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IRCT20200204046370N1 IRCT 2020-04-13 Yazd University of Medical Sciences Comparing the Effectiveness of Three Methods of eye care in the prevention of keratitis disorders In patients (ICU) Comparing the Effectiveness of Three Methods of eye care in the prevention of keratitis disorders In patients (ICU) 2018-06-21 anticipated 60 Complete https://irct.ir/trial/45688 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Other design features: Nothing, Randomization description: Simple randomization is used.Roll OF a die was used. So that the numbers 1 and 4 methods of eye ointment and anti-allergic adhesive, Numbers 2 and 5 Ophthalmic ointment and anti-allergic adhesive, Numbers 3 and 6 had anti-allergic adhesive and artificial tears. The randomization unit has also been individualized. Initially, any patient that entered the special ward ,examined by a specialist ICU physician and Inclusion and exclusion criteria were evaluated. If the patient met the inclusion criteria The patient was assigned to one of the treatment groups byrol of a die By a researcher . Then the eye care was done by another researcher and an eye examination was performed by an ophthalmologist.In order to conceal the throwing of the dice, it was done by the secretary who did not know the type of treatment in the groups, so that when the disease was accepted and approved by a special care specialist to attend the study, the secretary who was not part of the research team Throwing a dice determined which group the patient was in and informed the researcher It didn't happen random layers and random sequences, Blinding description: The subjects in this study were comatose patients. So they were not aware of their eye care. The person doing the eye care was a researcher .But the eye examination was done by an ophthalmologist who was not aware of the type of eye care. In this way, before the start of the eye examination, the type of care was cleared from the patient's eye. And the one who did the data analysis It only had group numbers And the type of care provided in each group was not known. N/A Keratitis. Intervention 1: Intervention group 1: Ointment and anti-allergenic adhesive. Ointment care :Every 6 hours by a trained nurse investigator in one of the patient's eyes about 2 cm of ointment in the inferior fornix from the inside out with the sterilization technique, so that about 1 cm of the ointment is poured out at the beginning of the ointment and Avoid contact with the patient's eye ointment and have the nurse thoroughly wash their hands as well as any ointment specific to the patient. After pouring the ointment, the patient's eyes are gently closed and checked every two hours by the nurse for the eyelid to be closed. Every 6 hours the patient's eyes are washed by the nurse with sterile water and cotton. Care with anti-allergic adhesive (1 / 25cm wide)Every 6 hours, the eyelid is closed with an anti-allergic adhesive with a width of 1.27. In such a way that one piece of adhesive is placed horizontally on the upper eyelid and the other piece is placed vertically on the patient's eyelid so that it rests on the patient's cheek and eyelid. Examines in terms of damage. If the adhesive needs to be renewed, this will be done. Every 6 hours the patient's eyes will be rinsed with sterile water and cotton and the eye care will be re-applied.Eye care was performed 3 times every 24 hours. Eye care was performed at night.Consumption of sterile plain eye ointment 3.5 g (Lubratex): (lanolin content 10%, white platelet 80% and mineral oil 10%).CompanySina Daroo Tehran.Anti-allergic adhesive with width: 1/27.Company Sins Max. Intervention 2: Intervention group: Intervention group 1: Ointment and artificial tear. Ointment care :Every 6 hours by a trained nurse investigator in one of the patient's eyes about 2 cm of ointment in the inferior fornix from the inside out with the sterilization technique, so that about 1 cm of the ointment is poured out at the beginning of the ointment and Avoid contact with the patient's eye ointment and have the nurse thoroughly wash their hands as well as any ointment specific to the patient. After pouring the ointment, the patient's eyes are gently closed and checked every two hours by the nurse for the eyelid to be closed. Every 6 hours the patient's eyes are washed by the nurse with sterile water and cotton.Another patient's eye care was performed with artificial tears. That is, every 6 hours the nurse in charge trained by the researcher washes her hands and pours artificial tears into the other eye. For further care of the patient's eyes, the nurse is rinsed with sterile water and cotton, and the procedure is repeated again..Eye care was performed 3 times every 24 hours. Eye care was performed at night.Consumption of sterile plain eye ointment 3.5 g (Lubratex): (lanolin content 10%, white platelet 80% and mineral oil 10%).CompanySina Daroo Tehran.Sina Darou Tehran Artificial Tears. Intervention 3: Intervention group:anti-allergenic adhesive and artificial tear. Care with anti-allergic adhesive (1 / 25cm wide)Every 6 hours, the eyelid is closed with an anti-allergic adhesive with a width of 1.27. In such a way that one piece of adhesive is placed horizontally on the upper eyelid and the other piece is placed vertically on the patient's eyelid so that it rests on the patient's cheek and eyelid. Examines in terms of damage. If the adhesive needs to be renewed, this will be done. Every 6 hours the patient's eyes will be rinsed with sterile water and cotton and the eye care will be re-applie..Another patient's eye care was performed with artificial tears. That is, every 6 hours the nurse in charge trained by the researcher washes her hands and pours artificial tears into the other eye. For further care of the patient's eyes, the nurse is rinsed with sterile water and cotton, and the procedure is repeated again..Eye care was performed 3 times every 24 hours. Eye care was performed at night.Consumption of.Anti-allergic adhesive with width: 1/27.Company Sins Max and .Sina Darou Tehran Artificial Tears. Yes - There is a plan to make this available What will be shared: All data can be published When: 6 months after printing the results To whom: Specialists affiliated with medical universities Conditions: Nurses working in the intensive care unit Where to obtain: Efazljoo@gmail.com How to obtain: Necessary information on the cause of the need for data information Documentation needed for data Comments:
