YOĞUN BAKIM HEMŞİRELERİNDE NÖBET SONRASI GÖZYAŞI BULGULARININ DEĞERLENDİRİLMESİ

Amaç: Yoğun bakım servisleri 24 saat yoğun mesainin yapıldığı, personelin yeterli özen ve dikkatini gerektiren özel yalıtılmış alanlardır. Bu birimlerde mesai yapan personel büyük bir özveri ile yoğun bir tempoda çalışmaktadır. Bu çalışmada, yoğun bakım hemşirelerinde nöbet sonrası durumun gözyaşı testleri üzerine etkisi araştırıldı.Gereç ve Yöntem: Oküler ve sistemik hastalığı olmayan 32 gönüllü sağlık personelinin 64 gözü çalışma kapsamına alındı. Çalışmaya katılan gönüllülerin tam oftalmolojik muayenesi yapıldı. Yoğun bakım hemşireleri nöbete başlamadan önce saat 16:00’da olmak üzere ve nöbet sonrası saat 08:30’da olmak üzere Schirmer 1 testi ve gözyaşı kırılma zamanı testi ile değerlendirildi.Bulgular: Katılımcıların biyomikroskopik ve fundus muayenesi normal olarak değerlendirildi. Çalışmamızda ortalama göz içi basınc sağ gözde 14.21 mmHg, sol gözde 13.75 mmHg olarak bulundu. Nöbet öncesi bakılan Schirmer 1 testi; sağ gözde ortalama 26.28 mm, sol gözde ortalama 24.21 mm olarak bulunurken, nöbet sonrası Schirmer 1 testi sağ gözde ortalama 19.53 mm, sol gözde ortalama 17.71 mm olarak bulundu. Schirmer 1 testi her iki göz için nöbet öncesi ve nöbet sonrası karşılaştırıldığında istatistiksel olarak anlamlı fark bulundu (p=0.00). Gözyaşı kırılma zamanı testi ise nöbet öncesi sağ gözde ortalama 16.78 sn, sol gözde ortalama 14.43 sn, nöbet sonrası sağ gözde ortalama 9.08 sn, sol gözde ortalama 8.71 sn olarak tespit edildi. Gözyaşı kırılma zamanı testi her iki göz nöbet öncesi ve nöbet sonrası değerler karşılaştırıldığında istatistiksel olarak anlamlı fark bulundu (p=0.00).Sonuç: Yoğun bakım hemşilerinde, nöbet sırasında uykusuz kalmanın gözyaşı kırılma zamanı ve Schirmer testi değerlerinde olumsuz değişiklikler yaptığı görülmüştür.

Anahtar Kelimeler:

Yoğun bakım hemşireleri, Schirmer testi, Gözyaşı kırılma zamanı

Assessment of Tear Film Parameters after Working Overnight in Intensive Care Nurses

Objective: Intensive care unit is a special area with many life-saving technological tools and equipment. It is isolated with its general appearance and atmosphere. In these units, intensive care nurses with special skills work at a fast and intensive pace for special purposes. In this study, the effect of working shifts on tear tests of intensive care nurses was investigated. Material and Method: Thirty-two health workers without ocular or systemic disease who volunteered were included in the study. Complete ophthalmologic examination of sixty-four eyes was performed. The intensive care nurses were evaluated with Schirmer 1 test and Tear break up time test before the working shift at 16:00 and after the working shift at 08:30. Results: The group's biomicroscopic examination and fundus examination were evaluated as normal before the study. The average intraocular pressure was 14.21 mmHg in the right eye and 13.75 mmHg in the left eye. Schirmer 1 test was done before working shift. The average was 26.28 mm in the right eye and 24.21 mm in the left eye. While the average Schirmer 1 testing after working shift was 19.53 mm in the right eye, the average was 17.71 mm in the left eye. Schirmer 1 test was found as statistically significant in both eyes before and after the working shift (p=0.00). Tear break up time test was found to be 16.78 seconds in average in right eye and 14.43 seconds in the left eye before the working shift. On the other hand, the test time was averagely 9.08 seconds in right eye and 8.71 seconds in the left eye after the working shift. Significant difference was found in tear break up time test when tear break up times before and after shifts were compared (p=0.00). Conclusion: Tear break up time test and Schirmer test values are decreasing after the working shift due to the lack of sleep of intensive care nurses.

Keywords:

Intensive care nurses, Schirmer test, Tear break up time,

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