在ICU患者的眼睛表面疾病:基于证据的护理预防策略
1Nursing Department, Affiliated Hospital of Shandong Second Medical University, Weifang Key Laboratory for Clinical Nursing Research, Weifang, People's Republic of China.
Translational vision science & technology
|January 14, 2026
概括
预防重症监护室 (ICU) 患者的眼睛表面疾病至关重要. 多式护理干预措施显著减少角膜损伤,像被动眼这样的简单措施也被证明是有效的.
科学领域:
- 关键护理医学 关键护理医学
- 眼科医生 眼科 眼科
- 护理科学 护理科学
背景情况:
- 在重症监护室 (ICU) 患者中,眼睛表面疾病很普遍.
- 危险因素包括机械通风,眼不完全关闭和长时间镇静.
研究的目的:
- 审查ICU患者眼睛表面疾病的流行病学.
- 识别风险因素并评估预防的护理干预措施.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 搜索了6个数据库 (2020年1月至2025年5月),搜索了ICU患者眼睛表面疾病的研究.
- 由于研究异质性而导致叙事综合;使用ROBINS-I和Cochrane工具评估偏差风险.
主要成果:
- 眼部表面疾病的发病率在20-60%之间,包括干眼病 (40%),暴露角膜病变 (23%) 和结膜炎 (25%).
- 多种模式的护理干预措施使角膜损伤从69.7%降至13.8%.
- 被动闪练习在资源较少的环境中显示出有效性和可行性.
结论:
- 对于ICU患者来说,通过标准化护理,眼睛保护,滑和工作人员培训,可以预防眼睛表面疾病.
- 将眼睛护理纳入日常生活中,可以提高患者的安全性和视觉效果.
- 像被动眼这样的简单干预措施是实用的和有价值的.
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