Evidence-based practice for the prevention and care of ocular complications in ICU patients
10.3761/j.issn.0254-1769.2024.07.002
- VernacularTitle:ICU患者眼部并发症预防及护理的循证实践
- Author:
Lizhu WANG
1
;
Yuaner CHEN
;
Qian LI
;
Yaling HU
;
Haifei LU
;
Yan XIANG
;
Ziwei WANG
;
Xuefeng QI
Author Information
1. 310009 杭州市 浙江大学医学院附属第二医院护理部
- Keywords:
Stetler Model of Research Utilization;
Intensive Care Unit;
Eye Nursing;
Evidence-Based Practice
- From:
Chinese Journal of Nursing
2024;59(7):781-788
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an evidence-based practice program for ICU eye care and evaluate its application effect using Stetler model of research utilization.Methods The systematic search was carried out in domestic and foreign guid elines,systematic reviews,evidence summaries,expert consensuses on eye care for ICU patients.The quality of the included literature was evaluated and the evidence was summarized.The evidence based on expert advice,clinical context and stakeholder opinions was screened.According to Stetler model of research utilization,the evidence translation/application was formulated from 3 aspects,including method,level and type of evidence application,and the evidence translation was implemented using a stepwise trial design.Five ICUs in a tertiary hospital in Zhejiang Province were selected,and the order of enrollment of each ICU was determined by computer-generated random numbers from April to september,2022.In the first month,all ICUs were in pre-evidence-based practice period,and in the second month,an ICU was trained and entered the evidence-based practice period.Until the 6th month,all ICUs entered the evidence-based practice period.Then the rate of ocular symptoms and implementation rate of eye care measures were compared before and after EBP.Results A total of 1 540 patients were included.With regard to the implementation rate of eye care measures,the rate of lubricant use and suspected ocular infection management in patients at high risk for ocular complications in evidence-based practice period was significantly higher compared with pre-evidence-based practice period(P＜0.001),and no statistically significant difference was found in the rate of eyelid closure.The incidence of conjunctival exposure,subconjunctival hemorrhage,conjunctival congestion,and ocular discharge in non-neurology critical care patients decreased compared with pre-evidence-based practice period(P＜0.05),and the incidence of conjunctival edema and conjunctival congestion in NICU patients decreased compared with pre-evidence-based practice period as the intervention continued(P＜0.001).Conclusion Evidence-based practice in eye care for ICU patients using Stetler model of research utilization can standardize the practice of eye care for ICU patients and improve the quality of care.
