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作 者:李茜[1] 宋剑平[2] 王丽竹[3] 陈媛儿 梁江淑渊 霍亚楠 许素惠[6] LI Qian;SONG Jianping;WANG Lizhu;CHEN Yuan'er;LIANG Jiangshuyuan;HUO Yanan;XU Suhui(Intensive Care Unit,Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,310009,China)
机构地区:[1]浙江大学医学院附属第二医院重症医学科,杭州市310009 [2]浙江大学医学院附属第二医院护理部,杭州市310009 [3]浙江大学医学院附属第二医院护理教育部,杭州市310009 [4]浙江大学医学院附属第二医院心脏大血管外科病房,杭州市310009 [5]浙江大学医学院附属第二医院综合ICU,杭州市310009 [6]浙江大学医学院附属第二医院眼科中心,杭州市310009
出 处:《中国护理管理》2021年第9期1345-1350,共6页Chinese Nursing Management
摘 要:目的:总结ICU患者眼部护理的相关证据,旨在完善ICU患者眼部护理管理及预防干预措施,为临床医护人员提供借鉴。方法:计算机检索临床决策、指南网站、专业协会网站、各循证资源及文献数据库中关于ICU患者眼部护理相关内容的指南、临床决策、证据总结、系统评价,进行方法学质量评价后,根据主题对证据进行提取与汇总。结果:共纳入13篇文献,通过阅读、提取、归类最终形成证据15项,包括ICU患者眼部护理标准及管理、评估、具体眼部问题护理方案、会诊、教育5个主题。结论:医务人员应重视ICU患者眼部护理问题,遵照循证护理标准,根据实际情境选择实践证据,从而降低重症患者眼部并发症发生率,提高患者生存质量,推动循证知识向实践转化。Objective:To summarize the relevant evidence of eye care for ICU patients,aiming to improve the eye care management and preventive intervention measures for ICU patients,and to provide reference for clinical medical staff.Methods:We searched clinical decision-making,guideline websites,professional association websites,and evidence-based resources for guidelines,clinical decision-making,evidence summary,and systematic reviews on ICU patient eye care.After methodological quality evaluation,the evidence was extracted and summarized based on the themes.Results:A total of 13 articles were included,and 15 items of evidence were finally formed through reading,extraction,and classification,including five themes,eye care standards and management,assessment,specific problem nursing plans,consultation,and education.Conclusion:Medical staff should pay attention to eye care for ICU patients.They are supposed to reduce the incidence of ocular complication in ICU patients according to evidence-based nursing standards and selecting evidence based on actual situation.In order to improve the patients'quality of life and promote the transformation of evidence-based knowledge into practice.
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