Rabie Emad Abd El Gawad Ali, ElRazkey Jehan Y, Ahmed Heba Abdelmowla
Department of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Department of Medical-Surgical Nursing, Faculty of Nursing, The British University in Egypt, Cairo, Egypt.
BMC Nurs. 2024 Sep 27;23(1):693. doi: 10.1186/s12912-024-02318-9.
Dry eye syndrome (DES) is a widespread ocular condition affecting the general population. It is a complex disorder affecting the eye surface, characterized by a tear film imbalance and ocular symptoms such as eye ache, burning, irritation, dryness, blurred vision, and foreign body sensation. DES can reduce visual acuity, increase the risk of ocular infection, and significantly impact daily activities and quality of life.
Determine the impact of nursing-led educational program on the management of DES and patients' health outcomes including the intensity of DES symptoms and their influence on visual-related functions.
The study was conducted with a quasi-experimental design. Sixty adult patients diagnosed with DES were selected using a convenience sampling method. Two tools were employed for the collection of data. Tool I: Precipitating factors of DES structured interview schedule. Tool II: Ocular surface disease index (OSDI) to assess ocular irritation symptoms associated with DES and their effect on functions related to vision.
A statistically significant decrease in the mean scores of OSDI in the study group two weeks after the implementation of the educational program regarding the ocular symptoms, functions associated with vision, environmental triggers, and overall score of OSDI.
Implementing an educational program for DES is effective in relieving symptoms, boosting patients' understanding of managing symptoms effectively, and maintaining eye health. Therefore, patients must be instructed on dry eye early detection and management to enhance health-related outcomes and self-care practices.
ClinicalTrials.gov: NCT06288945.
干眼综合征（DES）是一种影响普通人群的常见眼部疾病。它是一种影响眼表的复杂病症，其特征是泪膜失衡以及眼痛、灼烧感、刺激感、干涩感、视力模糊和异物感等眼部症状。DES会降低视力，增加眼部感染风险，并显著影响日常活动和生活质量。
确定由护士主导的教育项目对DES管理以及患者健康结局的影响，包括DES症状的严重程度及其对视觉相关功能的影响。
本研究采用准实验设计。采用便利抽样法选取60例被诊断为DES的成年患者。使用两种工具收集数据。工具一：DES诱发因素结构化访谈问卷。工具二：眼表疾病指数（OSDI），用于评估与DES相关的眼部刺激症状及其对视觉相关功能的影响。
在实施关于眼部症状、视觉相关功能、环境诱因和OSDI总分的教育项目两周后，研究组的OSDI平均得分有统计学意义的下降。
实施针对DES的教育项目可有效缓解症状，增强患者对有效管理症状的理解，并维持眼部健康。因此，必须指导患者进行干眼的早期检测和管理，以改善健康相关结局和自我护理行为。
ClinicalTrials.gov：NCT06288945。
