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Eye Complications And Eye Care in Intensive Care Patients: Literature Review

Year 2024, Volume: 28 Issue: 3, 207 - 212, 30.12.2024
https://doi.org/10.62111/ybhd.1461474

Abstract

ABSTRACT
Ocular surface disorders are commonly seen due to the deterioration of the eye's protective mechanisms in intensive care patients. But eye care is often ignored or incorrect practices may be performed because the protection and treatment of vital organs is seen as more important than eye care in patients hospitalized in intensive care units. More studies are needed to show the importance of eye care for intensive care patients. Eye care should be standardized by creating evidence-based protocols and guidelines to prevent eye complications and improve patients' quality of life. Nurses' knowledge about eye care should be increased through in-house training. Positive attitudes about eye care should be developed and knowledge should be transformed into behavior.
Key Words: Eye Care, Critical Care Patients, Nursing Care, Critical Care Units

References

  • 1. Intensive Care Society. [İnternet]. İstanbul: (Erişim tarihi: 01.03.2024). https://ics.ac.uk/about-icu/what-is-intensive-care.html
  • 2. Hearne BJ, Hearne EG, Montgomery H, Lightman S. Eye care in the intensive care unit. J Intensive Care Soc. 2022;19(4):345-350.
  • 3. Kam KYR, Haldar S, Papamichael E, Pearce KCS, Hayes M, Joshi N. Eye care in the critically ill: A national survey and protocol. J Intensive Care Soc. 2013;14(2):150-154.
  • 4. Ali SA, Mohamed RD, Mahgoub AA. Clinical outcomes of implementing evidence based eye care intervention for mechanically ventilated patients. Tanta Scientific Nursing Journal. 2023;31(4):255-267.
  • 5. Salime RAA, El Sayed RAE. Effect of designated eye care protocol on prevention of ocular surface disorders among patients in intensive care unit. International Journal of Novel Research in Healthcare and Nursing. 2020;7(1):280-293.
  • 6. Ramirez F, Ibarra S, Varon J, Rosa T. The neglected eye: Ophthalmological issues in the intensive care unit. Crit Care Shock. 2008;11:72-82.
  • 7. Cengiz Z. Yoğun bakım hastalarında göz komplikasyonları ve göz bakımı. İnönü Üniversitesi Sağlık Bilimleri Dergisi. 2018;7(1):45-50.
  • 8. Kocaçal E, Eşer İ. Yoğun bakım hastalarında önemli bir sorun: Göz komplikasyonları. Türkiye Klinikleri Journal of Medical Science. 2008;28:193-197.
  • 9. Grixti A, Sadri M, Edgar J, Datta AV. Common ocular surface disorders in patients in intensive care units. Ocul Surf. 2012;10(1):26-42.
  • 10. Werli Alvarenga A, Ercole F, Botoni F, Oliveira J, ChiancaT. Corneal injuries: Incidence and risk factors in the intensive care unit. Rev Lat Am Enfermagem. 2011;19(5):1088-1095.
  • 11. Fernandes APNL, Araújo JNM, Botarelli, FR, Pitombeira, DO, Ferreira Jr MA, Vitor AF. Dry eye syndrome in intensive care units: A concept analysis. Rev Bras Enferm. 2018;71(3):1162-1169.
  • 12. Öncül H, Yektaş A. Eye problems, eye care and ocular awareness in a level 3 intensive care unit. Turkish J Intensive Care. 2019;18(2):70-77.
  • 13. Mercieca F, Suresh P, Morton A, Tullo A. Ocular surface disease in intensive care unit patients. Eye. 1999;13:231-236.
  • 14. Kousha O, Kousha Z, Paddle J. Exposure keratopathy: Incidence risk factors and impact of protocolised care on exposure keratopathy in critically ill adults. Crit Care. 2018;44:413-418.
  • 15. Lami S, Ayed A. Predictors of nurses’ practice of eye care for patients in intensive care units. SAGE Open Nurs. 2022;9:1-6.
  • 16. Mahani MA, Farokhzadian J, Bahramnezhad F, Nematollahi M. Nurses’ perceptions of critically ill patients’ eye care: A qualitative study in Iran. BMC Nurs. 2023;22(1):1-2.
  • 17. Azfar M, Khan MF, Alzeer AH. Protocolized eye care prevents corneal complications in ventilated patients in a medical intensive care unit. Saudi J Anaesth. 2013;7(1):33-36.
  • 18. Gider NY. Yoğun bakım ünitesinde çalışan hemşirelerin göz bakımına ilişkin mevcut bilgi ve uygulamalarının değerlendirilmesi. Hasan Kalyoncu Üniversitesi Lisansüstü Eğitim Enstitüsü Hemşirelik Anabilim Dalı Yüksek Lisans Tezi; 2023.
