论著

湿性老年性黄斑变性患者自我感受负担现状及影响因素研究

A study on status and influencing factors of self-perceived burden in patients with wet age-related macular degeneration

:441-448
 
目的:了解湿性老年性黄斑变性(age-related macular degeneration,AMD)患者自我感受负担(self-perceived burden,SPB)现状及其影响因素。方法:采用方便抽样法选取2021年1月至11月在中山大学中山眼科中心就诊的204例湿性AMD患者为研究对象,采用一般资料调查表、SPB量表、家庭支持自评量表、医学应对问卷对其进行测评。结果:患者SPB得分是(21.98±6.68)分,总体属于轻度SPB。湿性AMD患者的SPB水平与家庭支出(r=?0.326, P<0.001)和面对应对(r=?0.365, P<0.001)呈负相关,与回避(r=0.456, P<0.001)及屈服(r=0.310, P<0.001)应对方式呈正相关性。多重线性回归显示,独居、高龄、自费、双眼患病及采用回避应对的患者的SPB更高,而高文化水平、高家庭支持的患者SPB较轻。结论:湿性AMD患者有轻度SPB,但仍存在改善空间,医护工作者在工作中应重点关注高龄、文化程度低、家庭收入低、自费、独居、双眼患病及低视力的患者,及时进行心理疏导,减轻患者的SPB水平。
Objective: To understand the current status and influencing factors of self-preceived burden (SPB) in patients with wet age-related macular degeneration (AMD). Methods: 204 patiens with wet AMD who were treated in Zhongshan Ophthalmic Center, Sun Yat-sen University from January to November 2021 were enrolled as the study subjects with convenience sampling method. A general information questionnaire, SPB scale, family support self-assessment scale, and medical coping questionnaire were collected from the subjects for assessment. Results: The patient’s SPB score was 21.98±6.68, which is generally mild SPB. The SPB level of patients with wet AMD was negatively correlated with family support (r=-0.326, P<0.001) and coping (r=?0.365, P<0.001), and were positively correlated with avoidance (r= 0.456,P<0.001), and surrender (r=0.310, P<0.001) coping style. Multiple linear regression showed that the patients who lived alone, were elder and self-funded, had binoclur diseases and used avoidance coping, had higher SPB. While the patients with high education and family support had lower SPB. Conclusions: It is still needed to pay attention to the patients with AMD having mild SPB. Medical workers should focus on patients with elder age, low education level, low family income, self-funded, living alone, binocular disease and low vision in their work, and provide timely psychological counseling to reduce the SPB level of patients.
眼科护理

穿透性角膜移植术患者日间手术的护理模式

Nursing care mode in patients undergoing penetrating keratoplasty in day ward

:279-282
 

目的:总结 132 例穿透性角膜移植手术患者日间手术的护理的方法。方法:132 例穿透性角膜移植患者通过门诊的术前检查,术前解释,有角膜材料时通知入院,在日间病房给予责任制整体护理运行模式、医护一体化、家属同步健康教育、安全管理等全程优质护理服务。结果:132 例穿透性角膜移植患者顺利进行日间手术,患者如期出院。结论:结合运用责任制整体护理运行模式、医护一体化、家属同步健康教育、安全管理等护理模式对穿透角膜移植术患者进行日间手术护理,术程顺利,既缩短了手术等待时间,又降低了住院费用,得到了满意的效果。

Objective: To summarize the nursing methods of patients undergoing penetrating keratoplasty in day ward. Methods: A total of 132 cases of penetrating keratoplasty were examined and communicated before operation. The patients were notified if the corneal material was prepared. The overall primary nursing mode, the integration of medical care and nursing, the synchronous health education of the family and the safety management were provided in day ward. Results: All cases of penetrating keratoplasty were successfully managed by day surgery. The patient was discharged on schedule. Conclusion: The penetrating keratoplasty patients are managed by the overall primary nursing mode, the integration of medical care and nursing, the synchronous health education of the family and the safety management in day ward. It shortens the time for the patients to wait for the operation, reduces the cost of medical treatment and saves medical resources.
论著

