重症监护中的眼干燥：新护理诊断的建议。
Ocular dryness in intensive care: proposal for a new nursing diagnosis.
机构信息
Universidade do Estado do Rio Grande do Norte. Caicó, Rio Grande do Norte, Brazil.
Faculdade de Enfermagem e de Medicina Nova Esperança. Mossoró, Rio Grande do Norte, Brazil.
出版信息
Rev Bras Enferm. 2023 Nov 13;76Suppl 4(Suppl 4):e20220698. doi: 10.1590/0034-7167-2022-0698. eCollection 2023.
OBJECTIVE
to analyze the concept associated with diagnostic proposition Ocular dryness in adult patients hospitalized in an Intensive Care Unit, identifying its attributes, antecedents and consequences.
METHODS
a methodological study carried out through concept analysis, operationalized by scoping review.
RESULTS
the analysis of 180 studies allowed the identification of two attributes, 32 antecedents and 12 consequences. The attributes were tear film deficiency and ocular signs and/or symptoms. The prevalent antecedents were incomplete eyelid closure (lagophthalmos) and blinking mechanism decrease. Major consequences included conjunctival hyperemia and decreased tear volume.
CONCLUSIONS
this study allowed constructing nursing diagnosis Ocular dryness, part of domain 11, class 2, with 12 defining characteristics, 12 related factors, seven populations at risk and 13 associated conditions. This problem-focused proposal may provide targeted care by promoting early detection and implementing interventions that reduce the risk of ocular damage.
目的
分析与成人重症监护病房（ICU）患者的眼部干燥相关的诊断命题的概念，确定其属性、前因和后果。
方法
通过概念分析进行的方法学研究，通过范围综述进行操作化。
结果
对 180 项研究的分析确定了两个属性、32 个前因和 12 个后果。属性为泪膜缺陷和眼部体征和/或症状。常见的前因是眼睑闭合不全（睑裂闭合不全）和眨眼机制减少。主要后果包括结膜充血和泪液量减少。
结论
本研究构建了护理诊断“眼部干燥”，属于第 11 领域、第 2 类，具有 12 个定义特征、12 个相关因素、7 个高危人群和 13 个相关病症。这个以问题为中心的建议可以通过促进早期发现和实施干预措施来减少眼部损伤的风险，提供有针对性的护理。
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