关键词: 暴露性角膜病变, 专家共识, 预防, 护理

Abstract:

Objective To compile the “expert consensus on preventive and management of exposure keratopathy”（hereinafter referred to as “consensus”），aiming to standardize and promote the prevention of exposure keratopathy（EK） in medical institutions at different levels. Methods The evidence-based methods were used to retrieve，evaluate and summarize evidence in this field according to the level of evidence，and relevant recommendations and research conclusions were extracted，and the first draft of consensus was formed. After 2 rounds of Delphi expert letters and expert meetings，combined with evidence and expert opinions，the consensus content is written，adjusted and modified，and recommendations were made. Results 58 experts were invited to participate in the consultation. The expert positive coefficient was 100%；the expert judgment basis of the 2 rounds were 0.940 and 0.936；the degree of familiarity of the 2 rounds were 0.779 and 0.797；the coefficient of authority of the 2 rounds were 0.859 and 0.866. The Kendall W coefficients of the 2 rounds of inquiry were 0.099 and 0.117，and the difference was statistically significant（P<0.05）. The consensus includes 5 aspects of EK：risk factors，assessments，protection measures，symptom management and training and management. Conclusion The consensus was based on the existing evidence and clinical practical requirements and recommendations of experts in the field. Consensus can provide guidance for clinical nursing staff in prevention，nursing and management of EK effectively.

Key words: Exposure Keratopathy, Expert Consensus, Prevention, Nursing Care