  • 19. Özkaptan BB, Tosun B, Dirgar E, Özen N. Validity and reliability study of the Turkish version of the eye care clinical competence questionnaire related to eye care of intensive care patients by nurses. Central European Journal of Nursing and Midwifery. 2021;12(3):449-457.
  • 20. Shaeri M, Mahdian M, Akbari H, Asl SA. Incidence and related factors of surface eye disorders in traumatic intensive care unit patients in Iran. Int J Burns Trauma. 2021;11(4):344-349.
  • 21. Sayed GM, Ali ZH, Saeed MAN. Assessment of critical care nurses' performance regarding eye care for critically ill patients. Helwan International Journal for Nursing Research and Pratctice. 2022;1(1):118-130.
  • 22. Jaafr SA, Al Jubouri MB, Alfatlawee DM. Nurses’ knowledge based on evidence based practice toward eye care for intensive care units patients. Indian J of Forensic Med Toxicol. 2020;14(3):593-597.
  • 23. Ebadi A, Moayed MS, Mirsadeghi A, Saeid Y. Evaluating intensive care nurses’ clinical competence in eye care; A cross-sectional descriptive study. Health Education and Health Promotion. 2021;9(3):171-175.
  • 24. Mehrjardi ZM, Mirzaei S, Gohari M, Abbass H, Nasiriani K. Effect of training eye care clinical guideline for icu patients on clinical competence of eye care in nurses. Crit Care Res Prac. 2021;12:6669538.
  • 25. Sarıtaş TB, Bozkurt B, Şimşek B, Çakmak Z, Özdemir M, Yosunkaya A. Ocular surface disorders in intensive care unit patients. Scientific World Journal. 2013;29:182038.
  • 26. Fashafsheh IHD, Morsy WYM, Ismaeel MS, Alkaiasi AAE. Impact of a designed eye care protocol on nurses knowledge, practices and on eye health status of unconscious mechanically ventilated patients at north palestine hospitals. Journal of Education and Practice. 2013;4(28):107-120.
  • 27. Elkasby WE, El Aziz WWA, Mohamed Ali WG. Effect of eye care learning package for mechanically ventilated patients on critical care nurses' performance. Mansoura Nursing Journal. 2021;8(Special Issue):75-89.
  • 28. Mahani MA, Farokhzadian J, Bahramnezhad F, Nematollahi M. Nurses’ perceptions of critically ill patients’ eye care: A qualitative study in Iran. BMC Nurs. 2023;22(1):1-2.
  • 29. Mobarez F, Sayadi N, Jahani S, Sharhani A, Saviae M, Farrahi F. The effect of eye care protocol on the prevention of ocular surface disorders in patients admitted to intensive care unit. J Med Life. 2022;15(8):1000-1004.
  • 30. Lahiji AP, Gohari M, Mirzae S, Nasiriani K. The effect of implementation of evidence-based eye care protocol for patients in the intensive care units on superficial eye disorders. BMC Ophthalmol. 2021;21:271:1-9.
  • 31. Płaszewska Zywko L, Sega A, Bukowa A, Wojnar Gruszka K, Podstawa M, Kózka M. Risk factors of eye complications in patients treated in the intensive care unit. Int J Environ Res Public Health. 2021;18(21):11178.
  • 32. Fazljoo SE, Jarahzade MH, Saatchi M, Sheykhalishahi A. Comparison of three eye care methods in the incidence of keratitis in patients admitted to intensive care units. Journal of Critical Care Nursing. 2020;13(4):44-51.
  • 33. Ahmadinejad M, Karbasi E, Jahani Y, Ahmadipour M, Soltaninejad M, Karzari Z. Efficacy of simple eye ointment, polyethylene cover, and eyelid taping in prevention of ocular surface disorders in critically ill patients: A randomized clinical trial. Crit Care Res Pract. 2020;2020(1):1-7.
  • 34. Koroloff N, Boots R, Lipman J, Thomas P, Rickard C, Coyer F. A randomised controlled study of the efficacy of hypromellose and Lacri-Lube combination versus polyethylene/Cling wrap to prevent corneal epithelial breakdown in the semiconscious intensive care patient. Intensive care medicine 2004;30(6):1122-1126.
  • 35. Jammal H, Khader Y, Shihadeh W. et al. Exposure kerathopathy in sedated and ventilated patients. J Crit Care. 2012;27:537-541.
  • 36. Dikmen Y. Yoğun Bakımda Göz Bakımı Uygulamaları. İçinde: Durmaz Akyol A, editör. Yoğun Bakım Hemşireliği. 2. Basım. İstanbul, İstanbul Tıp Kitabevleri; 2023:130-135.
  • 37. Hatipoğlu İ, Avcı Y, Öztürk A. Hemşirelik Esasları. Ankara, Damla Matbaacılık;2000:1-25.