public Elham Fazljoo
No. 5, Fifth Alley, Shahd Zinly Alley, Fajr Dahi Boulevard
Yazd Iran (Islamic Republic of) 8914946819 +98 35 3624 6804 ٍEfazljoo@gmail.com Yazd University of Medical Sciences scientific ٍElham Fazljoo
No. 5, Fifth Alley, Shahd Zinly Alley, Fajr Dahi Boulevard
Yazd Iran (Islamic Republic of) 8914946819 +98 35 3624 6804 Efazljoo@gmail.com Yazd University of Medical Sciences Iran (Islamic Republic of) Patients with decreased consciousness below 8. Connect the ventilator Impaired blink reflex Age over 18 years 18 years no limit Both Patients with eye damage at admission Patients who have had a history of diabetes and hypertension Patients whose fluorescein test is positive at admission Patients with trauma or injury. H16.0 Corneal ulcer Prevention Prevention Prevention Intervention group 1: Ointment and anti-allergenic adhesive. Ointment care :Every 6 hours by a trained nurse investigator in one of the patient's eyes about 2 cm of ointment in the inferior fornix from the inside out with the sterilization technique, so that about 1 cm of the ointment is poured out at the beginning of the ointment and Avoid contact with the patient's eye ointment and have the nurse thoroughly wash their hands as well as any ointment specific to the patient. After pouring the ointment, the patient's eyes are gently closed and checked every two hours by the nurse for the eyelid to be closed. Every 6 hours the patient's eyes are washed by the nurse with sterile water and cotton. Care with anti-allergic adhesive (1 / 25cm wide)Every 6 hours, the eyelid is closed with an anti-allergic adhesive with a width of 1.27. In such a way that one piece of adhesive is placed horizontally on the upper eyelid and the other piece is placed vertically on the patient's eyelid so that it rests on the patient's cheek and eyelid. Examines in terms of damage. If the adhesive needs to be renewed, this will be done. Every 6 hours the patient's eyes will be rinsed with sterile water and cotton and the eye care will be re-applied.Eye care was performed 3 times every 24 hours. Eye care was performed at night.Consumption of sterile plain eye ointment 3.5 g (Lubratex): (lanolin content 10%, white platelet 80% and mineral oil 10%).CompanySina Daroo Tehran.Anti-allergic adhesive with width: 1/27.Company Sins Max Intervention group: Intervention group 1: Ointment and artificial tear. Ointment care :Every 6 hours by a trained nurse investigator in one of the patient's eyes about 2 cm of ointment in the inferior fornix from the inside out with the sterilization technique, so that about 1 cm of the ointment is poured out at the beginning of the ointment and Avoid contact with the patient's eye ointment and have the nurse thoroughly wash their hands as well as any ointment specific to the patient. After pouring the ointment, the patient's eyes are gently closed and checked every two hours by the nurse for the eyelid to be closed. Every 6 hours the patient's eyes are washed by the nurse with sterile water and cotton.Another patient's eye care was performed with artificial tears. That is, every 6 hours the nurse in charge trained by the researcher washes her hands and pours artificial tears into the other eye. For further care of the patient's eyes, the nurse is rinsed with sterile water and cotton, and the procedure is repeated again..Eye care was performed 3 times every 24 hours. Eye care was performed at night.Consumption of sterile plain eye ointment 3.5 g (Lubratex): (lanolin content 10%, white platelet 80% and mineral oil 10%).CompanySina Daroo Tehran.Sina Darou Tehran Artificial Tears Intervention group:anti-allergenic adhesive and artificial tear. Care with anti-allergic adhesive (1 / 25cm wide)Every 6 hours, the eyelid is closed with an anti-allergic adhesive with a width of 1.27. In such a way that one piece of adhesive is placed horizontally on the upper eyelid and the other piece is placed vertically on the patient's eyelid so that it rests on the patient's cheek and eyelid. Examines in terms of damage. If the adhesive needs to be renewed, this will be done. Every 6 hours the patient's eyes will be rinsed with sterile water and cotton and the eye care will be re-applie..Another patient's eye care was performed with artificial tears. That is, every 6 hours the nurse in charge trained by the researcher washes her hands and pours artificial tears into the other eye. For further care of the patient's eyes, the nurse is rinsed with sterile water and cotton, and the procedure is repeated again..Eye care was performed 3 times every 24 hours. Eye care was performed at night.Consumption of.Anti-allergic adhesive with width: 1/27.Company Sins Max and .Sina Darou Tehran Artificial Tears. Ocular keratitis. Timepoint: At the beginning of the study and on the seventh day. Method of measurement: Fluorescein Test. Yazd University of Medical Sciences Approved 2017-01-10 Ethics committee of Yazd of Medical Sciences No. 5, Fifth Alley, Shahd Zinly Alley, Fajr Dahi Boulevard Yazd Yazd Iran (Islamic Republic of)