综合护理干预在泪道栓塞治疗干眼症中的应用

Application of comprehensive nursing intervention on lacrinal embolism treatment dry eye

目的：探讨综合护理干预在Smart plug泪道栓塞治疗干眼症的应用效果。方法：将2011年1月～2012年12月于我院眼科使用Smart plug泪道栓塞的干眼症患者39例,随机分为对照组20例（40只眼）和干预组19例（38只眼）。对照组采用常规护理,干预组在常规护理基础上加用热敷、清洁睑缘、按摩、饮食补充ω-3不饱和脂肪酸、渐进性肌肉放松训练和音乐疗法等综合护理干预措施,比较两者患者焦虑评分、临床疗效和并发症发生率。结果：干预组患者焦虑评分低于对照组（P〈0.05）,临床疗效（干眼评分）优于对照组（P〈0.05）,两组患者并发症发生率差异无统计学意义（P＞0.05）。结论：综合护理干预可以提高Smart plug泪道栓塞的疗效,减轻患者焦虑程度,促进患者早日康复。

Objective： To investigate the efficiency of comprehensive nursing intervention for Smart plug implantation. Methods： In this retrospective observational case series,39 patients with of dry eye were treated with Smart plug implantation. They were divided into control group and experimental group according to nursing care. The control group was treated by conventional nursing care. Experimental group was accepted comprehensive nursing intervention measures,such as hot compress,clean eyelid margin,massage,dietary supplements of omega- 3 polyunsaturated fatty acids,progressive muscle relaxation training and music therapy. Then the difference between the two patients were compared. Results： There were statistic difference between two groups in anxiety scale, the clinic effect of experimental group was better than the control group（ P〈0. 05）. Conclusion： Comprehensive nursing intervention could improve the outcome of Smart plug for dry eye and reduce the complication.