Yoğun Bakım Hastalarında Görülen Göz Enfeksiyonları ve Hemşirelik Bakımı: Literatür İncelemesi

Year 2024, Volume: 28 Issue: 3, 207 - 212, 30.12.2024
https://doi.org/10.62111/ybhd.1461474

Abstract

ÖZET
Oküler yüzey bozuklukları, gözün koruyucu mekanizmalarının bozulması nedeniyle yoğun bakım hastalarında yaygın olarak görülmektedir. Ancak yoğun bakım ünitelerinde yatan hastalarda hayati organların korunması ve tedavisi, göz bakımından daha önemli olarak görüldüğü için çoğu zaman göz bakımına dikkat edilmemekte ya da hatalı uygulamalar yapılabilmektedir. Yoğun bakım hastaları için göz bakımının önemini gösteren daha fazla çalışma yapılmadır. Göz komplikasyonlarını önlemek ve hastaların yaşam kalitesini arttırmak için kanıta dayalı protokoller, rehberler oluşturularak göz bakımı standardize edilmelidir. Hemşirelerin göz bakımı hakkındaki bilgi düzeyleri kurum içi eğitimler ile arttırılmalıdır. Göz bakımı hakkında olumlu tutum geliştirilmesi ve bilginin davranışa dönüşmesi sağlanmalıdır.
Anahtar Kelimeler: Göz Bakımı, Yoğun Bakım Hastası, Hemşirelik Bakımı, Yoğun Bakım Üniteleri

