题名

眼角膜移植手術後之護理照護

并列篇名

Nursing Care of Post Corneal Transplantation

DOI

10.6530/YYN.202209_16(S).0008

作者

吳雪紅(Hsueh-Hung Wu);戴明正(Ming-Cheng Tai);林佳慧(Chia-Huei Lin)

关键词

眼角膜 ; 移植 ; 手術後照護 ; 護理 ; cornea ; transplant ; post-operative care ; nursing

期刊名称

源遠護理

卷期/出版年月

16卷增訂刊(2022 / 09 / 01)

页次

60 - 66

内容语文

繁體中文

中文摘要

導致眼盲的眼疾除了白內障外便是眼角膜疾病,臨床上嚴重的眼角膜病症通常需接受眼角膜移植手術,然而,儘管醫學科技的進步,眼角膜移植手術後的失敗率仍偏高,其中最重要的因素便和病人對角膜移植術後自我照護知識與技巧有關,若自我照顧遵從性差者,不僅恐導致移植失敗、甚至失明,更可能造成醫療資源浪費;對有心捐贈角膜的病人或家屬而言更覺惋惜。而臨床醫護專業人員便需肩負提升眼角膜術後病人照護知識之責任。綜觀國內、外針對眼角膜移植手術病人的照護原則之相關文獻仍闕如,故筆者整合國內、外文獻與實證資料,嘗試綜整這類病人術後照護重點,期望提供臨床護理人員參考,並藉此拋磚引玉讓臨床工作人員及研究人員對提升眼角膜移植術後照護品質之重視。

