Study On Nursing Intervention For Patients With Dry Eye Syndrome Caused By Meibomian Gland Dysfunction

OBJECTIVE：Dry eye syndrome is the eye of a common ocular disease, patients oftencharacterized by ocular dryness, foreign body sensation, photophobia is notapplicable, and so on. This study is for etiological treatment and nursing interventionof meibomian gland dysfunction improved markedly, tear film stability increase,effective in improving symptoms of dry eye to reduce patient’s pain, and improve thequality of life of patients with dry eye syndrome.METHODS：The object of study was in January,2012-May,2013China-Japan unionhospital， Jilin University Xin-min courtyard area ophthalmology departmentoutpatient service seeing a doctor diagnosis and has caused for meibomian glandfunction barrier to over evaporate patient200examples (400eyes).Because of eachkind of reason, loses visits34examples. In accordance with the principle ofrandomly divided into an experimental group and control group,The treatmentgroup carries on the conventional antibiotic eye fluid and the artificial tear fluid eyetreatment, The control group eliminates carries on conventional the antibiotic eyewater and an artificial tear fluid eye, the union hot compress, the clean meibomianreason, meibomian gland massage, the diet instruction primarily nursingintervention, Separately in treats the latter1week,2weeks,4weeks,8week revisitsubsequent visits, observe two group of tear fluid secretion situation, the tearmembrane breakage time, the cornea dye as well as carry on meibomian glandfunction grading, and carries on the comparison, carries on the statistical analysisusing the SPSS13.0software, P<0.05thought has statistics significance.RESULTS：Around the different treatment time experimental group and the control grouptwo groups treats each target quite to be even has the improvement. During (1) two groups compares when treats1week, the experimental group foundation SchirmerⅠtest examination (SIT) average for7.37±1.65mm, the control group for6.79±1.18mm, two groups of comparisons has statistics difference (P<0.05),(2)treats1week,2week,4week, when8weeks separately compares two group of tearfilm break-up time (BUT), the experimental group compares the control group tolengthen obviously, two groups of comparisons have the remarkable statisticsdifference (P<0.001);(3) When treats1week, the experimental group symptomgrading average for3.36±1.77, the control group for3.69±1.90, two groupscompares the non-statistics difference (P=0.209), when treats latter2week,4week,8weeks, experimental group shape grading is lower than the control group obviously,two groups of comparisons have the remarkable statistics difference (P<0.05);（4）Compared with treats1week,2week,4week,8weeks, two group of corneafluorescence dye, the experimental group is lower than the control group obviously,two groups of comparisons have statistics difference (P<0.05);（5）When treats1week, the experimental group meibomian reason grading mean value compares thecontrol group to be high, two groups of comparisons have statistics difference (P<0.05), when treats latter2week,4week,8weeks, experimental group average jianreason grading is higher than the control group obviously, two groups ofcomparisons have the remarkable statistics difference (P<0.001).CONCLUSIONS：1. Evaporation caused by meibomian gland dysfunction is too strong of nursinginterventions in patients with dry eye syndrome, SchirmerⅠ test examinationand tear break-up time, corneal fluorescein staining, symptom score and lidmargin score are better than single drug therapy.2. Implementing this basic nursing interventions in patients with dry eye syndromeSchirmerⅠ test examination and tear film break time, corneal fluoresceinstaining, symptom score and lid margin score in1week after treatment is betterthan single drug therapy, and displayed until after8weeks.