References

  • 1. Intensive Care Society. [İnternet]. İstanbul: (Erişim tarihi: 01.03.2024). https://ics.ac.uk/about-icu/what-is-intensive-care.html
  • 2. Hearne BJ, Hearne EG, Montgomery H, Lightman S. Eye care in the intensive care unit. J Intensive Care Soc. 2022;19(4):345-350.
  • 3. Kam KYR, Haldar S, Papamichael E, Pearce KCS, Hayes M, Joshi N. Eye care in the critically ill: A national survey and protocol. J Intensive Care Soc. 2013;14(2):150-154.
  • 4. Ali SA, Mohamed RD, Mahgoub AA. Clinical outcomes of implementing evidence based eye care intervention for mechanically ventilated patients. Tanta Scientific Nursing Journal. 2023;31(4):255-267.
  • 5. Salime RAA, El Sayed RAE. Effect of designated eye care protocol on prevention of ocular surface disorders among patients in intensive care unit. International Journal of Novel Research in Healthcare and Nursing. 2020;7(1):280-293.
  • 6. Ramirez F, Ibarra S, Varon J, Rosa T. The neglected eye: Ophthalmological issues in the intensive care unit. Crit Care Shock. 2008;11:72-82.
  • 7. Cengiz Z. Yoğun bakım hastalarında göz komplikasyonları ve göz bakımı. İnönü Üniversitesi Sağlık Bilimleri Dergisi. 2018;7(1):45-50.
  • 8. Kocaçal E, Eşer İ. Yoğun bakım hastalarında önemli bir sorun: Göz komplikasyonları. Türkiye Klinikleri Journal of Medical Science. 2008;28:193-197.
  • 9. Grixti A, Sadri M, Edgar J, Datta AV. Common ocular surface disorders in patients in intensive care units. Ocul Surf. 2012;10(1):26-42.
  • 10. Werli Alvarenga A, Ercole F, Botoni F, Oliveira J, ChiancaT. Corneal injuries: Incidence and risk factors in the intensive care unit. Rev Lat Am Enfermagem. 2011;19(5):1088-1095.
  • 11. Fernandes APNL, Araújo JNM, Botarelli, FR, Pitombeira, DO, Ferreira Jr MA, Vitor AF. Dry eye syndrome in intensive care units: A concept analysis. Rev Bras Enferm. 2018;71(3):1162-1169.
  • 12. Öncül H, Yektaş A. Eye problems, eye care and ocular awareness in a level 3 intensive care unit. Turkish J Intensive Care. 2019;18(2):70-77.
  • 13. Mercieca F, Suresh P, Morton A, Tullo A. Ocular surface disease in intensive care unit patients. Eye. 1999;13:231-236.
  • 14. Kousha O, Kousha Z, Paddle J. Exposure keratopathy: Incidence risk factors and impact of protocolised care on exposure keratopathy in critically ill adults. Crit Care. 2018;44:413-418.
  • 15. Lami S, Ayed A. Predictors of nurses’ practice of eye care for patients in intensive care units. SAGE Open Nurs. 2022;9:1-6.
  • 16. Mahani MA, Farokhzadian J, Bahramnezhad F, Nematollahi M. Nurses’ perceptions of critically ill patients’ eye care: A qualitative study in Iran. BMC Nurs. 2023;22(1):1-2.
  • 17. Azfar M, Khan MF, Alzeer AH. Protocolized eye care prevents corneal complications in ventilated patients in a medical intensive care unit. Saudi J Anaesth. 2013;7(1):33-36.
  • 18. Gider NY. Yoğun bakım ünitesinde çalışan hemşirelerin göz bakımına ilişkin mevcut bilgi ve uygulamalarının değerlendirilmesi. Hasan Kalyoncu Üniversitesi Lisansüstü Eğitim Enstitüsü Hemşirelik Anabilim Dalı Yüksek Lisans Tezi; 2023.
  • 19. Özkaptan BB, Tosun B, Dirgar E, Özen N. Validity and reliability study of the Turkish version of the eye care clinical competence questionnaire related to eye care of intensive care patients by nurses. Central European Journal of Nursing and Midwifery. 2021;12(3):449-457.
  • 20. Shaeri M, Mahdian M, Akbari H, Asl SA. Incidence and related factors of surface eye disorders in traumatic intensive care unit patients in Iran. Int J Burns Trauma. 2021;11(4):344-349.
  • 21. Sayed GM, Ali ZH, Saeed MAN. Assessment of critical care nurses' performance regarding eye care for critically ill patients. Helwan International Journal for Nursing Research and Pratctice. 2022;1(1):118-130.