英文摘要

The major eye diseases that cause blindness are corneal diseases except cataracts. Serious corneal diseases usually require treatment with corneal transplant surgery in clinical settings. However, despite advances in medical technology, the failure rate after corneal transplant surgery remains high. Particularly, the most importance is the patient's self-care knowledge and skills after corneal transplantation. If the adherence of self-care is not enough, it might not only lead to transplant failure, even blindness, but also waste medical resources. In addition, it may be regret for those patients or their families who donate the cornea. Clinical health care professionals need to take the responsibility to improve the care of patients with corneal surgery. So far little is known about literature regarding the principles of care for patients with corneal transplant surgery. Therefore, we searched the domestic and international references and evidence, attempting to comprehensively integrate the care guideline of postoperative care for patients with corneal transplant surgery. Furthermore, we anticipate to provide references for clinical nursing professionals and to awaken clinical staff and researchers paying attention to improve the quality of care for patients with corneal transplantation.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 柯鋇涵(2015)。大愛捐贈之眼角膜移植。彰化護理,22(1),22-23。
    連結:
  2. 許志堅(2018)。角膜移植手術得現況與未來。臨床醫學,81(4),235-239。
    連結:
  3. 郭懿萱(2018)。角膜移植近期發展。臨床醫學,82(2),478-481。
    連結:
  4. Ahmad, S.,Mathews, P. M.,Lindsley, K.,Alkharashi, M.,Hwang, F. S.,Ng, S. M.,Akpek, E. K.(2016).Boston type 1 keratoprosthesis versus repeat donor keratoplasty for corneal graft failure: A systematic review and meta-analysis.Ophthalmology,123(1),165-177.
  5. Alabi, R. O.,Ansin, A.,Clover, J.,Wilkins, J.,Rao, N. K.,Terry, M. A.,Sales, C. S.(2019).Novel use of telemedicine for corneal tissue evaluation in eye banking: Establishing a standardized approach for the remote evaluation of donor corneas for transplantation.Cornea,38(4),509-514.
  6. Amiri, F.,Ghiyasvandian, S.,Navab, E.,Zakerimoghadam, M.(2017).Corneal transplantation: A new view of life.Electron Physician,9(4),4055-4063.
  7. Antona, B.,Barrio, A. R.,Gasco, A.,Pinar, A.,Gonzalez-Perez, M.,Puell, M. C.(2018).Symptoms associated with reading from a smartphone in conditions of light and dark.Appl Ergon,68,12-17.
  8. Armitage, W. J.,Goodchild, C.,Griffin, M. D.,Gunn, D. J.,Hjortdal, J.,Lohan, P.,Vabres, B.(2019).High-risk Corneal Transplantation: Recent Developments and Future Possibilities.Transplantation,103(12),2468-2478.
  9. Burns, P. B.,Rohrich, R. J.,Chung, K. C.(2011).The levels of evidence and their role in evidence-based medicine.Plastic and Reconstructive Surgery,128(1),305-310.
  10. Chen, H. C.,Lee, C. Y.,Lin, H. Y.,Ma, D. H.,Chen, P. Y.,Hsiao, C. H.,Tan, H. Y.(2017).Shifting trends in microbial keratitis following penetrating keratoplasty in Taiwan.Medicine,96(5),e5864.
  11. Gain, P.,Jullienne, R.,He, Z.,Aldossary, M.,Acquart, S.,Cognasse, F.,Thuret, G.(2016).Global survey of corneal transplantation and eye banking.JAMA Ophthalmol,134(2),167-173.
  12. Golebiowski, B.,Long, J.,Harrison, K.,Lee, A.,Chidi-Egboka, N.,Asper, L.(2019).Smartphone use and effects on tear film, blinking and binocular vision.Curr Eye Res,1,1-7.
  13. Henein, C.,Nanavaty, M. A.(2017).Systematic review comparing penetrating keratoplasty and deep anterior lamellar keratoplasty for management of keratoconus.Cont Lens Anterior Eye,40(1),3-14.
  14. Li, S.,Liu, L.,Wang, W.,Huang, T.,Zhong, X.,Yuan, J.,Liang, L.(2017).Efficacy and safety of Descemet’s membrane endothelial keratoplasty versus Descemet’s stripping endothelial kerato-plasty: A systematic review and meta-analysis.PLoS One,12(12),e0182275.
  15. Matthaei, M.,Sandhaeger, H.,Hermel, M.,Adler, W.,Jun, A. S.,Cursiefen, C.,Heindl, L. M.(2017).Changing indications in penetrating keratoplasty: A systematic review of 34 years of global reporting.Transplantation,101(6),1387-1399.
  16. Park, C. Y.,Lee, J. K.,Gore, P. K.,Lim, C. Y.,Chuck, R. S.(2015).Keratoplasty in the United States: A 10-year review from 2005 through 2014.Ophthalmology,122(12),2432-2442.
  17. Pineda, R.(2015).Corneal transplantation in the developing world: Lessons learned and meeting the challenge.Cornea,34(Suppl 10),S35-S40.
  18. Rock, T.,Landenberger, J.,Bramkamp, M.,Bartz-Schmidt, K. U.,Rock, D.(2017).The evolution of corneal transplantation.Ann Transplant,22,749-754.
  19. Singh, A.,Zarei-Ghanavati, M.,Avadhanam, V.,Liu, C.(2017).Systematic review and meta-analysis of clinical outcomes of Descemet membrane endothelial keratoplasty versus Descemet stripping endothelial keratoplasty/Descemet stripping automated endothelial keratoplasty.Cornea,36(11),1437-1443.
  20. Stuart, A. J.,Romano, V.,Virgili, G.,Shortt, A. J.(2018).Descemet’s membrane endothelial keratoplasty (DMEK) versus Descemet’s stripping automated endothelial keratoplasty (DSAEK) forcorneal endothelial failure.Cochrane Database of Systematic Reviews,6,Art. No.: CD012097.
  21. Sugar, A.,Gal, R. L.,Kollman, C.,Raghinaru, D.,Dontchev, M.,Croasdale, C. R.,Beck, R. W.(2015).Factors associated with corneal graft survival in the cornea donor study.JAMA Ophthalmol,133(3),246-254.
  22. Sugar, A.,Tanner, J. P.,Dontchev, M.,Tennant, B.,Schultze, R. L.,Dunn, S. P.,Holland, E. J.(2009).Recipient risk factors for graft failure in the cornea donor study.Ophthalmology,116(6),1023-1028.
  23. Wacker, K.,Bourne, W. M.,Patel, S. V.(2016).Effect of graft thickness on visual acuity after Descemet stripping endothelial keratoplasty: A systematic review and meta-analysis.American Journal of Ophthalmology,163,18-28.
  24. Wang, F.,Zhang, T.,Kang, Y. W.,He, J. L.,Li, S. M.,Li, S. W.(2017).Endothelial keratoplasty versus repeat penetrating keratoplasty after failed penetrating keratoplasty: A systematic review and meta-analysis.PLoS One,12(7),e0180468.
  25. 台灣財團法人器官移植登錄中心(2019年,1月29日).一○七年度器官捐贈人數統計.2019年1月29日取自https://www.torsc. org.tw/docDetail.jsp?uid=158&pid=9&doc_id=1260
  26. 田碧珊,蘇麗金,劉遠芳(2016)。飛秒激光輔助移植術的護理。眼科學報,31(1),40-43。
  27. 吳雪紅,劉永芳,闞秋萍(2007)。一位二度接受角膜移植病人之手術全期護理。源遠護理,1(3),72-81。
  28. 施明蕙,蔡娟秀(2014)。移植病患之免疫抑制劑服藥遵從性。護理雜誌,61(4),21-25。
  29. 洪國烜(2015).角膜手冊.新北市:合記出版社.
  30. 陳偉勵(2005)。臺灣大學臨床醫學研究所。
  31. 劉雪娥(校閱)(2013).成人內外科護理.臺北市:華杏.