority of the students (n = 355, 83.3%) used electronic devices. Of the students, 184 (43.2%) used more than one electronic device. The mean number of hours spent using electronic devices per day was 7.7 ± 2.7 h. The mean ocular surface disease index score was 28.9 ± 19.8. Of the students, 334 (78.4%) had DED symptoms of any severity, 77 (18.1%) had mild, 85 (20.0%) had moderate, and 172 (40.4%) had severe DED symptoms. Higher ocular surface disease index scores can be predicted by female sex (p-value = 0.001), consumption of alcohol (p-value = 0.001), having inadequate sleep (p-value < 0.001), using artificial tears (p-value < 0.001), and number of hours spent using electronic devices per day (p-value = 0.007). CONCLUSION: Increased exposure time was associated with higher prevalence and severe DED symptoms, indicating a need for preventive measures such as screen breaks and ergonomic solutions. Factors related to contact lens use, inadequate sleep, and family history underscore the multifactorial nature of this condition. Interventions targeting these factors, including educational awareness and accessible eye care, are crucial given the potential negative impact on academic performance and quality of life.
背景：干眼症（DED）是一种影响大学生的常见眼科健康状况。本研究旨在评估医科和非医科大学生中干眼症的患病率。此外，另一个目标是评估电子设备暴露对巴勒斯坦医科和非医科大学生干眼症症状的影响。 方法：这是一项大型多中心横断面研究，在巴勒斯坦西岸最大的五所主要大学的医科和非医科学生中进行。该研究于2024年5月至2024年10月期间进行。使用阿拉伯语版的眼表疾病指数评估干眼症症状。 结果：共有426名学生完成了问卷（回复率 = 93.4%）。在大学生中，259名（60.8%）是医科学生，167名（39.2%）是非医科学生。大多数学生（n = 355，83.3%）使用电子设备。在这些学生中，184名（43.2%）使用不止一种电子设备。每天使用电子设备的平均时长为7.7 ± 2.7小时。眼表疾病指数的平均得分为28.9 ± 19.8。在这些学生中，334名（78.4%）有任何严重程度的干眼症症状，77名（18.1%）为轻度，85名（20.0%）为中度，172名（40.4%）为重度干眼症症状。女性（p值 = 0.001）、饮酒（p值 = 0.001）、睡眠不足（p值 < 0.001）、使用人工泪液（p值 < 0.001）以及每天使用电子设备的时长（p值 = 0.007）可预测较高的眼表疾病指数得分。 结论：暴露时间增加与干眼症患病率升高和严重症状相关，这表明需要采取如屏幕休息和人体工程学解决方案等预防措施。与隐形眼镜使用、睡眠不足和家族史相关的因素凸显了这种情况的多因素性质。鉴于对学业成绩和生活质量的潜在负面影响，针对这些因素的干预措施，包括提高教育意识和提供可及的眼部护理，至关重要。
Cochrane Database Syst Rev. 2022-5-20
Cochrane Database Syst Rev. 2017-2-28
Front Med (Lausanne). 2024-2-28
Med Hypothesis Discov Innov Ophthalmol. 2023-12-31
Ocul Surf. 2024-1
Korean J Ophthalmol. 2023-12
Zotero 插件