Open Access Article
International Journal of Nursing Research. 2025; 7: (6) ; 73-76 ; DOI: 10.12208/j.ijnr.20250307.
Study on the effect of progressive nursing intervention combined with meibomian gland massage on the compliance of patients with meibomian gland disorders and dry eye syndrome
渐进式护理干预配合睑板腺按摩对睑板腺障碍干眼症病人依从性的影响研究
作者：
米娜娃尔·亚森 *
阿克苏地区第一人民医院 新疆阿克苏
*通讯作者：
米娜娃尔·亚森,单位：阿克苏地区第一人民医院 新疆阿克苏；
发布时间: 2025-06-22 总浏览量: 70
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摘要
目的 探讨渐进式护理干预配合睑板腺按摩对睑板腺功能障碍（MGD）干眼症患者依从性、症状改善、客观指标及满意度的影响。方法 选取2022年1月—2023年1月某院眼科门诊MGD干眼症患者120例，随机分为实验组（渐进式护理+睑板腺按摩，n=60）和对照组（常规护理+睑板腺按摩，n=60），干预8周。比较两组干预前、干预4周和8周后的（1）依从性评分、（2）OSDI症状评分、（3）TBUT、Schirmer I试验值及睑板腺分泌物评分、（4）满意度。结果 干预8周后，实验组依从性评分（9.2±1.5 vs 7.1±1.8）、OSDI评分（18.5±4.9 vs 28.7±5.3）、TBUT（8.9±1.7s vs 6.3±1.5s）、Schirmer I值（11.2±2.1mm vs 8.6±1.9mm）及满意度（90.0% vs 65.0%）均显著优于对照组（均P=0.001）。结论 渐进式护理干预可显著提高MGD干眼症患者的治疗依从性，改善症状及泪膜稳定性，并提升满意度，值得临床推广。
关键词： 渐进式护理；睑板腺按摩；干眼症；依从性
Abstract
Objective To explore the effects of progressive nursing intervention combined with meibomian gland massage on compliance, symptom improvement, objective indicators, and satisfaction of patients with meibomian gland dysfunction (MGD) and dry eye syndrome. Methods 120 patients with MGD dry eye syndrome from January 2022 to January 2023 in an ophthalmology clinic of a certain hospital were randomly divided into an experimental group (progressive nursing+meibomian gland massage, n=60) and a control group (conventional nursing+meibomian gland massage, n=60), and intervened for 8 weeks. Compare the (1) compliance score, (2) OSDI symptom score, (3) TBUT, Schirmer I test value, meibomian gland secretion score, and (4) satisfaction score between two groups before intervention, 4 weeks after intervention, and 8 weeks after intervention. Results After 8 weeks of intervention, the compliance score (9.2 ± 1.5 vs 7.1 ± 1.8), OSDI score (18.5 ± 4.9 vs 28.7 ± 5.3), TBUT (8.9 ± 1.7s vs 6.3 ± 1.5s), Schirmer I value (11.2 ± 2.1mm vs 8.6 ± 1.9mm), and satisfaction (90.0% vs 65.0%) of the experimental group were significantly better than those of the control group (all P=0.001). Conclusion Progressive nursing intervention can significantly improve the treatment compliance of MGD dry eye patients, improve symptoms and tear film stability, and enhance satisfaction, which is worthy of clinical promotion.
Key words： Progressive care; Meibomian gland massage; Xerophthalmia; Compliance
参考文献 References
[1] 侯正利.渐进式护理干预配合睑板腺按摩对睑板腺障碍干眼症病人依从性和康复进程的影响[J].循证护理,2024,10 (23): 4296-4299.
[2] 胡佳,曾穗婷,裴月,等.焦点解决心理护理联合热敷按摩对睑板腺功能障碍性干眼症患者的影响[J].中国临床研究,2024,37(10):1587-1592.
[3] 曾庆先.睑板腺按摩联合玻璃酸钠对睑板腺功能障碍性干眼症患者临床症状及泪膜功能的影响[J].基层医学论坛,2024,28(26):27-30.
[4] 肖蓉,黄静,陆柳青,等.持续护理改进在睑板腺按摩联合中药熏眼治疗干眼症中的应用[J].东方药膳,2021,000(001): 192.
[5] 于书静,胡庆军.睑板腺按摩在治疗睑板腺功能障碍型干眼症中的效果分析[J].健康之友,2020,000(023):91.
[6] 陈咏虹.睑板腺按摩对睑板腺功能障碍性干眼的护理效果观察[J].世界最新医学信息文摘,2019(27):2.
[7] 王雁.516例干眼症患者行睑板腺按摩的护理体会[J].医学美学美容,2018,27(011):113.
[8] 邓洁飞.睑板腺按摩在治疗睑板腺功能障碍型干眼症中的效果[J].中国医药科学,2020,10(10):3.
引用本文
米娜娃尔·亚森, 渐进式护理干预配合睑板腺按摩对睑板腺障碍干眼症病人依从性的影响研究[J]. 国际护理学研究, 2025; 7: (6) : 73-76.