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Register a new userThe effect kind of eye care policy on the incidence rate of exposure keratopathy among mechanically ventilated patients
تأثير نوع سياسة العناية بالعين على معدل حدوث اعتلال القرنية التعرضي عند مرضى التهوية الآلية
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مرضى الرعاية المركزة و خاصة مرضى التهوية الآلية هم عالي الخطورة لتطور أمراض سطح العين و ذلك بسبب تأذي آليات تحصين العين لديهم كنقص انغلاق الأجفان, و نقص منعكس الرفيف, و نقص إنتاج الدمع, و زيادة تعرض العين للجراثيم . تؤدي غالباً هذه العوامل لعدم إغلاقٍ كاملٍ للأجفان و تعرض العين و اعتلالها، و هذا ما يدعى باعتلال القرنية التعرضي, و الذي يظهر بمعدل عالٍ عند مرضى التهوية الآلية . العناية بالعين هي جزء من العناية المقدمة لكل مريض في وحدات الرعاية المركزة . حيث إنَ المرضى غير الواعين و المسكنين و المشلولين هم المجموعة الأكثر خطورة و الأكثر حاجة للعناية بالعين و الحفاظ على حالتها الطبيعية . الهدف: لتحديد تأثير نوع سياسة العناية بالعين على معدل حدوث اعتلال القرنية التعرضي لدى مرضى التهوية الآلية.
Patients in the intensive care unit (ICU), especially ventilated patients, are at considerable risk of developing ocular surface disease because the protective eye mechanisms are damage, as decrease eyelid closure ,unable blinking, decreased producing tears, increased expose the eye to pathogen bacteria . These factors often result in incomplete lid closure and expose and decay the eye, and this called the exposure keratopathy, which appear that high rate with ventilated patients. The eye care is a part of the providing care to every patient in critical care units. Whereas the Unconscious and Sedation and paralysis patients are the most serious group and the most need to the eye care for maintain the eye in a state of normal.objective:To determine the effect kind of eye care policy on incidence rate of exposure keratopathyamong mechanically ventilated patients.
Artificial intelligence review:
Research summary
تناولت الدراسة تأثير نوع سياسة العناية بالعين على معدل حدوث اعتلال القرنية التعرضي لدى مرضى التهوية الآلية. أجريت الدراسة على 30 مريضًا في مشفى الباسل في طرطوس، حيث تم تقسيمهم إلى مجموعتين: تجريبية وضابطة. استخدمت السياسة الأولى جل مرطب (viscotears) على العين اليسرى للمجموعة التجريبية، بينما استخدمت السياسة الثانية جل مرطب مع ضماد لاصق على العين اليمنى. تُركت المجموعة الضابطة للرعاية الروتينية بالمستشفى. أظهرت النتائج أن السياسة الثانية كانت الأكثر فعالية في تقليل معدل حدوث اعتلال القرنية التعرضي مقارنة بالسياسة الأولى والرعاية الروتينية. أوصت الدراسة باستخدام حجيرات الترطيب المغلقة (الجل مع الضماد اللاصق) كوسيلة فعالة للحد من اعتلال القرنية التعرضي.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على مشكلة صحية حرجة تواجه مرضى التهوية الآلية في وحدات العناية المركزة. ومع ذلك، يمكن أن تكون هناك بعض النقاط التي تحتاج إلى تحسين. على سبيل المثال، حجم العينة كان صغيرًا نسبيًا (30 مريضًا فقط)، مما قد يؤثر على تعميم النتائج. كما أن الدراسة اقتصرت على مشفى واحد، مما قد يحد من إمكانية تعميم النتائج على نطاق أوسع. كان من الممكن أيضًا تضمين مزيد من التفاصيل حول العوامل المحتملة الأخرى التي قد تؤثر على نتائج الدراسة، مثل الحالة الصحية العامة للمرضى أو الأدوية الأخرى التي يتناولونها. بشكل عام، تعتبر الدراسة خطوة إيجابية نحو تحسين رعاية العين لمرضى التهوية الآلية، ولكن هناك حاجة إلى مزيد من الأبحاث لتأكيد النتائج وتوسيع نطاقها.
Questions related to the research
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ما هو الهدف الرئيسي من الدراسة؟
الهدف الرئيسي من الدراسة هو تحديد تأثير نوع سياسة العناية بالعين على معدل حدوث اعتلال القرنية التعرضي لدى مرضى التهوية الآلية.
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ما هي السياسات التي تم اختبارها في الدراسة؟
تم اختبار سياستين في الدراسة: الأولى استخدام جل مرطب (viscotears) فقط، والثانية استخدام جل مرطب مع ضماد لاصق.
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ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟
النتائج الرئيسية هي أن استخدام حجيرات الترطيب المغلقة (الجل مع الضماد اللاصق) كان أكثر فعالية في تقليل معدل حدوث اعتلال القرنية التعرضي مقارنة باستخدام الجل فقط أو الرعاية الروتينية بالمستشفى.
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ما هي التوصيات التي قدمتها الدراسة بناءً على النتائج؟
أوصت الدراسة بتطبيق سياسة العناية بالعين التي تشمل استخدام جل مرطب مع ضماد لاصق كوسيلة فعالة للحد من معدل حدوث اعتلال القرنية التعرضي لدى مرضى التهوية الآلية.
