【摘要】 目的 对青少年配戴角膜塑形镜的需求和配戴后心理影响等方面进行调查并作初步分析。方法 调查研究。对2011年1-8月在温州医科大学附属眼视光医院就诊的配戴角膜塑形镜矫正近视的青少年进行问卷调查，分别在配戴镜片前、配戴1周、1个月和3个月进行调查问卷，调查内容主要包括：青少年对角膜塑形镜的认识和需求；配戴角膜塑形镜对青少年的心理、视觉等的影响。共分发和调查100例青少年配戴者，并对完整完成的84份调查报告进行整理和统计分析。采用卡方检验对数据进行分析。结果 在配戴角膜塑形镜的青少年群体中，有78%愿意主动选择配戴角膜塑形镜；83％的青少年配戴者认为夜间配戴镜片对入睡没有影响；青少年对于角膜塑形镜的需求主要是控制近视度数加深（占60%）；约50%的青少年配戴者自觉在美观、自信心、方便性等方面都有不同程度的提高，配戴1个月后，这种心理优势更加明显，其中戴镜后1个月自信心与1周差异有统计学意义（χ²=7.871，P<0.05）。结论 配戴角膜塑形镜对青少年的日常生活需求、视觉需求以及心理感觉等多方面都有着不同程度的影响。
【关键词】 角膜塑形术； 青少年； 近视； 自我评价（心理学）
DOI：10.3760/cma.j.issn.1674-845X.2014.02.007
基金项目：卫生行业科研专项（201302015）；浙江省重点科技创新团队计划（2009R50039/2009R50039-19）；浙江省高校重大科技攻关项目（ZD2007006）
作者单位：325027 温州医科大学附属眼视光医院
通信作者：陈浩
Email：chenhao823@mail.eye.ac.cn
Investigation and analysis on demands and psychology of adolescents wearing orthokeratology lenses
Jin Wanqing， Mao Xinjie， Huang Haixiao， Yang Sijing， Liu Zhihui， Chen Hao. Eye Hospital of Wenzhou Medical University， Wenzhou 325027， China
Corresponding author：Chen Hao，Email：chenhao823@mail.eye.ac.cn
【Abstract】 Objective To conduct preliminary analysis and investigate the demands and psychology of adolescents wearing orthokeratology lens. Methods Investigation study. Conducted questionnaires for 100 adolescent patients in the Eye Hospital， who wore orthokeratology lens for the correction of myopia. Separate questionnaires were given before wearing the lens， after wearing the lens for 1 week， 1 month， and 3 months. Investigation mainly included： awareness and demand of orthokeratology lens and psychological impact of wearing orthokeratology lens. Altogether 84 complete questionnaires were collected for statistical analysis， and the Chi-square tests were used with the data. Results Among the adolescents wearing orthokeratology lens， 78% of them were willing to wear orthokeratology lens； 83% of adolescent wearers believed that it did not influence sleep when wearing the lens at night； 60% expected to control the myopia. About 50% adolescents believed there were some advantages in aspects such as appearance， self-confidence， and convenience when wearing orthokeratology lens. After wearing the lens for 1 month， these psychological advantages were more apparent to the patients. The self-confidence between 1 month and 1 week were stastically different （χ²=7.871， P<0.05）. Conclusion Wearing orthokeratology lens had various degrees of impact on adolescents′ daily life， sight， and psychology. This subject needs further study and to more fully understand of healthy and safety because it is a longitudinal social issues.
【Key words】 Adolescent； Orthokeratology； Myopia； Self assessment （psychology）
来源： 金婉卿 毛欣杰等 中华眼视光学与视觉科学