干眼患者知信行现状调查及影响因素分析

An Investigation into the current status of knowledge, attitudes and practices among patients with dry eye disease and an analysis of influencing factors

:1-10
 
目的:了解干眼患者相关知识、管理态度及防治行为的现状及影响因素,为临床制定针对性的干预措施提供依据。方法:采用便利抽样法,选取2025年1—3月在中山大学中山眼科中心干眼与眼表疾病门诊就诊的患者为研究对象。调查工具为一般资料调查表、中国干眼问卷及干眼患者知信行问卷。知信行问卷包括知识(16个条目)、态度(7个条目)、行为(9个条目) 3个维度,共32个条目。使用单因素分析及多元线性回归分析确定影响因素。 结果:有效回收调查问卷325份,325例干眼患者的知信行问卷平均得分为(62.89±9.00)分;标准分为(78.61±11.25)分,处于中等水平。其中知识维度平均得分为(9.89±4.88)分,134例(41.2%)处于较差水平;态度维度得分较高,总均分为(26.92±2.24)分,标准分(96.16±8.03)分,处于较高水平;行为维度总均分为(26.06±5.43)分,标准分(72.41±15.09)分,处于中等水平。单因素分析结果显示,不同年龄、文化程度、家庭人均月收入、是否经常使用电子设备、是否主动查询疾病知识的干眼患者,其知信行得分比较差异有统计学意义(P<0.05)。年龄、文化程度、是否主动查询疾病知识是干眼患者知信行得分的影响因素(P<0.05)。 结论:干眼患者知信行水平处于中等,表现为疾病知识掌握片面、防治态度较积极但行为水平有待提高,且受多因素影响,应制订精准、个性化健康教育内容,以提高干眼患者的知信行水平。
Objective: To investigate the current status and identify the influencing factors regarding the knowledge, attitudes, and practices related to dry eye disease (DED) among patients. This study aims to provide a solid foundation for the development of targeted clinical interventions. Methods: With convenience sampling, patients diagnosed with DED were selected at the Dry Eye and Ocular Surface Disease Clinic of Zhongshan Ophthalmic Center from January to March 2025 as study subjects. The survey tools consisted of a general information questionnaire, the Chinese Dry Eye Questionnaire, and the Knowledge, Attitudes, and Practices (KAP) Questionnaire for DED patients. The KAP questionnaire was structured into three dimensions: knowledge (16 items), attitudes (7 items), and practices (9 items), making a total of 32 items. Univariate analysis and multiple linear regression were employed to identify influencing factors. Results: A total of 325 valid questionnaires were collected. Among the 325 DED patients, the average KAP score was 62.89±9.00, and the standardized score was 78.61±11.25, indicating a moderate level. In the knowledge dimension, the average score was 9.89±4.88 and 134 patients (41.2%) had poor scores. The attitudes dimension showed a relatively high level, with a total mean score of 26.92±2.24 and a standardized score of 96.16±8.03, reflecting that the patients generally held positive attitudes towards the prevention and treatment of DED. For the practices dimension, the total mean score was 26.06±5.43, and the standardized score was 72.41±15.09, indicating a moderate level of behaviorial practices. Univariate analysis revealed significant differences in KAP scores among patients with different ages, education levels, monthly household income per capita, frequencies of electronic device use, and whether they actively sought disease-related knowledge (P<0.05). Further, age, education level, and proactive information-seeking behavior were identified as significant influencing factors for KAP scores (P<0.05). Conclusions: The KAP level of DED patients is moderate. Their disease knowlege is fragmented, while they exhibit positive attitudes toward prevention and treatment. However, their behavioral practices are subptimal and are influenced by multiple factors. Therefore, it is essential to develop tailored and personalized health education programs to enhance the KAP level of DED patients.
团体标准解读

