睑板腺按摩联合ROY适应模式在干眼症护理中的作用  

Role of meibomian gland massage combined with ROY adaptation mode in nursing of xerophthalmia

作　　者：晁媛媛 宋金鑫[1] 荣育倩 梁乐[2] CHAO Yuanyuan;SONG Jinxin;RONG Yuqian;LIANG Le(Department of Ophthalmology,Xi′an First Hospital of Shaanxi Province,Xi′an,Shaanxi,710002;Department of Pharmacy,Xi′an First Hospital of Shaanxi Province,Xi′an,Shaanxi,710002)

机构地区：[1]陕西省西安市第一医院眼科,陕西西安710002 [2]陕西省西安市第一医院药剂科,陕西西安710002

出　　处：《实用临床医药杂志》2025年第4期29-33,共5页Journal of Clinical Medicine in Practice

基　　金：陕西省重点研发计划项目(2024SF-YBXM-340)。

摘　　要：目的探讨睑板腺按摩联合ROY适应模式在干眼症护理中的作用。方法回顾性纳入2022年3月-2023年10月收治的286例干眼症患者的病历资料,按照干预方式不同将患者分为常规组(141例)与联合组(145例)。2组均接受优化脉冲光治疗,常规组提供睑板腺按摩及干眼症常规护理,联合组在常规组基础上加用ROY适应模式护理。比较2组主观症状改善效果(干涩感、异物感、疲劳感、畏光、烧灼感)以及干预前后心理状态[90项症状自评量表(SCL-90)]、自我效能感[一般自我效能感量表(GSES)]、眼表状态[眼表疾病指数(OSDI)]、生活质量[视功能损害眼病患者生存质量量表(SQOL-DVI)]。结果联合组干涩感消失、异物感消失、疲劳感消失、畏光消失、烧灼感消失时间均短于常规组,差异有统计学意义(P<0.05)。干预后,2组SCL-90各维度评分及总分均较干预前降低,且联合组低于常规组,差异有统计学意义(P<0.05)。干预后,2组面对问题、应对问题评分及总分均较干预前升高,且联合组高于常规组,差异有统计学意义(P<0.05)。干预后,2组眼部症状、视觉功能、环境触发因素评分及总分均较干预前降低,且联合组评分均低于常规组,差异有统计学意义(P<0.05)。干预后,2组一般健康状态、症状与视功能、社会活动、精神健康评分及总分均较干预前升高,且联合组高于常规组,差异有统计学意义(P<0.05)。结论睑板腺按摩联合ROY适应模式护理可改善患者干眼症状,调整眼表状态,提升自我效能感和生活质量。Objective To explore the role of meibomian gland massage combined with the ROY adaptation model in nursing of xerophthalmia.Methods The medical records of 286 patients with xerophthalmia admitted from March 2022 to October 2023 were retrospectively included.The patients were divided into conventional group(141 cases)and combined group(145 cases)according to different intervention methods.Both groups received optimized pulsed light therapy.The conventional group received meibomian gland massage and routine nursing for xerophthalmia,while the combined group received additional nursing based on the ROY adaptation model.The improvement effects on subjective symptoms(dryness,foreign body sensation,fatigue,photophobia,and burning sensation)as well as psychological status[Symptom Checklist-90(SCL-90)],self-efficacy[General Self-Efficacy Scale(GSES)],ocular surface status[Ocular Surface Disease Index(OSDI)],and quality of life[the scale of quality of life for diseases with visual impairment(SQOL-DVI)]before and after intervention were compared between the two groups.Results The disappearance time of dryness,foreign body sensation,fatigue,photophobia,and burning sensation were shorter in the combined group than those in the conventional group(P<0.05).After the intervention,the scores of all dimensions and the total score of SCL-90 decreased in both groups compared with those before the intervention,and the scores in the combined group were lower than those in the conventional group(P<0.05).After the intervention,the scores for facing problems,coping with problems,and the total score increased in both groups compared with those before the intervention,and the scores in the combined group were higher than those in the conventional group(P<0.05).After the intervention,the scores for ocular symptoms,visual function,environmental triggers factors,and the total score decreased in both groups compared with those before the intervention,and the scores in the combined group were lower than those in the conventional group(P<0.05).A

关 键 词：干眼症 优化脉冲光治疗 睑板腺按摩 ROY适应模式护理 

分 类 号：R49[医药卫生—康复医学] R777.34[医药卫生—临床医学] R473.77