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The primary aim of this study is to comparatively examine the effects of eye care practices using artificial tears and normal saline on superficial ocular injuries in pediatric patients receiving mechanical ventilation in the intensive care unit. Based on the findings, the study seeks to provide evidence-based contributions to nursing practices. Additionally, it aims to identify educational strategies to enhance intensive care nurses' knowledge and practice levels and to support the development of clinical care protocols.
H0: There is no difference in the effect of eye care with normal saline and artificial tears on superficial ocular injury in mechanically ventilated pediatric patients.
H1:Eye care with normal saline is more effective than artificial tears in preventing superficial ocular injury in mechanically ventilated pediatric patients.
H2: Eye care with artificial tears is more effective than normal saline in preventing superficial ocular injury in mechanically ventilated pediatric patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Artificial tears | Experimental | Every 2 hours, artificial tear solution was gently applied to the designated eye. The artificial tear product (REFRESH®) contains 5.6 mg of polyvinyl alcohol and 2.4 mg of povidone per mL and is used to maintain ocular surface moisture and reduce irritation. The eye care procedure was performed over a 5-day period while the patient remained on mechanical ventilation. |
|
| Saline | Active Comparator | Every 2 hours, saline solution (Bio-Fleks brand) was gently applied to the assigned eye for saline group.The eye care procedure was performed over a 5-day period while the patient remained on mechanical ventilation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eye Care with Artificial Tears | Other | Every 2 hours, the artificial tear solution was gently applied to the designated eye for 5 days. The artificial tear product (REFRESH®) contains 5.6 mg of polyvinyl alcohol and 2.4 mg of povidone per mL and is used to maintain ocular surface moisture and reduce irritation. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Ocular Dryness Score | Ocular dryness will be measured using the Schirmer test.The score was compared between the eye treated with artificial tears and the eye treated with normal saline. | Everyday for 5 days after the inclusion of participant |
| Occurence of Ocular Surface Disease | Florescein testing will be used to evaluate the development of ocular surface disease | 1 time Everyday for 5 days after the inclusion of participant |
| Change in Eyelid Closure Degree | Eyelid Closure Degree was evaluated by clinical observation and scoring (e.g., staining intensity and affected area). The score was compared between the eye treated with artificial tears and the eye treated with normal saline. | 1 time everyday for 5 days after the inclusion of participant |
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Inclusion Criteria:
Exclusion Criteria:
-Having eye-related disease
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| Name | Affiliation | Role |
|---|---|---|
| Bilgi Gülseven Karabacak, MSc. PhD. | Marmara University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University Istanbul Medical Faculty | Istanbul | Istanbul | 34093 | Turkey (Türkiye) |
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|
| Eye Care with Normal Saline | Other | Every 2 hours, the saline solution(Bio-Fleks brand) was gently applied to the designated eye for 5 days. |
|
| ID | Term |
|---|---|
| D065346 | Lubricant Eye Drops |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D009883 | Ophthalmic Solutions |
| D019999 | Pharmaceutical Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| D045506 | Therapeutic Uses |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D054327 | Lubricants |
| D020313 | Specialty Uses of Chemicals |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
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