《基于眼睑清洁仪的睑缘清洁操作流程》团体标准解读

Operation procedure of eyelid margin cleaning based on eyelid cleaning device

:382-386
 
睑缘炎是一种普遍存在的慢性眼部炎症,主要影响睑缘的皮肤和黏膜。患者常表现为眼部干痒、异物感等刺激症状,以及睑缘充血、肥厚和睫毛反复脱落等。睑缘清洁可以抑制部分眼表细菌生长,也可以去除睑缘油脂、分泌物、角化上皮细胞,清洁眼表环境,对治疗睑缘炎具有较好效果。为确保患者的治疗安全,并指导和规范临床眼科医护人员的操作,由中山大学中山眼科中心牵头,联合全国17所医疗机构进行反复修订,于2023年12月17日在全国团体标准信息平台发布《基于眼睑清洁仪的睑缘清洁操作流程》的团体标准。文章对该团体标准进行深度解读,详细解读睑缘清洁操作的适应证与禁忌证、具体操作的重点、难点与细节等内容,以更好地指导临床医护人员实施规范有效的治疗操作,保证患者治疗效果与确保患者治疗安全。旨在规范和推进基于眼睑清洁仪的睑缘清洁操作流程的精准化发展,更为促进我国眼前段疾病医学和护理精准应用的水平提供重要的标准依据。
Blepharitis is a common chronic eye inflammation that mainly affects the skin and mucosa of the eyelid margin. It is characterized by eye irritation symptoms such as dryness, itching, and foreign body sensation, accompanied by clinical manifestations such as eyelid congestion, thickening, and repeated eyelash loss. It can damage the conjunctival tissue even. Eyelid cleaning can inhibit the growth of some bacteria on the ocular surface, remove eyelid oil, secretions, and keratinized epithelial cells, clean the ocular environment, and have a good effect on treating blepharitis. In order to ensure the safety of patient treatment and guide and standardize the operation of clinical ophthalmic medical staff, led by the Zhongshan Ophthalmic Center, Sun Yat-sen University, and jointly revised by 17 medical institutions across the country, the group standard " Operation procedure of eyelid margin cleaning based on eyelid cleaning device" was released on the National Group Standard Information Platform on December 17, 2023. This article provides an in-depth interpretation of the group's standards, detailing the indications and contraindications, key points, difficulties, and details of eyelid cleaning procedures, in order to better guide clinical medical staff in implementing standardized and effective treatment procedures, ensuring patient treatment effectiveness and safety. Aiming to standardize and promote the precise development of eyelid margin cleaning procedures based on eyelid cleaning devices, and provide important standard basis for promoting the level of medical and nursing precision application of anterior segment diseases in China.
团体标准解读

《睑板腺按摩操作流程》团体标准解读

Interpretation of the group standard for operation procedure of meibomian gland massage

:236-240
 
睑板腺功能障碍可导致眼表微环境失衡,眼部不适及视功能障碍,深刻影响着患者的视觉生活质量。睑板腺按摩作为一种通过机械挤压睑板腺疏通睑板腺开口,排出异常睑酯的治疗手段,目前已被广泛应用于临床干眼患者,成为睑板腺功能障碍最常见的物理治疗方法。但由于睑板腺按摩的操作手法多样,不同医疗机构所积累的操作经验也不尽相同,导致在治疗过程中存在较多潜在风险,若操作不当,可造成眼部感染、眼睑红肿、结膜水肿出血,甚至角膜损伤。因此,制定标准化的操作流程,规范睑板腺按摩治疗非常重要。然而,目前尚缺乏全面、系统化且规范化的睑板腺按摩操作的临床实践指导。鉴于此,中山大学中山眼科中心联合全国19所医疗机构进行反复修订,于2023年12月17日在全国团体标准信息平台发布《睑板腺按摩操作流程》的团体标准。文章对该团体标准进行深度解读,以更好指导临床工作。
Meibomian gland dysfunction (MGD) can lead to an imbalance in the ocular surface microenvironment, eye discomfortable, and visual impairment, thereby profoundly affecting the visual quality of life of patients. Meibomian gland massage is now widely used in clinical patients, serving as the most prevalent physical therapy for MGD. The mechanism of meibomian gland massage is to open the meibomian gland opening by squeezing the meibomian gland and expel abnormal eyelid esters. However, due to the diverse techniques used in meibomian gland massage and the varying levels of operational experience accumulated by different medical institutions, there are many potential risks in treatment process. If medical staff operate improperly, it can cause eye infections, eyelid redness and swelling, conjunctival edema and bleeding, and even corneal damage. Therefore, it is crucial to establish the standardized procedure of meibomian gland massage therapy. Yet, there is currently lack of comprehensive, systematic, and standardized clinical practice guidance. Thus, the Zhongshan Ophthalmic Center, Sun Yat-sen University, in collaboration with 19 medical institutions across the country, has released the group standard for Operation Procedure of Meibomian Gland Massage on the National Group Standard Information Platform on December 17, 2023. This article aims to provide an in-depth interpretation of the group standard to guide clinical work better.
团体标准解读

