实用临床医药杂志2025，Vol.29Issue(4)：29-33,5.DOI:10.7619/jcmp.20242948
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
摘要
Abstract
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 dif-ferent 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-Effica-cy 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 inter-vention 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 symp-toms,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).After the intervention,the scores for general health status,symptoms and visual function,social activities,mental health,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).Conclusion Meibomian gland mas-sage combined with nursing based on the ROY adaptation model can improve dry eye symptoms,ad-just the ocular surface status,enhance self-efficacy,and improve the quality of life of patients.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Key words
xerophthalmia/optimized pulsed light therapy/meibomian gland massage/ROY adaptation model nursing分类
医药卫生引用本文复制引用
晁媛媛,宋金鑫,荣育倩,梁乐..睑板腺按摩联合ROY适应模式在干眼症护理中的作用[J].实用临床医药杂志,2025,29(4):29-33,5.基金项目
陕西省重点研发计划项目(2024SF-YBXM-340) （2024SF-YBXM-340）
