上海护理2025,Vol.25Issue(10):64-69,6.DOI:10.3969/j.issn.1009-8399.2025.10.013
基于最佳证据的ICU俯卧位通气患者眼部管理现状及影响因素分析
Best Evidence-based Analysis of Current Status and Influencing Factors of Eye Management in ICU Patients on Prone Ventilation
摘要
Abstract
Objective To comprehensively evaluate the current status of eye management in ICU patients on prone ventilation based on a summary of best evidence,analyze barriers and facilitators,and develop action strategies.Methods Using the JBI Model of EBHC as the theoretical framework,23 pieces of evidence for eye management in ICU patients on prone ventilation were summarized.Review indicators and methods were established based on expert opinions.In June-August 2024,healthcare providers and patients on prone ventilation were selected from the Emergency Intensive Care Unit(EICU)at a Grade Ⅲ-A hospital in Shanghai to participate in baseline reviews.Results A total of 18 eye management review indicators were established for ICU patients on prone ventilation.The clinical implementation rate was<60%for 15 of these indicators.Through 4M1E factor analysis,16 barriers and 8 facilitators were identified,leading to the proposal of 15 corresponding action strategies.Conclusion There are still barriers in the clinical application of the best evidence for evidence-based eye management in ICU patients on prone ventilation.Targeted measures should be developed to address these barriers and facilitate the translation of evidence into practice.关键词
重症监护室/俯卧位通气/循证护理/眼部护理/影响因素Key words
Intensive care unit/Prone ventilation/Evidence-based care/Eye care/Influencing factor分类
医药卫生引用本文复制引用
任艳,彭飞,高连娣,李阳洋,王芳,俞荷花..基于最佳证据的ICU俯卧位通气患者眼部管理现状及影响因素分析[J].上海护理,2025,25(10):64-69,6.基金项目
2023年重症护理提升信息化培训课程建设(SHDC22023247) (SHDC22023247)
2024年长征医院护理科研基金课题CZYY-HLQN1009) ()
上海优秀青年育苗计划[沪护会[2023]35号]. ()