《强脉冲光治疗睑板腺功能障碍操作流程》团体标准解读

Operation procedure of intense pulsed light for meibomian gland dysfunction

:231-235
 
睑板腺功能障碍(meibomian gland dysfunction, MGD)是一种慢性弥漫性睑板腺疾病,可引起眼红、眼干、异物感等眼部不适,影响患者的眼健康及生活质量。强脉冲光(intense pulsed light, IPL)作为一种新兴有效的物理治疗方法,目前已广泛应用于治疗MGD及其他常见的眼表疾病,如蠕形螨性睑缘炎、睑缘炎相关角结膜病变、复发性睑板腺囊肿等。在IPL临床应用中,规范的操作是保障治疗有效性与安全性的关键。为更好指导和规范临床眼科医护人员的IPL治疗操作,由中山大学中山眼科中心牵头,联合全国19所医疗机构,经过多次修订,于2023年12月17日在全国团体标准信息平台发布了《强脉冲光治疗睑板腺功能障碍操作流程》的团体标准。文章旨在对该团体标准进行深度解读,详细阐述操作中的重点、难点与操作细节,以更好地指导临床工作。
Meibomian gland dysfunction is a chronic diffuse meibomian gland disease that can cause eye discomfort such as redness, dryness, and foreign body sensation in patients, and influence their eye health and quality of life. Intense pulsed light (IPL), as an effective physical therapy for meibomian gland dysfunction, is being used to treat meibomian gland dysfunction and related diseases widely, such as demodex blepharitis, keratoconjunctivitis, recurrent meibomian gland cysts and so on.. In the clinical application of IPL, standardized procedures are key to ensuring the effectiveness and safety of treatment. In order to better guide and standardize the IPL treatment operation of clinical ophthalmic medical workers, led by the Zhongshan Ophthalmic Center, Sun Yat-sen University, and joined with 19 medical institutions across the country, after multiple revisions, the group standard " Operation Procedure of Intense Pulsed Light for Meibomian Gland Dysfunction" was released on the National Group Standard Information Platform on December 17, 2023. This article aims to provide an in-depth interpretation of the group's standards, detailing the key points, difficulties, and operational details of specific operations, in order to better guide clinical work.
眼科护理

板层角膜移植日间病房模式的管理

Management of Lamellar Keratoplasty in Day-care Unit

:122-124
 
目的:总结了日间病房收治 8 例板层角膜移植手术的管理及其效果。
方法:回顾分析8例日间病房模式下行角膜移植手术患者的工作流程和病历资料。
结果:8例患者术后恢复理想,其中1例真菌性角膜溃疡的患者术后2个月感染复发行常规住院治疗。
结论:板层角膜移植日间病房模式的管理重点包括详细制定并不断完善工作流程,对患者入选条件、术前后护理、出院后随访这些关键环节进行质控,并简化护理文书、加强心理护理和医护合作,提高工作效率。
Purpose:The management and efficacy of lamellar keratoplasty of 8 patients in day-care unit were summarized.
Methods:The work flow and medical record of 8 cases undergoing corneal transplantation in day-care unit were retrospectively analyzed.
Results:Eight patients were fully recovered.One case with fungal keratohelcosis was re-infected at postoperative 2 months and hospitalized.
Conclusion:During lamellar keratoplasty in day-care unit, the work flow should be explicitly established and modified. The quality of patient selection, preoperative and postoperative nursing, follow-up after discharge should be carefully assured.In addition, nursing paperwork should be simplified, psychological nursing should be strengthened, and doctors and nurses should cooperate closely to enhance work efficiency. 
眼科护理

