摘要
目的 探究以信息-动机-行为技巧护理干预为基础的术前睑板腺按摩理疗在白内障合并睑板腺功能障碍者中的应用价值。方法 筛选在我院2023年4月至2023年12月期间接受治疗的白内障合并睑板腺功能障碍患者82例，应用随机数表法对患者实施分组，共设置观察组与参照组，每组41例患者。参照组应用常规护理方法，观察组采用以信息-动机-行为技巧护理干预加睑板腺按摩理疗方法，对比患者术后睑板腺分泌物评分、睑缘形态评分、视觉质量满意度及生活质量等指标。结果 经实施分组干预后，观察组患者的术后睑板腺分泌物评分、睑缘形态评分低于参照组，且视觉质量满意度评分高于参照组（P＜0.05）；观察组患者的生活质量高于参照组（P＜0.05）。结论 通过对白内障合并睑板腺功能障碍患者应用实施以信息-动机-行为技巧护理干预为基础的术前脸板腺按摩理疗方法，有助于改善患者术后睑板腺功能障碍相关症状表现及眼表情况，提高视觉质量满意度等，有助于提高患者生活质量，值得临床应用和推广。
关键词： 信息-动机-行为技巧护理干预；术前睑板腺按摩理疗；白内障合并睑板腺功能障碍
Abstract
Objective To explore the application value of preoperative meibomian gland massage therapy based on information - motivation - behavior technique nursing intervention in patients with cataract complicated with meibomian gland dysfunction. Methods A total of 82 patients with cataract complicated with meibomian gland dysfunction who received treatment in our hospital from April 2023 to December 2023 were selected and divided into observation group and reference group with 41 patients in each group by random number table method. The control group was treated with conventional nursing methods, and the observation group was treated with info-motivation-behavioral technique nursing intervention plus meibomian gland massage therapy. The scores of meibomian gland secretions, palpebral margin morphological scores, visual quality satisfaction and quality of life were compared. Results After group intervention, the scores of meibomian gland secretions and palpebral margin morphology in observation group were lower than those in reference group, and the score of visual quality satisfaction was higher than that in reference group (P < 0.05). The quality of life in observation group was higher than that in reference group (P < 0.05). Conclusion The preoperative facial gland massage therapy based on information, motivation and behavior skill nursing intervention for patients with cataract complicated with meibomian gland dysfunction is helpful to improve the symptoms and ocular surface conditions of patients with postoperative meibomian gland dysfunction, improve visual quality satisfaction, and improve the quality of life of patients, which is worthy of clinical application and promotion.
Key words： Information-motivation-behavior skill nursing intervention; Preoperative meibomian gland massage therapy; Cataract with meibomian gland dysfunction
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