Momeni Mehrjardi Zakieh, Mirzaei Samaneh, Gohari Mohsen, Hafezieh Abbass, Nasiriani Khadijeh
Master of Intensive Care Nursing, International Campus of Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Student Research Committee, Shahid Rahnemoun Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Crit Care Res Pract. 2021 Jan 12;2021:6669538. doi: 10.1155/2021/6669538. eCollection 2021.
Sight is one of the most important and vital human senses. Lack of proper eye care (EC) in anesthetized patients can lead to serious ocular complications and even vision loss. Insufficient knowledge, attitude, and skills of nurses are considered as a barrier to providing EC in the intensive care unit (ICU). The aim of the present study was to determine the effect of training EC clinical practice guidelines for ICU patients on nurses' knowledge, attitude, and practice of EC.
This was an interventional study with a pre-post design performed on 60 ICU nurses. For the experimental group, EC clinical guideline training was performed for anesthetized patients in three sessions. The data collection tool included nurses' clinical competence of the EC questionnaire with a possible score range of 0-86. This tool consists of three domains, including knowledge (0-18), attitude (0-28), and practice (0-40), which was completed in a self-assessment manner before and three months after the training program. Data analysis was carried out using SPSS16. . The mean scores of knowledge, attitude, and practice after the intervention in the experimental and control groups were 15.03 ± 2.72 and 11.11 ± 3.50, 25.65 ± 3.47 and 22.07 ± 3.08, and 33.88 ± 4.14 and 28.5 ± 55.08, respectively, which were statistically significant ( ≤ 0.001). Also, the total score of clinical competence of EC after the intervention in the experimental and control groups was 74.56 ± 7.93 and 61.74 ± 9.66, which showed a significant difference ( ≤ 0.001).
Training nurses based on EC clinical guidelines for anesthetized patients can improve the knowledge, attitude, and practice of ICU nurses. Evidence-based EC practice requires continuous training based on clinical guidelines and EC practice monitoring by nursing managers according to EC clinical guideline for an anesthetized patient.
视力是人类最重要且至关重要的感官之一。麻醉患者缺乏适当的眼部护理（EC）会导致严重的眼部并发症，甚至视力丧失。护士知识、态度和技能不足被认为是重症监护病房（ICU）提供眼部护理的障碍。本研究的目的是确定为ICU患者培训眼部护理临床实践指南对护士眼部护理知识、态度和实践的影响。
这是一项采用前后设计的干预性研究，对60名ICU护士进行。对于实验组，为麻醉患者进行了三次眼部护理临床指南培训。数据收集工具包括护士眼部护理临床能力问卷，得分范围为0 - 86分。该工具由三个领域组成，包括知识（0 - 18分）、态度（0 - 28分）和实践（0 - 40分），在培训项目前和三个月后以自我评估的方式完成。使用SPSS16进行数据分析。实验组和对照组干预后知识、态度和实践的平均得分分别为15.03±2.72和11.11±3.50、25.65±3.47和22.07±3.08、33.88±4.14和28.5±55.08，差异有统计学意义（P≤0.001）。此外，实验组和对照组干预后眼部护理临床能力总分分别为74.56±7.93和61.74±9.66，差异有统计学意义（P≤0.001）。
基于麻醉患者眼部护理临床指南对护士进行培训可提高ICU护士的知识、态度和实践水平。循证眼部护理实践需要基于临床指南的持续培训以及护理管理者根据麻醉患者眼部护理临床指南对眼部护理实践进行监测。
