Araújo Jéssica Naiara de Medeiros, Botarelli Fabiane Rocha, Fernandes Ana Paula Nunes de Lima, Oliveira-Kumakura Ana Railka de Souza, Ferreira Júnior Marcos Antonio, Vitor Allyne Fortes
Universidade Federal do Rio Grande do Norte , Departamento de Enfermagem , Programa de Pós-Graduação em Enfermagem , Natal , RN , Brasil .
Universidade Federal do Rio Grande do Norte , Departamento de Enfermagem , Natal , RN , Brasil .
Rev Esc Enferm USP. 2019 Aug 5;53:e03493. doi: 10.1590/S1980-220X2018036603493.
To evaluate the predictive clinical factors for ocular dryness and for the nursing diagnosis Risk for dry eye in the ocular surface of hospitalized adult patients in an intensive care unit.
A cross-sectional study was conducted between January and July 2016, with 206 patients (412 eyes). An inference about the presence of the diagnosis in the evaluated patients was performed by diagnostic nurses. The descriptive and inferential statistics subsidized the data analysis.
47.6% of the patients presented Risk for dry eye, and 52.4% were already diagnosed with ocular dryness. Statistical differences between the ocular dryness diagnosis in the right eye with hyperemia, mucous secretion, eyelid edema and lagophthalmia were identified. In addition, statistical differences were observed between hyperemia and eyelid edema with Risk for dry eye in the left eye and with the nursing diagnosis Risk for dry eye.
Hyperemia, mucous secretion, eyelid edema and lagophthalmia are the predictive clinical factors for the nursing diagnosis Risk for dry eye and also of ocular dryness in the intensive care unit environment which deserve special attention in the preventive evaluation.
评估重症监护病房成年住院患者眼表干燥及护理诊断干眼风险的预测临床因素。
于2016年1月至7月进行一项横断面研究，纳入206例患者（412只眼）。由诊断护士对评估患者的诊断情况进行推断。描述性和推断性统计为数据分析提供支持。
47.6%的患者存在干眼风险，52.4%已被诊断为眼干。右眼眼干诊断与充血、黏液分泌、眼睑水肿及兔眼之间存在统计学差异。此外，左眼充血和眼睑水肿与干眼风险及护理诊断干眼风险之间也观察到统计学差异。
充血、黏液分泌、眼睑水肿及兔眼是重症监护病房环境中护理诊断干眼风险及眼干的预测临床因素，在预防性评估中值得特别关注。
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