Summary of the best evidence for prevention and management of exposure corneal injury in severe patients
10.3760/cma.j.cn115682-20211109-05046
- VernacularTitle:重症患者暴露性角膜损伤预防与管理的最佳证据总结
- Author:
Xi YAO
1
;
Mengting XIA
;
Ranran HUANG
;
Yingrui YANG
Author Information
1. 河南省人民医院 （河南省立眼科医院）眼科，郑州 450003
- Keywords:
Cornea;
Exposure injury;
Critically ill patients;
Eye care;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(17):2308-2314
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, extract, evaluate and integrate relevant evidence on the prevention and management of exposure corneal injury in critically ill patients, so as to provide a reference for clinical practice.Methods:Based on the "6S" pyramid model of evidence resources, the database and relevant society websites were systematically searched from top to bottom for evidence on the prevention and management of exposure corneal injury in critically ill patients, including guidelines, expert consensus, evidence summaries, and systematic reviews. The retrieval time limit was from the establishment of the database to October 31, 2021. Two researchers independently assessed the quality of the article, extracted evidence from the article that met the quality standards, and adopted the Joanna Briggs Institute (JBI) evidence pre-grading and evidence recommendation system (2014 edition) to grade the evidence.Results:A total of 15 articles were included, including 2 guidelines, 2 evidence summaries, 6 systematic reviews, and 5 randomized controlled trials. A total of 42 pieces of the best evidence on the prevention and management of exposure corneal injury in critically ill patients were summarized, including five aspects, namely, assessment, daily management, risk management, drug management and procedure management.Conclusions:This study summarizes the best evidence for the prevention and management of exposure corneal injury in critically ill patients. When medical and nursing staff carry out clinical transformation, they should fully consider the actual situation of patients and select evidence in a targeted manner to reduce the incidence of ocular complications in critically ill patients.
