Cover Image

Risk of dry eye and ocular dryness in intensive care: a cross - sectional study

Jéssica Naiara de Medeiros Araújo, Ana Paula Nunes de Lima Fernandes, Hanna Priscilla da Silva, Viviane Euzébia Pereira Santos, Marcos Antonio Ferreira Júnior, Allyne Fortes Vitor

Abstract


verify the relationship between risk factors and clinical datawith the nursing diagnosis of dry eye risk and ocular dryness in adult patients admittedto the intensive care unit (ICU). Method: it is a cross-sectional pilot study performed atthe ICU of a public hospital between October and December 2015. Results: Statisticallysignificant relationships with the nursing diagnosis under study and the following riskfactors and clinical data were observed: therapy with mechanical ventilation,neurological lesions with sensory loss, motor reflex, Schirmer test and length of hospitalstay. Burns,use of vasoactive drugs, Schirmer test and days of hospitalization alsoshowed a significant relation with ocular dryness. Conclusion: the results suggest thatsome risk factors and certain clinical data may present a greater relationship in the ICU environment. Practical implications: the knowledge provided can support the planning ofinterventions aimed at avoiding visual impairments.

Keywords


Nursing Process;Nursing Diagnosis;Dry Eye Syndromes;Intensive Care Units

References


Herdman TH, Kamitsuru S. Diagnósticos de Enfermagem da NANDA: definições e classificação 2015-2017. Porto Alegre: Artmed, 2015.

Onwubiko SN, Eze BI, Udeh NN, Arinze OC, Onwasigwe EN, Umeh RE. Dry eye disease: Prevalence, distribution and determinants in a hospital-based population. Cont Lens Anterior Eye. [Internet] 2014 [cited 2016 jun 16]; 37(2014):157–61. DOI: http://dx.doi.org/10.1016/j.clae.2013.09.009.

Alavi NM, Sharifitabar Z, Shaeri M, Hajbaghery MA. An audit of eye dryness and corneal abrasion in ICU patients in Iran. Nurs Crit Care. [Internet] 2014 [cited 2016 jun 16]; 19(2):73-7. DOI: http://dx.doi.org/10.1111/nicc.12052.

Alansari MA, Hijazi MH, Maghrabi KA. Making a Difference in Eye Care of the Critically Ill Patients. J Intensive Care Med. [Internet] 2015 [cited 2016 jun 16]; 30(6):311-7. DOI: http://dx.doi.org/10.1177/0885066613510674.

Al-Ribh AS, Baker RH, Gupta RK, Al Dossary TS. Polyethylene Cover versus Viscotears Gel for the Prevention of Corneal Abrasions in Critically Ill Patients: A Comparative Study. Med Sci. [Internet] 2012 [cited 2016 dec 16]; 19(1):59-72. Available from: http://www.kau.edu.sa/Files/320/Researches/62529_33554.pdf.

Grixti A, Sadri M, Edgar J, Datta AV. Common ocular surface disorders in patients in intensive care units. Ocul Surf. [Internet] 2012 [cited 2016 jun 16]; 10(1):26-42. DOI: http://dx.doi.org/10.1016/j.jtos.2011.10.001.

Jammal H, Khader Y, Shihadeh W, Ababneh L, Aljizawi G, AlQasem A. Exposure keratopathy in sedated and ventilated patients. J Crit Care. [Internet] 2012 [cited 2016 jun 16]; 27(6):537-41. DOI: http://dx.doi.org/10.1016/j.jcrc.2012.02.005.

Araújo DD, Almeida NG, Silva PMA, Ribeiro NS, Werli-Alvarenga A, Chianca TCM. Prediction of risk and incidence of dry eye in critical patients. Rev Latino-Am Enfermagem. [Internet] 2016 [cited 2016 dec 16]; 24:e2689. DOI: http://dx.doi.org/10.1590/1518-8345.0897.2689.

Oliveira RS, Fernandes APNL, Botarelli FR, Araújo JNM, Barreto VP, Vitor AF. Risk factors for injury in the cornea in critical patients in intensive care: an integrative review. J res fundam care online. [Internet] 2016 [cited 2016 dec 16]; 8(2):4423-34. DOI: http://dx.doi.org/10.9789/2175-5361.2016.v8i2.4423-4434

World Health Organization – WHO. Universal eye health: a global action plan 2014-2019. [Internet]. 2013. [cited 2016 jun 16]. Available from: http://www.who.int/blindness/actionplan/en/.




DOI: https://doi.org/10.17665/1676-4285.20185937



 

The articles published in Online Brazilian Journal of Nursing are indexed, classified, linked, or summarized by:

 

Affiliated to:

Sources of Support:

 

The OBJN is linked also to the main Universities Libraries around the world.

Online Brazilian Journal of Nursing. ISSN: 1676-4285

Creative Commons License
This work is licensed under a Creative Commons:Noncommercial-No Derivative Works License.