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Effect of systematic nursing intervention on perioperative ocular symptoms in refractive surgery patients: evaluation using the ocular surface disease index scale.

Created on 01 Oct 2026

Authors

Yidi Zhang, Ping Zhang, Ran Zhu, Xiumei Wu, Jincui Wei

Published in

Frontiers in health services. Volume 6. Pages 1864071. Epub Sep 16, 2026.

Abstract

To evaluate the effect of systematic nursing intervention on perioperative ocular symptoms in patients undergoing femtosecond laser-assisted in situ keratomileusis (FS-LASIK), using the Ocular Surface Disease Index (OSDI) scale.
A prospective case-control study was conducted including 69 patients (137 eyes) who underwent FS-LASIK between September 2023 and June 2024. Patients were randomly divided into an experimental group (37 patients, 74 eyes) receiving systematic nursing interventions and a control group (32 patients, 63 eyes) receiving routine care only. Preoperative and postoperative measures included refractive status, tear film breakup time (BUT), and OSDI scores.
Preoperatively, there were no significant differences between groups in refractive status, BUT, or OSDI scores (all P > 0.05). Postoperatively, refractive status remained comparable (P > 0.05), but significant differences were found in OSDI scores (P = 0.002). Pearson correlation analysis revealed that OSDI scores were positively correlated with age in the experimental group (r = 0.43, P = 0.032). In the control group, OSDI scores were negatively correlated with both first BUT (r=-0.72, P = 0.005) and mean BUT (r=-0.52, P = 0.001).
Systematic nursing interventions significantly improved compliance with postoperative eye care, alleviated anxiety related to ocular discomfort, promoted faster recovery, and enhanced surgical satisfaction.

PMID:
42818754
Bibliographic data and abstract were imported from PubMed on 01 Oct 2026.

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