角膜胶原交联术的护理

Nursing Experience of Corneal Collagen Cross-linkingin Treating Keratoconus

:128-130
 
目的:总结了角膜胶原交联术治疗圆锥角膜的护理及其效果。
方法:回顾分析30例(31眼)角膜胶原交联术患者术前术后护理记录及病历资料。
结果:30 例(31眼)患者病情得到控制,术后恢复理想,术后一个月复查视力都有提高。
结论:角膜胶原交联术护理重点在于术前协助患者完善各项检查、相关健康知识宣教及有效的心理护理,术后严密观察病情变化、减轻病人痛苦、预防感染及促进角膜上皮修复治疗。
Purpose:To summarize the nursing experience and clinical efficacy of corneal collagen cross-linking in treating keratoconus.
Methods:Preoperative and postoperative nursing and medical record of 30 patients (31 eyes) undergoing corneal collagen cross-linking were retrospectively analyzed.
Results:The the severity of diseases in all 30 patients (31 eyes) was properly controlled.All cases were fully recovered.The visual acuity at postoperative one month was improved in all cases.
Conclusion:assistance in terms of preoperative examination,education of health knowledge and effective psychological nursing play a pivatol role in the nursing before and after corneal collagen cross-linking.Following surgery,postoperative changes in the the severity of diseases should be strictly observed. Much attention should be diverted to ease patients' pain,prevent infection and accelerate the healing of corneal epithelium. 
论著

感染性角膜炎的隔离管理

Isolation and management of infectious keratitis

:88-90
 
目的:规范感染性角膜炎的隔离管理。方法:回顾性分析感染性角膜炎患者在住院期间发生交叉感染的危险因素,探讨现行的隔离管理措施是否有效。结果:隔离管理到位,5年的院感发生率为0.08%。结论:规范感染性角膜炎的隔离管理,能有效地预防医院感染。
Objective: To standardized the isolation and management of infectious keratitis. Methods: Risk factors of cross-infection of patients with infectious keratitis during their hospitalization were retrospectively reviewed to investigate whether the current isolation management is effective. Results: The current isolation management is effective since the incidence of hospital infection was 0.08% in past 5 years. Conclusion: Standardized the isolation management of infectious keratitis can prevent hospital infection efficaciously. 
论著

泪道成形+义管植入日间手术患者的延续性护理

Continuous care of the patients with day surgery of lacrimal duct formed combined tube implantation

:84-87
 
目的:探讨完善泪道成形+义管植入日间手术患者的延续性护理对预防义管意外脱管的重要作用。方法:收集我科2016年1月至12月实施了标准延续性护理的泪道成形+义管植入日间手术患者的意外脱管情况。结果:泪道成形+义管植入日间手术患者随访期间没有发生医源性脱管,有9例9眼带管期间在院外发生脱管,意外脱管率为2.6%。结论:做好泪道成形+义管植入日间手术患者的延续性护理,有效降低义管意外脱出率,有利于患者康复。
Objective: To explore the important role of continuous nursing of the patients with day surgery of lacrimal duct forming combined tube implantation in the aspect of accident prevention to take off the tube. Methods: The information of the patients from Jan. to Dec. 2016 with accident the tube’s takeoff after carrying out the standard continuity of care were collected. Results: There was no iatrogenic but 9 eyes of 9 patients accidentally take off the tube during follow-up period. Accidental decannulation rate was 2.6%. Conclusion: Continuous care of the patients with day surgery of lacrimal duct forming combined tube implantation can effectively reduce the tube accidentally removal rate and be beneficial to patients’ recovery.
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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