Evaluation of the Efficacy of Traditional Chinese Medicine Nursing Protocols in Mild Myopia Among Adolescents
OBJECTIVE To evaluate the effectiveness of implementing Traditional Chinese Medicine(TCM)nursing protocols in adolescents with mild myopia.METHODS A total of 130 adolescents with mild myopia(260 eyes)who visited the ophthalmology clinic at Eye Hospital of China Academy of Chinese Medical Sciences from March 2022 to November 2022 were randomly divided into a control group(CG)and an observation group(OG),with 65 cases in each group(130 eyes).The CG received routine care and frame glasses correction,while the OG received an intervention based on the CG,including ear acupressure pills,plum blossom needle,eye scraping,and personalized health education,twice a week for three consecutive months.The"General Survey Questionnaire on Myopia in Primary and Secondary School Students"was filled out before and after the intervention to observe changes in patients' eye health behaviors.The evaluation included questions about myopia-related knowledge and preventive health knowledge to assess the mastery of myopia knowledge.The patients' uncorrected visual acuity and refraction were also examined,and statistical analysis was performed.RESULTS(1)Eye health behavior:The daily outdoor activity time after intervention in the OG was higher than that in the CG(t=3.018,P=0.003).The time of using electronic products each time(t=2.822,P=0.006),the daily continuous near-distance reading and writing time(t=2.648,P=0.009),and the extracurricular study time per week were lower than those in the CG(t=2.093,P=0.038),all with statistical significance.(2)Mastery of myopia knowledge:The scores of myopia knowledge questionnaire in both groups increased after the intervention(tCG= 5.576,tOG=11.626,both P=0.000).After the intervention,the OG's scores were higher than those of the CG(t=4.350,P=0.000),with statistical significance.(3)Uncorrected visual acuity:After intervention,the uncorrected visual acuity of the CG decreased compared to before intervention(t= 3.310,P=0.001),while the OG increased after intervention(t=5.118,P=0.000),with statistical significance.After the intervention,the OG had better uncorrected visual acuity than the CG(t= 5.109,P=0.000),with statistical significance.(4)Refraction:The refraction in the CG increased after the intervention,with statistical significance(t=4.176,P=0.000).The refraction in the OG was not significantly different before and after the intervention(P>0.05).After the intervention,the OG had lower refraction than the CG,with statistical significance(t=2.092,P=0.037).CONCLUSIONS TCM nursing protocols,including ear acupressure pills,plum blossom needle,eye scraping,and personalized health education,can delay the progression of mild myopia in adolescents.
adolescentsmild myopiaTraditional Chinese Medicine nursing protocolsear acupressure pillspersonalized education