Eye Care Interventions in Critical/Surgical Patients in the Prone Position: Scoping Review

• Ana Clara Dantas ^[1] ; Marília Lopes Costa ^[1] ; Amanda Barbosa da Silva ^[1] ; Bárbara Ebilizarda Coutinho Borges ^[1] ; Jéssica Naiara de Medeiros Araújo ^[1] ; Allyne Fortes Vitor ^[1]
  1. [1] Universidade Federal do Rio Grande do Norte

     Universidade Federal do Rio Grande do Norte

     Brasil

     
• Localización: Aquichan, ISSN-e 2027-5374, ISSN 1657-5997, Vol. 22, Nº. 3, 2022
• Idioma: inglés
• DOI: 10.5294/aqui.2022.22.3.3
• Títulos paralelos:
  • Intervenções para a saúde ocular em pacientes críticos ou cirúrgicos em decúbito ventral: revisão de escopo
  • Intervenciones para el cuidado ocular en pacientes críticos/quirúrgicos en decúbito prono: revisión de alcance
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Objetivos: el presente estudio tuvo como objetivo mapear la evidencia de las intervenciones de cuidado ocular en el manejo de pacientes críticos o quirúrgicos sometidos a decúbito prono.

    Materiales y método: esta revisión de alcance se elaboró de acuerdo con la metodología del Instituto Joanna Briggs y bajo los criterios de PRISMA-ScR. Se realizó una búsqueda entre julio y agosto de 2020 en las bases de datos SCOPUS, Web of Science, Science Direct, PubMed Central, CINAHL y COCHRANE. Además, se delimitó la siguiente pregunta de investigación: "¿Cuáles son las estrategias e intervenciones utilizadas para el cuidado ocular en el manejo del paciente crítico o quirúrgico sometido al decúbito prono?". Después de aplicar los criterios de inclusión y exclusión, la muestra quedó constituida por 24 estudios.

    Resultados: las intervenciones oftalmológicas en el manejo de pacientes críticos/quirúrgicos sometidos a decúbito prono fueron examen oftalmológico, uso de lubricantes/solución oftálmica específica, posicionamiento de Trendelenburg inverso y protección con cinta adhesiva.

    Conclusiones: esta revisión permitió la comprensión del cuidado ocular de pacientes críticos/quirúrgicos en decúbito prono. Entre los cuidados presentados, gran parte está relacionada con la enfermería, puesto que es más cercana al cuidado del paciente. Los hallazgos enfatizan la necesidad de implementar políticas de seguridad del paciente con el cuidado ocular como prioridad.

  • English

    Objectives: This study aimed to map evidence of eye care interventions in managing critical or surgical patients submitted to prone positions.

    Materials and method: This scoping review was prepared according to the Joanna Briggs Institute's methodology, following the PRISMA-ScR criteria. A search was conducted from July to August 2020 in the SCOPUS, Web of Science, Science Direct, PubMed Central, CINAHL, and COCHRANE databases. The following research question was delimited: "What are the strategies and interventions used for eye care in the management of critical patients or surgical patients submitted to the prone position?" The sample consisted of 24 studies after applying the inclusion and exclusion criteria.

    Results: Eye care interventions in managing critical/surgical patients submitted to the prone position were eye examination, use of lubricants/specific ophthalmic solution, reverse Trendelenburg positioning, and protection with adhesive tape.

    Conclusions: This review allowed the understanding of eye care for critical/surgical patients in a prone position. Among the care presented, a large part is related to nursing since it is closer to patient care. The findings emphasize the need to implement patient safety policies with eye care as a priority.

  • português

    Objetivos: o objetivo do presente estudo é mapear a evidência das intervenções de cuidado ocular na gestão de pacientes críticos ou cirúrgicos submetidos a decúbito ventral.

    Materiais e método: esta revisão de escopo é elaborada de acordo com a metodologia do Instituto Joanna Briggs e sob os critérios do PRISMA-ScR. Foi realizada uma busca entre julho e agosto de 2020 nas bases de dados Scopus, Web of Science, Science Direct, PubMed Central, CINAHL e COCHRANE. Além disso, foi delimitada a seguinte pergunta de pesquisa: quais as estratégias e intervenções utilizadas para a saúde ocular na gestão do paciente crítico ou cirúrgico submetido ao decúbito ventral? Após aplicar os critérios de inclusão e exclusão, a amostra se constituiu de 24 estudos.

    Resultados: as intervenções oftalmológicas na gestão de pacientes críticos ou cirúrgicos submetidos a decúbito ventral foram exame oftalmológico, uso de lubrificante/ solução oftálmica específica, posicionamento de Trendelenburg reverso e proteção com fita adesiva.

    Conclusões: esta revisão permite compreender a saúde ocular de pacientes críticos ou cirúrgicos em decúbito ventral. Entre os cuidados apresentados, grande parte está relacionada com a enfermagem, visto que é mais próxima do cuidado do paciente. Os achados enfatizam a necessidade de implementar políticas de segurança do paciente com relação ao cuidado dos olhos como prioridade.

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