Nursing experience of a patient with optic neuritis treated with high-dose hormone pulse combined with plasma exchange
1例大量激素冲击联合血浆置换治疗视神经炎患者的护理体会

摘要

目的 总结并分析1例MOG抗体相关性视神经炎患者接受大量激素冲击联合血浆置换治疗过程中的护理体会，探讨护理难点及应对措施。方法 对该患者从入院评估、治疗方案实施到出院随访的全过程进行回顾，通过多学科协作、健康教育、心理疏导及精细化护理干预，解决患者在治疗中的依从性差、焦虑情绪重及并发症管理等问题。结果 经过精细的护理管理和个体化治疗，患者的视力和视神经功能显著改善，视盘水肿缓解，复发率降低，最终取得了较好的临床预后。结论 MOG-ON视神经炎患者的护理干预不仅需注重生理指标的监测和调节，还需强化心理支持和健康教育。多学科协作模式有助于优化护理措施，提高患者的治疗效果和依从性。

Abstract

Objective To summarize and analyze the nursing experience of a patient with MOG antibody-associated optic neuritis treated with high-dose hormone pulse combined with plasma exchange, and to explore the nursing difficulties and coping strategies.
Methods The entire process of the patient’s treatment, from admission assessment and treatment plan implementation to discharge follow-up, was retrospectively reviewed. Through multidisciplinary collaboration, health education, psychological counseling, and meticulous nursing intervention, problems such as poor patient compliance, high anxiety, and complication management were addressed.
Results After meticulous nursing management and individualized treatment, the patient's visual acuity and optic nerve function significantly improved, optic disc edema was relieved, recurrence rate decreased, and a better clinical prognosis was ultimately achieved.
Conclusion   Nursing intervention for patients with MOG-ON optic neuritis should not only focus on monitoring and regulating physiological indicators, but also strengthen psychological support and health education. Multidisciplinary collaboration helps optimize nursing measures and improve patient treatment outcomes and compliance.