References used
Mercieca F, Suresh P,et al. Ocular surface disease in intensive care patients. Eye,1999;13: 231–236
Hernandez EV, Mannis MJ. Superficial keratopathy in intensive care unit patients. Am J Ophthalmol, 1997;124(2):212-6
Imanaka H, Taenaka N, Nakamura J,et al. Ocular surface disorders in the critically ill. AnesthAnalg 1997;85(2):343-6
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Introduction: oral infection is one of the most common disturbances in the intensive care units ICUs, especially with the critical intubated patients. Application of oral care policy works as a very important action in preventing the infection. ADHA
improved that using of Chlorhexidine Gloconate 0.12% and Povidone Iodine 1% solutions in oral care can contribute to preventing oral infection. Goal: The aim of the present study was to investigate the effect of applying oral care policy to the oral infection rate with intubated patients. Materials and Methods: The study was conducted at the intensive care units of AL-Basel Hospital (Tartous), a convent sample of 45 patients. Beck Oral Assessment Scale was used to assess the oral status and results after 72 hours of applying oral care policies for the two experimental groups and the control groups. Results: our results demonstrate the important of applying oral care policy, rate of infection decreased in the first control group (p= 0.000*) which received first oral care policy procedures (Chlorhexidine Gloconate 0.12%); it was (Povidone Iodine 1%) in the second control group (normal saline 0.9%) in the last control group. Conclusions and Recommendations: our present study results recommend applying oral care policy (Chlorhexidine Gloconate 0.12%, Povidone Iodine 1%) because of its affect in preventing oral infections for critical intubated patients.
Dysphagia considers the most important and common in neurological system patient
on critical care units. Objective: The aim of this study was to study the effect of nursing
care policy on dysphagia in neurological system patients in critical care u
nits. Material
and method: the study was conducted on 40 patients divided on four groups (Shaker
Exercise, Mendelsohn maneuver, [Shaker Exercise, and Mendelsohn maneuver] and
control group) in critical care units in the Assad university hospital and the National
Hospital whom have dysphagia. The data was collected by using the personal information
form, and the dysphagia severity scale. Results: This study showed that Shaker Exercise,
and Mendelsohn maneuver together were the most effective in reduce dysphagia levels and
recommended about importance of Shaker Exercise, and Mendelsohn maneuver for
patients with dysphagia.
Upper abdominal surgery patients are considered more vulnerable to changes in pulmonary function and therefore to acute decrease in respiratory function. physical treatment techniques play an important role, especially deep breathing exercises and th
e use of incentive spirometry device as well as walking, which have an important role in improving pulmonary function. here lies the nursing role in the training of patients to use those technologies and encouraging them toapplyearlypostoperatively. The aims of the study is toassess the effect of implementing nursing policy (deep breathing exercises , the use of incentive spirometer and walking) on respiratory function among upper abdominal surgery patients.The sample comprised 45 patients chosen randomly from thetwogenders who were prepared to upper abdominal surgery in Al-Assad University Hospital,Each patient implemented nursing policy and assessed pulmonary functionby using a spirometer device and measured the degree of arterial blood oxygen saturation by Oxygenation –pulse measurement. We can notice from the results of this study that the implement of nursing policy contributed to the preservation of respiratory function in patients with the two experimental groups , particularly in the experimental group 2, which have the lower decrease in the pulmonary functions values and the degree of arterial blood oxygen saturation .
The aim of this study was to assess the effect of physiotherapy on ventilator weaning and lengths of intensive care unit (ICU) stay. Patients were divided into two groups. The control group, which received standard nursing care. The data of control p
atients who were not receiving physiotherapy were obtained from the hospital records. The intervention group was prospectively taken into the chest physiotherapy program. This study was conducted on sample of 30 patients in the ICU in alaassad university hospital. Demographics, diagnostic profiles, co-existing chronic diseases, respiratory parameters on admission, patient’s overall severity by Acute Physiology and Chronic Health Evaluation II score, patient outcome, duration of stay in ICU, duration of ventilator support, and complications were assessed. The extubation time and length of ICU stay were compared between the two groups. Control patients had a longer period of ventilator dependency than the intervention patients and this difference was statistically significant (P < 0.05). It was noted that the resulting length of stay in the ICU was significantly lower in the intervention group than in the control group (P < 0.05). Although the patients had similar diagnoses and physical features, the length of stay in the ICU was significantly lower in the intervention group. The results show that physiotherapy has a great impact on ventilatory dependency and length of stay in the ICU
Aim: To study the efficacy of collagen crosslinking on pseudophakic bullous keratopathy.
Methods: Fifteen patients with pseudophakic bullous keratopathy participated in the study.
Corrected visual acuity measurement, slit lamp examination, corneal
clarity grading, ocular
pain intensity scale and corneal thickness measurement were performed before corneal
crosslinking and 1, 3 and 6month postcrosslinking. Corneal collagen crosslinking was
performed after the removal of the epithelium and the application of riboflavin every 3
minutes for 30 minutes then the ultraviolet irradiation applied for 30 minutes with the
application of riboflavin every 5 minutes.
Results: The mean age was 65.5 year (9 females and 6 males). Corneal thickness
decreased significantly after crosslinking but the visual acuity did not change significantly
after crosslinking. Corneal transparency improved in the first month. Ocular pain
decreased significantly in the first and third month.
Conclusion: Corneal collagen cross linking is an effective and temporal procedure to
decrease ocular pain for bullous keratopathy patients
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