الفهرس 
Abstract
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Abstract
Summary
ICU patients must practice preventative eye care methods because the majority of them are prone to eye issues caused by a variety of factors for example patients who are unconscious and have serious illnesses, as well as those who have pneumonia and respiratory infections related to a ventilator (VAP). The use of mechanical ventilation, including oxygen masks, the prone position, positive end-expiratory pressure (PEEP), and continuous positive airway pressure (CPAP). Patients who take sedatives, tranquillizers, or neuromuscular blockers are also more likely to experience difficulties with their eyes. In order to prevent the development of new illnesses, health care professionals should take precautions. The ICU team must be aware of this problem, identify ICU patients at risk for dryness and ocular surface damage, and take appropriate action for those patients.
Therefore, the aim of this study was to develop, validate, implement, and evaluate the effect of eyes care bundle for critically ill patients. The design of this study was quasi experimental research design. This study was carried out in Egypt’s Assiut University Hospital’s intensive care units.
A purposive sample of 60 male and female patients. Sample was collected according to inclusion criteria for about 8 months (from August, 2021 to March, 2022).Sample was assigned to two equal groups each group consist of 30 patients. Control group who received routine hospital eye care, study group who received bundle of eyes care.
Five tools were utilized to collect data, which were: tool I: - Construct evidence based practice (EBP) eye care bundle for critically ill patients. Tool II: Validation of eyes care bundle. Tool III: Patient assessment sheet. Tool IV: Scores assessment tool. Tool V: Bundle of eyes care for critical ill patient’s tool. A pilot study carried out in order to assess the feasibility and applicability of the tools and the necessary modifications were done. The pilot study was done on 6 patients who were excluded from the study.
The main results:-
Regarding to development and validation of the bundle, our study created the finest scientific evidence-based interventions or practices for eye care that are grade I to III evidence levels based on the evaluated research evidence. Analysis of the interventions and results started right after the trial was finished. Validation of eye care bundle was conducted through three rounds after developed it based on the evaluated research evidence. The items were reviewed for content and face validity. The bundle was validated with 5 items with a total CVI of 0.96, a face validity of 1, and a scale-level content validity index/universal agreement calculation method (S-CVI/UA) value of 0.8. It was anticipated that implementing this bundle of five components for eye care will directly reduce the overall incidence of OSDs.
Regarding to evaluation of implementing this bundle, the outcomes indicated a significant reduction in the presence of ocular surface disorders after developing and implementing an adult eye care bundle. Related to the right cornea, the results revealed P<0001 on the 5th day, while on the left cornea, the results revealed P = 0.015 on the 7th day. Regarding conjunctiva, the present finding showed P <0001 for both eyes on the 6th and 7th days.