Risk factors assessment of ocular surface disorders among adult critically ill patients | ||
| Assiut Scientific Nursing Journal | ||
| Article 20, Volume 10, Issue 30 - Serial Number 1, May 2022, Pages 218-229 PDF (949.38 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asnj.2022.133103.1360 | ||
| Authors | ||
| Sahar Ahmed Ali* 1; Tark Ahmed Mohamed2; Mona Aly Mohamed3; Asmaa Aly Mahgoub3 | ||
| 1Assistant lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt. | ||
| 2Professor of Ophthalmology, Faculty of Medicine, Assiut University, Egypt. | ||
| 3Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt | ||
| Abstract | ||
| Ocular complications are common in the critical care setting but are frequently missed due to the focus on life-saving organ support. In critically ill patients, normal eye protection mechanisms, such as tear production, blinking, and keeping the eye closed, are impaired. This study aims to: assess risk factors for ocular surface disorders among adult critically ill patients. Design: Exploratory research design. This study was carried in intensive care units at Assiut university hospital. Subjects: A convenience sampling of 60 adults patients. Tools: Two tools were utilized to collect data of study, tool I: Patient assessment sheet. Tool II: Risk factors assessment sheet. Method: The researcher assessed risk factors, eye lid closure and occurrence of ocular surface disorders. Results: The exposure of adult critically ill patients to ocular surface disorders was high related to right eye were 51% in 7th day, related to left eye were 48% in 5th day. Regarding type of abnormalities in right eye, the result revealed that 80.8% were mixed in 6 th day and 3.2% were corneal abrasion in7th day. Conclusion: The study confirmed that important risk factors for ocular surface disorders in Intensive Care Unit (ICU) patients were: lagophthalmos, level of consciousness, mechanical ventilation, sedation and muscle relaxant, length of ICU stay, fluid misdistribution and respiratory microorganism. Recommendation: It is necessary to disseminate protocols and guidelines for eye care in ICU patients to reduce the risk. | ||
| Keywords | ||
| Adult critically ill patients; Risk factors & Ocular surface disorders | ||
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