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Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial
BACKGROUND: After strabismus surgery, the local swelling of conjunctival wound will affect the uniform distribution of tears on the ocular surface, and the inflammatory reaction will affect the stability of tear film, which will easily lead to iatrogenic dry eye. This study aimed to investigate the...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506051/ https://www.ncbi.nlm.nih.gov/pubmed/34733674 http://dx.doi.org/10.21037/tp-21-385 |
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author | Yang, Suling Guo, Weina Gong, Yuexing Wang, Jiancang Chen, Lu Zhao, Jingcong Guo, Xiting Bai, Jie Song, Yanxia |
author_facet | Yang, Suling Guo, Weina Gong, Yuexing Wang, Jiancang Chen, Lu Zhao, Jingcong Guo, Xiting Bai, Jie Song, Yanxia |
author_sort | Yang, Suling |
collection | PubMed |
description | BACKGROUND: After strabismus surgery, the local swelling of conjunctival wound will affect the uniform distribution of tears on the ocular surface, and the inflammatory reaction will affect the stability of tear film, which will easily lead to iatrogenic dry eye. This study aimed to investigate the effect of vitamin A palmitate (VAP) eye gel application in dry eye and the advantages of Watson’s theory of caring. METHODS: Two hundred and forty children with dry eye after strabismus surgery treated in our hospital from September 2018 to September 2020 were selected as the study subjects, and were randomly divided into control group and observation group according to the allocation ratio of 1:1. Watson’s theory of care nursing was applied in the observation group, and VAP eye gel was additionally dropped into the eye. Mouse conjunctival goblet cells (GCs) were used to detect the effect of VAP on the growth of GCs. Treatment compliance, improvement of dry eye symptoms [Schirmer I test (SIT), tear film break-up time (BUT), and fluorescent staining (FL) score], inflammatory factor levels in tears, clinical efficacy, and parents’ satisfaction were compared. RESULTS: It was found that VAP eye gel could better promote the proliferation of GCs. After nursing and clinical treatment, the dry eye symptoms were improved in all included children, and improvements in the SIT, BUT, and FL scores were more obvious in the observation group. Watson’s theory of care nursing could effectively improve the children’s treatment compliance and parents’ satisfaction. CONCLUSIONS: As a result, the application of VAP eye gel and Watson’s theory of care nursing could effectively reduce the occurrence of dry eye after strabismus surgery, and were of great importance for improving the relationship between nurses and patients and building a harmonious hospital. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100049136. |
format | Online Article Text |
id | pubmed-8506051 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-85060512021-11-02 Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial Yang, Suling Guo, Weina Gong, Yuexing Wang, Jiancang Chen, Lu Zhao, Jingcong Guo, Xiting Bai, Jie Song, Yanxia Transl Pediatr Original Article BACKGROUND: After strabismus surgery, the local swelling of conjunctival wound will affect the uniform distribution of tears on the ocular surface, and the inflammatory reaction will affect the stability of tear film, which will easily lead to iatrogenic dry eye. This study aimed to investigate the effect of vitamin A palmitate (VAP) eye gel application in dry eye and the advantages of Watson’s theory of caring. METHODS: Two hundred and forty children with dry eye after strabismus surgery treated in our hospital from September 2018 to September 2020 were selected as the study subjects, and were randomly divided into control group and observation group according to the allocation ratio of 1:1. Watson’s theory of care nursing was applied in the observation group, and VAP eye gel was additionally dropped into the eye. Mouse conjunctival goblet cells (GCs) were used to detect the effect of VAP on the growth of GCs. Treatment compliance, improvement of dry eye symptoms [Schirmer I test (SIT), tear film break-up time (BUT), and fluorescent staining (FL) score], inflammatory factor levels in tears, clinical efficacy, and parents’ satisfaction were compared. RESULTS: It was found that VAP eye gel could better promote the proliferation of GCs. After nursing and clinical treatment, the dry eye symptoms were improved in all included children, and improvements in the SIT, BUT, and FL scores were more obvious in the observation group. Watson’s theory of care nursing could effectively improve the children’s treatment compliance and parents’ satisfaction. CONCLUSIONS: As a result, the application of VAP eye gel and Watson’s theory of care nursing could effectively reduce the occurrence of dry eye after strabismus surgery, and were of great importance for improving the relationship between nurses and patients and building a harmonious hospital. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100049136. AME Publishing Company 2021-09 /pmc/articles/PMC8506051/ /pubmed/34733674 http://dx.doi.org/10.21037/tp-21-385 Text en 2021 Translational Pediatrics. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Yang, Suling Guo, Weina Gong, Yuexing Wang, Jiancang Chen, Lu Zhao, Jingcong Guo, Xiting Bai, Jie Song, Yanxia Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
title | Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
title_full | Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
title_fullStr | Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
title_full_unstemmed | Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
title_short | Application of vitamin A palmitate eye gel and nurse value of Watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
title_sort | application of vitamin a palmitate eye gel and nurse value of watson’s theory of caring in children with dry eye after strabismus surgery: a randomized trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506051/ https://www.ncbi.nlm.nih.gov/pubmed/34733674 http://dx.doi.org/10.21037/tp-21-385 |
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