Demirel Soner, Cumurcu Tongabay, Fırat Penpegül, Aydogan Mustafa Said, Doğanay Selim
Inonu University, Faculty of Medicine, Department of Ophthalmology, Turkey.
Intensive Crit Care Nurs. 2014 Feb;30(1):38-44. doi: 10.1016/j.iccn.2013.08.001. Epub 2013 Sep 12.
To assess the impact of eye care education on the incidence of corneal exposure in intensive care units (ICU).
RESEARCH METHODOLOGY/DESIGN: Approximately 300 ICU personnel were educated about eye care to reduce the incidence of corneal exposure. The patients were divided into two groups: pre-training (Group 1: Between February 1, 2011 and March 31, 2011 [2 months]) and post-training periods (Group 2: Between April 1, 2011 and April 1 2012 [1 year]). We compared the groups for keratopathy incidence to evaluate the efficacy of this education.
The number of patients were 762 in Group 1 and 6196 in Group 2 (p = 0.335). Medians of patients followed in pre training ICU and post training ICU for each month were found to be 476 (interquartile range, 433-539) and 515 (interquartile range, 490-528). Exposure keratopathy was identified in 8 eyes of 6 patients (3 males and 3 females) in pre training ICU with the mean age of 27.6 ± 31.8 years and 5 eyes of 3 patients (1 male and 2 females) in post training ICU with the mean age of 41.3 ± 32.1 years. No significant difference was noticed between two groups in terms of the medians of patients followed in ICUs for each month (p=0.335). The time of hospitalisation in ICU when the patients were consulted for the first ocular assessment in pre training ICU and post training ICU were found to be 13 ± 8.7 days and 8 ± 1.7 days, respectively. After the training, the decrease in incidence of exposure keratopathy was found to be highly significant (p < 0.001).
We observed a highly significant reduction in the incidence of corneal exposure, following the eye-care education programme.
评估眼部护理教育对重症监护病房（ICU）角膜暴露发生率的影响。
研究方法/设计：约300名ICU工作人员接受了眼部护理教育，以降低角膜暴露的发生率。患者被分为两组：培训前（第1组：2011年2月1日至2011年3月31日[2个月]）和培训后时期（第2组：2011年4月1日至2012年4月1日[1年]）。我们比较了两组角膜病变的发生率，以评估该教育的效果。
第1组患者有762例，第2组有6196例（p = 0.335）。发现培训前ICU和培训后ICU每月随访患者的中位数分别为476例（四分位间距，433 - 539）和515例（四分位间距，490 - 528）。培训前ICU中6例患者（3例男性和3例女性）的8只眼睛被诊断为暴露性角膜病变，平均年龄为（27.6 ± 31.8）岁；培训后ICU中3例患者（1例男性和2例女性）的5只眼睛被诊断为暴露性角膜病变，平均年龄为（41.3 ± 32.1）岁。两组在ICU每月随访患者的中位数方面无显著差异（p = 0.335）。培训前ICU和培训后ICU患者首次进行眼部评估时在ICU的住院时间分别为（13 ± 8.7）天和（8 ± 1.7）天。培训后，暴露性角膜病变的发生率显著降低（p < 0.001）。
我们观察到，在开展眼部护理教育项目后，角膜暴露的发生率显著降低。
