Prevention of vision disorders at school age: view of secondary school teachers on the problem

Y. Antypkin, A. Abaturov, N. Medvedovska, L. Denysiuk, O. Miroshnikov, N. Bondarenko
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Abstract

Background. The relevance of the study is due to the importance of maintaining full vision functions from childhood, which allows for having healthy visual perception for a quality life, learning and work capacity in adolescence and adulthood. The problem is gaining global importance, because according to the forecasts of international experts, the spread of ophthalmic pathology in 2050 will reach such a scale that almost a third of the planet’s population will have impaired vision, with most of cases diagnosed already in childhood. Scientific studies reveal an increase in the frequency of visual impairment among school-aged children. Thus, 8–10 % of the first-graders are diagnosed with ophthalmic pathology, and upon completion of schooling, this indicator can increase to 30–50 %. The purpose was to study the awareness of teachers and lecturers of secondary educational institutions (schools, lyceums) regarding the problems of visual impairment among schoolchildren, their attitude to the problem and willingness to participate in preventive measures. Materials and methods. The materials for the research were the results of a sociological survey of educators of secondary educational institutions from all regions of Ukraine (lecturers, teachers at schools and lyceums), a total of 6,215 questionnaires were subject to analy­sis. The tool for conducting sociological research was the deve­loped Questionnaire of secondary school educators regarding their awareness and willingness to participate in preventive programs to preserve eyesight from childhood. The procedure for filling out the questionnaire included an interview with an interviewer, who verbally informed about the purpose, tasks of sociological research, and its anonymity. Only after obtaining preliminary voluntary verbal consent to participate in the study, respondents were offered to proceed to filling out the questionnaire, which took an average of 15–20 minutes. The research methods were sociological survey, analytical-synthetic, medical-statistical methods, in particular the latter was used to calculate the representativeness and reliability of the survey results. Results. The results of the study prove the importance of the participation of secondary school educators in measures to prevent impairment of visual functions in school-aged children. Despite the high readiness of lecturers and secondary school teachers to engage in preventive activities, their awareness of preventing visual impairment among schoolchildren was found to be insufficient, as was the level of preventive work of medical personnel in schools. It was found that most educators are convinced that a school education worker should be aware of the signs of visual impairment in children (90.46 ± 0.37 %), participate in preventive measures and be familiar with the hygienic norms of visual stress in children (86.39 ± 0.43 %). Most respondents expressed the feasibility of introducing regular systematic supervision of vision functions in school-aged children (99.40 ± 0.10 %) and supporting the implementation of state preventive programs to preserve vision from childhood in Ukraine (97.38 ± 0.20 %), self-critically recognizing the need for informational support regarding the detection of signs and symptoms of these diseases in children (71.70 ± 0.57 %). Conclusions. Visual impairments in children of different ages are of great medical and social importance, as they affect the formation of disorders of socialization and human performance. The results of the study open the prospect of involving secondary school educators in the activities of interdisciplinary comprehensive programs to prevent the development of ophthalmic pathology among school-aged children. The search for effective ways of informational support for educators on the issues of modern preventive technologies, risk factors for the formation of visual impairments in schoolchildren in order to prevent the formation of stigma about children with disabilities and visual impairments in their environment requires scientific justification.
预防学龄儿童视力障碍:中学教师对这一问题的看法
研究背景这项研究之所以具有现实意义,是因为从孩童时期起就保持完整的视力功能非常重要,因为这有助于拥有健康的视觉感知,从而在青春期和成年期获得高质量的生活、学习和工作能力。这个问题在全球范围内都越来越重要,因为根据国际专家的预测,2050 年眼科病症的蔓延规模将达到全球近三分之一的人口视力受损,其中大部分病例在儿童时期就已确诊。科学研究表明,学龄儿童视力受损的频率在增加。因此,8%-10% 的一年级学生被诊断出患有眼科疾病,而在完成学业后,这一指标会增加到 30%-50%。研究的目的是了解中等教育机构(学校、中学)的教师和讲师对学龄儿童视力障碍问题的认识、对这一问题的态度以及参与预防措施的意愿。材料和方法研究材料是对乌克兰各地区中等教育机构教育工作者(讲师、学校和中学教师)进行社会学调查的结果,共对 6 215 份问卷进行了分析。开展社会学研究的工具是针对中学教育工作者编制的调查问卷,内容涉及他们对参与从小保护视力的预防计划的认识和意愿。填写问卷的程序包括与访谈员进行访谈,访谈员口头告知社会学研究的目的、任务和匿名性。在获得受访者自愿参与研究的初步口头同意后,受访者才可开始填写问卷,平均耗时 15-20 分钟。研究方法包括社会学调查法、分析-综合法、医学-统计法,特别是后者用于计算调查结果的代表性和可靠性。研究结果研究结果证明了中学教育工作者参与预防学龄儿童视功能损害措施的重要性。尽管讲师和中学教师参与预防活动的意愿很高,但发现他们对预防学龄儿童视功能损害的认识不足,学校医务人员的预防工作水平也是如此。调查发现,大多数教育工作者认为,学校教育工作者应了解儿童视力损伤的征兆(90.46 ± 0.37 %),参与预防措施,并熟悉儿童视力紧张的卫生规范(86.39 ± 0.43 %)。大多数受访者表示,对学龄儿童的视力功能进行定期系统监测是可行的(99.40 ± 0.10 %),并支持实施国家预防计划,以保护乌克兰儿童的视力(97.38 ± 0.20 %),同时自我批评地承认,在发现儿童这些疾病的迹象和症状方面需要信息支持(71.70 ± 0.57 %)。结论不同年龄段儿童的视力障碍具有重要的医学和社会意义,因为它们会影响社会化障碍的形成和人的表现。研究结果为中学教育工作者参与跨学科综合计划活动,预防学龄儿童出现眼科病症开辟了前景。为了防止在环境中形成对残疾儿童和视力障碍儿童的污名化,需要寻找有效的方法,就现代预防技术、学龄儿童视力障碍形成的风险因素等问题向教育工作者提供信息支持,这需要科学依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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