重症监护病房中的干眼症综合征：概念分析

Dry Eye Syndrome in Intensive Care Units: a concept analysis.

作者信息

Fernandes Ana Paula Nunes de Lima, Araújo Jessica Naiara de Medeiros, Botarelli Fabiane Rocha, Pitombeira Danielly Oliveira, Ferreira Júnior Marcos Antonio, Vitor Allyne Fortes

机构信息

Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.

Universidade Federal do Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.

出版信息

Rev Bras Enferm. 2018 May;71(3):1162-1169. doi: 10.1590/0034-7167-2016-0582.

DOI:10.1590/0034-7167-2016-0582

PMID:29924155

Abstract

PURPOSE

To analyse the concept of Dry Eye Syndrome in patients admitted to Intensive Care Units (ICU).

METHOD

This is a concept analysis, according to Walker's and Avant's method, conducted using an integrative review, through search in the database. Science Direct, Scopus, Cinahl, Pubmed, Lilacs, Cochrane and Web of Science. The following keywords were used: "Keratoconjuntivite Sicca", "Risk Factors", "Dry eye Syndromes" and "Intensive Care Units". After selection, 85 articles have been kept.

RESULTS

Antecedents found: age, lagophthalmos, environmental factors, use of medications, systemic diseases, mechanical ventilation and eye surgeries. Attributes: Tear Break-up Time < 10 s, Schirmer's test I < 10 mm, Schirmer's test II < 5 mm and signs and symptoms. Consequents: eye damage and discomfort; unstable vision. The Model Case and the Contrary Case were used to illustrate it.

CONCLUSION

The research provided clarification of the concept and consequent understanding of the Dry Eye Syndrome, which is preventable especially in ICU.

摘要

目的

分析入住重症监护病房（ICU）患者的干眼症综合征概念。

方法

这是一项根据沃克和阿万特方法进行的概念分析，采用综合综述，通过在Science Direct、Scopus、Cinahl、Pubmed、Lilacs、Cochrane和科学网数据库中检索。使用了以下关键词：“角结膜干燥症”、“危险因素”、“干眼症综合征”和“重症监护病房”。筛选后保留了85篇文章。

结果

发现的 antecedents（此处antecedents可能是指引发因素之类，暂按此理解）：年龄、眼睑闭合不全、环境因素、药物使用、全身性疾病、机械通气和眼部手术。属性：泪膜破裂时间<10秒、泪液分泌试验I<10毫米、泪液分泌试验II<5毫米以及体征和症状。结果：眼部损伤和不适；视力不稳定。使用典型案例和反例进行说明。