  • 22. Jaafr SA, Al Jubouri MB, Alfatlawee DM. Nurses’ knowledge based on evidence based practice toward eye care for intensive care units patients. Indian J of Forensic Med Toxicol. 2020;14(3):593-597.
  • 23. Ebadi A, Moayed MS, Mirsadeghi A, Saeid Y. Evaluating intensive care nurses’ clinical competence in eye care; A cross-sectional descriptive study. Health Education and Health Promotion. 2021;9(3):171-175.
  • 24. Mehrjardi ZM, Mirzaei S, Gohari M, Abbass H, Nasiriani K. Effect of training eye care clinical guideline for icu patients on clinical competence of eye care in nurses. Crit Care Res Prac. 2021;12:6669538.
  • 25. Sarıtaş TB, Bozkurt B, Şimşek B, Çakmak Z, Özdemir M, Yosunkaya A. Ocular surface disorders in intensive care unit patients. Scientific World Journal. 2013;29:182038.
  • 26. Fashafsheh IHD, Morsy WYM, Ismaeel MS, Alkaiasi AAE. Impact of a designed eye care protocol on nurses knowledge, practices and on eye health status of unconscious mechanically ventilated patients at north palestine hospitals. Journal of Education and Practice. 2013;4(28):107-120.
  • 27. Elkasby WE, El Aziz WWA, Mohamed Ali WG. Effect of eye care learning package for mechanically ventilated patients on critical care nurses' performance. Mansoura Nursing Journal. 2021;8(Special Issue):75-89.
  • 28. Mahani MA, Farokhzadian J, Bahramnezhad F, Nematollahi M. Nurses’ perceptions of critically ill patients’ eye care: A qualitative study in Iran. BMC Nurs. 2023;22(1):1-2.
  • 29. Mobarez F, Sayadi N, Jahani S, Sharhani A, Saviae M, Farrahi F. The effect of eye care protocol on the prevention of ocular surface disorders in patients admitted to intensive care unit. J Med Life. 2022;15(8):1000-1004.
  • 30. Lahiji AP, Gohari M, Mirzae S, Nasiriani K. The effect of implementation of evidence-based eye care protocol for patients in the intensive care units on superficial eye disorders. BMC Ophthalmol. 2021;21:271:1-9.
  • 31. Płaszewska Zywko L, Sega A, Bukowa A, Wojnar Gruszka K, Podstawa M, Kózka M. Risk factors of eye complications in patients treated in the intensive care unit. Int J Environ Res Public Health. 2021;18(21):11178.
  • 32. Fazljoo SE, Jarahzade MH, Saatchi M, Sheykhalishahi A. Comparison of three eye care methods in the incidence of keratitis in patients admitted to intensive care units. Journal of Critical Care Nursing. 2020;13(4):44-51.
  • 33. Ahmadinejad M, Karbasi E, Jahani Y, Ahmadipour M, Soltaninejad M, Karzari Z. Efficacy of simple eye ointment, polyethylene cover, and eyelid taping in prevention of ocular surface disorders in critically ill patients: A randomized clinical trial. Crit Care Res Pract. 2020;2020(1):1-7.
  • 34. Koroloff N, Boots R, Lipman J, Thomas P, Rickard C, Coyer F. A randomised controlled study of the efficacy of hypromellose and Lacri-Lube combination versus polyethylene/Cling wrap to prevent corneal epithelial breakdown in the semiconscious intensive care patient. Intensive care medicine 2004;30(6):1122-1126.
  • 35. Jammal H, Khader Y, Shihadeh W. et al. Exposure kerathopathy in sedated and ventilated patients. J Crit Care. 2012;27:537-541.
  • 36. Dikmen Y. Yoğun Bakımda Göz Bakımı Uygulamaları. İçinde: Durmaz Akyol A, editör. Yoğun Bakım Hemşireliği. 2. Basım. İstanbul, İstanbul Tıp Kitabevleri; 2023:130-135.
  • 37. Hatipoğlu İ, Avcı Y, Öztürk A. Hemşirelik Esasları. Ankara, Damla Matbaacılık;2000:1-25.
There are 37 citations in total.

Details

Primary Language Turkish
Subjects ICU Nursing
Journal Section Review
Authors

Yıldız Deniz 0000-0002-5834-9075

Besey Ören 0000-0003-4182-7226

Publication Date December 30, 2024
Submission Date March 29, 2024
Acceptance Date July 19, 2024
Published in Issue Year 2024 Volume: 28 Issue: 3

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Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

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