機動呼吸器患者の早期活性化を実施する重症治療看護師と医師の経験: 質的研究

Jiajia Kong^1,2, Hengyang Wang^1,3, Donghui Jia^1,3

¹The First Hospital of Lanzhou University, Lanzhou, Gansu, China.

Nursing in critical care

|August 29, 2025

まとめ

集中治療室 (ICU) の看護師と医師は,機械呼吸器患者の早期活性化 (EAM) を実施する際,さまざまな感情と課題に直面します. これらの問題に対処するにはよりよい患者治療の成果を出すための改善された計画と資源と協働が必要です

科学分野:

クリティカルケア医療
看護学研究
質的健康研究

背景:

機械呼吸器で呼吸する患者の長期の不動は合併症を引き起こします
早期の積極的な動員 (EAM) はこれらのリスクを軽減することができます.
EAMの実施に関する ICU スタッフの経験は限られている.

研究の目的:

EAMを実践しているICUの看護師や医師の体験を調査する.
機械的な換気装置における EAM の促進要因と障壁を特定する.

主な方法:

半構造面接を利用した現象学的定性設計.
中国西部の5つの高等ICUで 31人の看護師と医師から収集したデータです
テーマ分析はNVivoソフトウェアを使って行われました.

主要な成果:

看護師は感情的な反応や認識された利益や課題や期待といったテーマについて報告しました
医師はEAMの必要性,計画ニーズ,意思決定要因,専門的な役割に関連するテーマを特定しました.
両グループは,EAMの実施を改善するための提案を提出しました.

結論:

ICUのスタッフの経験は EAMの実施と有効性に大きな影響を与えます.
患者の回復を最適化するために強化された資源配分,計画,学際的な協力が不可欠です.
EAMに対する看護師の信頼と効率を高めることができます.

キーワード:

早期の歩行経験について集中治療室機械的な換気定性的な研究

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