Objective? To analyze the reasons and nursing countermeasures for unplanned returned patients to the hospital after ophthalmic ambulatory surgery. Methods? The patients on unplanned return to the hospital after ophthalmic ambulatory surgery from January to June of 2018 in Ophthalmic Day Surgery Center, Beijing Tongren Hospital, Capital Medical University were selected as subjects in this study. Face-to-face interviews were conducted and the patients＇ general information and reasons of the return were recorded. Results? From January to June 2018, 13 447 surgeries had been performed in Ophthalmology Day Surgery Center. Totally 110 patients made unplanned return to the hospital 24 hours after discharge, yielding an returning rate of 0.82%. Among the reasons of returning, 38 cases were due to high intraocular pressure, 1 corneal epithelium exofoliation, 61 surgical incision pain, and 10 non-ophthalmic surgical reasons. Conclusions? High intraocular pressure and pain of surgical incision are the main reasons for unplanned return to hospital within 24 hours after operation. Strengthening health education and psychological nursing for patients with discomfort after operation such as pain, and teaching the patients the main symptoms requiring returning to hospital for diagnosis and treatment as well as to discover complications as early as possible,can effectively ensure the postoperative safety of ophthalmic ambulatory surgical patients.

Objective:To assess the status quo of uncertainty in illness among patients undergoing daytime ophthalmic surgeries and to identify its influencing factors.Methods:Patients who underwent surgery in the Ophthalmic Daytime Surgery Wards of Beijing Tongren Hospital, Capital Medical University, from January to June 2023, were selected by convenience sampling. Data were collected using a general demographic survey and the Medical Uncertainty Inventory Scale (MUIS/MUIS-A). Multiple linear regression analysis was employed to investigate the factors influencing the uncertainty in illness among these patients.Results:Out of 248 questionnaires distributed, 243 were effectively collected, resulting in a 97.98% response rate. The scores on the MUIS/MUIS-A ranged from 55 to 144, with a median of 102. Multiple linear regression analysis indicated that acceptance of the disease, educational level, and the number of surgeries were significant factors influencing the uncertainty in illness among these patients ( P<0.05) . Conclusions:The uncertainty in illness among patients undergoing daytime ophthalmic surgery is above the medium level. Factors such as acceptance of the disease, educational level, and the number of surgeries significantly influence this uncertainty.

Objective:To gain a deep understanding of the supportive care needs of families of children with retinoblastoma (RB) through qualitative research.Methods:From March to May 2022, a semi-structured interview was conducted using purposive sampling to select the family members of 15 RB children in the Department of Eye Tumor of Beijing Tongren Hospital affiliated to Capital Medical University. Colaizzi 7-step analysis method was used to refine, extract, and analyze interview data.Results:The supportive care needs of the families of RB children were summarized into three themes and six sub-themes, namely, psychological needs (emotional listening and psychological support), knowledge needs (disease knowledge needs, children's post discharge guidance, internet resource needs), and economic needs (social resource integration) .Conclusions:RB, as a malignant eye tumor, often brings a heavy burden to families. Family members of children generally experience negative emotions such as anxiety and depression, as well as a lack of knowledge. The economic burden on families is heavy, and there is a high demand for supportive care. The supportive care program for families of RB children is not yet perfect, and nurses should provide emotional support and professional assistance to the families, providing help and guidance in psychological counseling, knowledge needs, economic assistance, and other aspects.

Objective:To construct and test the reliability and validity of an assessment scale for self-management of patients with dry eye, so as to help patients establish dry eye related health behaviors.Methods:Based on the knowledge attitude and practice theory, the initial scale was constructed on the basis of literature review and qualitative interview, and revised through Delphi expert consultation and expert argumentation. After the preliminary investigation, 211 dry eye patients treated in the dry eye nursing outpatient department of Beijing Tongren Hospital from August 2023 to January 2024 were selected by convenience sampling method for questionnaire investigation to test the reliability and validity of the scale.Results:Among 211 dry eye patients, there were 58 males and 153 females, aged (39.31 ± 12.81) years old. The scale of self-management of patients with dry eye included 27 items in 3 dimensions: knowledge, attitude and behavior. The authority coefficient of the two rounds of expert consultation was 0.86, and the Kendall coordination index increased from 0.175 to 0.223 (both P < 0.01). The cumulative variance contribution rates of the three dimensions were 41.843%, 54.219% and 44.273%, respectively. The Cronbach α coefficient of the scale was 0.787, and the Spearman-Brown coefficient was 0.641. Conclusions:The scale of self-management of patients with dry eye has good reliability and validity and can be used in the assessment of dry eye patients to provide a reference basis for targeted guidance and intervention.

Objective To evaluate the effect of extended care model for ophthalmology ambulatory surgery patients, so as to provide better treatment, nursing and health education for patients by ambulatory wards.Methods By simple randomization, totals of 400 patients treated with ambulatory surgery were divided into research group and control group. Patients in the control group were given routine nursing, while those in the research group were given extended care as well as routine nursing. Totals of 200 questionnaires were handed out to each group, with 186 retrieved in the control group and 182 in the research group.Results Awareness rate of health education knowledge in the control group was 71.8%, and 93.1% in the research group (χ2=15.273, P<0.001). Satisfaction of patients toward ambulatory surgical ward in the research group was higher than that in the control group (P<0.05).Conclusions Implementing extended care to patients having undergone ophthalmology ambulatory surgery can better meet the needs of patients as well as their family members, and improve their satisfaction degree.

Objective:To construct an evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room and provide a reference for objectively assessing the nursing quality in ophthalmological Daytime Operation Room.Methods:From January to August 2020, the evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room was constructed by literature retrieval, semi-structured interviews, Delphi's expert correspondence inquiries, and hierarchical analysis based on Donabedian's structure-process-outcome model.Results:The effective response rates of the questionnaires for the two rounds of expert correspondence inquiries were 100.0%; the expert authority coefficients were 0.851 and 0.858; and the expert coordination coefficients were 0.098-0.264. The evaluation indicator system of nursing quality in ophthalmological daytime operation room finally constructed included 3 primary indicators, 11 secondary indicators, and 57 tertiary indicators.Conclusions:The evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room constructed in this study is highly scientific and reliable, which can comprehensively and objectively assess and continuously improve the nursing quality of Ophthalmological Daytime Operation Room.

Objective? To summarize the experience in providing nursing for pediatric patients receiving retinal screening under general anesthesia in ophthalmology day-care unit and to provide a reference for bettering the perioperative nursing care for children patients receiving surgery under general anesthesia at daytime. Methods? Clinical data of totally 1 384 pediatric patients who received retinal screening under general anesthesia in the Ophthalmology Day-Care Unit in Beijing Tongren Hospital, Capital Medical University from August 2015 to August 2017 were collected. The patients received conventional examinations and perioperative nursing care. Results? Retinal screening was successfully completed in the 1 384 children patients. And they were observed and nursed at the day-care unit for 3-6 h (mean 4 h) and then discharged. No infection or other complications were found in any patient during postoperative re-examination, and the satisfaction rate among the patients' parents reached 99%. Conclusions? Good and effective perioperative nursing care can facilitate the surgery under anesthesia in pediatric patients at the ophthalmology day-care unit and reduce the incidence of postoperative infection or other comorbidities.