视频健康教育的应用对睑板腺功能障碍患者长期治疗效果影响的研究

Preliminary study on the effects of video health education on long-term therapeutic outcomes of meibomian gland dysfunction

目的探讨视频健康教育的应用对睑板腺功能障碍患者长期治疗效果的影响。方法选取眼科门诊的睑板腺功能障碍患者200例（200眼），随机分为口头教育组100例（100眼）和视频教育组100例（100眼），两组患者均进行眼表疾病指数问卷调查、睑缘形态检查、泪膜破裂时间检查。治疗1周、2周、3周及1个月、2个月、6个月后，分别随访并记录每组患者的眼表疾病指数、睑缘形态异常得分及泪腺破裂时间值。结果治疗1个月后，两组患者的睑缘异常评分逐周下降至较低水平，泪腺破裂时间值逐周上升至正常水平；治疗后2～6个月，视频教育组患者的眼表疾病指数、睑缘形态异常评分及泪腺破裂时间值保持正常水平；口头教育组眼表疾病指数及睑缘异常评分较同期视频教育组再次上升、泪膜破裂时间值则再次下降。结论应用视频健康教育有助于提高睑板腺功能障碍患者治疗的依从性，提高长期治疗效果。

Objective To explore the effects of video health education on long - term therapeutic outcomes of meibomian gland dysfunction （MGD）. Methods Two hundred patients （200 eyes） with MGD, were randomly divided into two health education groups. One group was a watch video group （WV group, 100 patients, 100 eyes）, while the other was an orally taught health education group （OT group, 100 patients, 100 eyes）. Patients were followed up for 1, 2,3 weeks, and 1,3, 6 months after accepted two different methods for health education of MGD. All subjects were underwent the examinations as follows： Evalu- ation of ocularsnrface disease symptoms using the Ocular Surface Disease Index（OSDI） ,lid margin abnormality and ocular surface examination by slit lamp mi- croscope, tear film break - up time （BUT）. Records of OSDI, Lid margin abnormality score and BUT with each follow - ups were determined. Results OSDI score, 1 id margin abnormality score were significantly decrease, but scores increased after therapeutic intervention. OSDI score, Iid margin abnormality score increased, but it was low again compared to last month in OT group at 2,6 months. While the differences in WV group were not found. Conclusion Videos health education enable compliance of treatment sustain improved and patient have a better long - term therapeutic outcomes.