关键词: ICU患者, 眼部护理, 机械通气, 证据总结, 临床实践

Abstract: Objective: To summarize the relevant evidence for eye care in ICU patients with ventilator-assisted ventilation, develop an eye care protocol based on clinical context, and observe its clinical application effects. Methods: Using evidence-based nursing methods, the best evidence for eye care in ICU patients was selected and adapted to fit the clinical context, with review indicators established. From January to June 2022, a baseline review was conducted among 156 patients with ventilator-assisted ventilation (baseline review group) to analyze the barriers to evidence application and develop corresponding strategies. From July to December 2022, a follow-up review was conducted in 120 patients with ventilator-assisted ventilation (evidence application group), comparing the execution rate of review indicators, the incidence of eye complications, and the clinical ability scores of ICU nurses in eye care between the two groups. Results:The execution rate of the nine review indicators in evidence application group was significantly higher than baseline review group (P<0.05). The incidence of eye complications was lower than baseline review group(P<0.05). The scores for ICU staff′s knowledge and behavior related to eye care, as well as the total score, were significantly higher than baseline review group (P<0.05). Conclusion: The eye care plan for ICU patients with ventilator-assisted ventilation, developed through evidence synthesis, improves the execution of eye care practices by ICU healthcare staff, prevents eye complications in patients, and enhances the eye care competence of nurses.

Key words: ICU patients, Eye care, Mechanical ventilation, Summary of evidence, Clinical practice