Effectiveness of the Eye Care Protocol in the Intensive Care Unit Patients: A Randomized Controlled Trial

被引:0
作者
Lim, Kyu Won [1 ]
Ha, Shin Young [2 ]
Kang, In Soon [2 ]
机构
[1] Pusan Natl Univ Hosp, Emergency Intens Care Unit, Busan, South Korea
[2] Pusan Natl Univ, Coll Nursing, 49 Busandaehak Ro,Mulgeum eup, Yangsan 50612, South Korea
关键词
Eye; Intensive Care Units; Dry Eye Syndromes; Xerophthalmia; Randomized Controlled Trial; EXPOSURE KERATOPATHY; RISK-FACTORS; IMPACT; DISORDERS;
D O I
10.4040/jkan.24017
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Purpose: This study investigated the effects of an eye care protocol (ECP) on patients in the intensive care unit (ICU). Methods: This study utilized a randomized controlled design. Participants were patients who met the inclusion criteria and were admitted to the ICU (36 in the experimental group and 38 in the control group). The experimental group received an ECP, while the control group received standard eye care, starting the day after admission, for a duration of 10 days. The ECP classifies the degree of eyelid obstruction into three stages based on the degree of exposure to the lower eyelid conjunctiva and cornea. The protocol included cleansing with normal saline gauze, administering eye drops, applying silicone and polyurethane films, and recommending consultation with an ophthalmologist if necessary. The effectiveness of ECP was assessed by analyzing tear volume, hyperemia, chemosis, and eye discharge. Data analysis was conducted using SPSS 27.0, employing the Mann-Whitney U-test and generalized estimating equations. Results: On day 5, the experimental group demonstrated a significant increase in tear volume in both eyes compared with the control group. However, no statistically significant differences were observed in the incidence of hyperemia, chemosis, and eye discharge on days 5 and 10 of the intervention. Conclusion: The application of the ECP in this study increased tear volume in ICU patients, thereby reducing discomfort caused by dry eyes. It has the potential to prevent complications such as damage to the surface of the eyeball resulting from decreased tear volume.
引用
收藏
页码:432 / 445
页数:14
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