Application of meibomian gland massage combined with emotional intervention in patients with dry eye syndrome
Objective To explore the application effect of meibomian gland massage combined with emotional intervention in patients with dry eye syndrome. Methods 106 patients with dry eye syndrome were selected and divided into a conventional group and a combined group by the random number table method,with 53 cases in each group. The conventional group received routine nursing intervention,and the combined group received meibomian gland massage combined with emotional intervention on the basis of the conventional group. The dry eye syndrome indicators,meibomian gland function,psychological status,and quality of life were compared between the two groups before and after intervention. Results After 1 month of intervention,the tear break-up time (BUT) and tear secretion volume in both groups were improved compared with those before intervention;compared with (7.08±1.30) s and (7.88±1.09) mm/5 min in the conventional group,the improvement of BUT and volume of tear secretion was greater in the combined group[(8.43±1.35) s and (9.03±1.22) mm/5 min](P<0.05). After 1 month of intervention,the scores of meibomian gland loss,opening signs and lipid secretion traits in both groups were lower than those before intervention;compared with the conventional group[(1.52±0.35),(1.41±0.31) and (1.48±0.33) points],the decline in scores of meibomian gland loss,opening signs and lipid secretion traits were more significantly in the combined group[(0.90±0.26),(0.83±0.23) and (0.87±0.24) points](P<0.05). After 1 month of intervention,the scores of Generalized Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire (PHQ-9) in both groups were lower than those before intervention;compared with (13.51±3.10) and (15.68±3.37) points in the conventional group,the reduction in GAD-7 score and PHQ-9 score was greater in the combined group[(10.22±2.84) and (12.30±3.03) points](P<0.05). After 1 month of intervention,the scores of symptoms and visual function,spiritual psychology,social function,and physical function in both groups were higher than those before intervention;compared with the conventional group,the combined group showed a greater improvement in scores of symptoms and visual function,spiritual psychology,social function,and physical function in the combined group (P<0.05). Conclusion The application of meibomian gland massage combined with emotional intervention in the care of patients with dry eye syndrome can significantly improve the patients' dry eye syndrome indicators,meibomian gland function,and psychological status,and improve their quality of life.
Meibomian gland massageEmotional interventionDry eye syndromePsychological status
万方数据
维普
