血管活性薬の抽出による怪我の管理における看護: スコーピングレビュー
Camila Almeida de Lima1,2, Bárbara de Oliveira Sena1,2, Monise de Melo Bispo1,2
1Author Affiliations: Department of Nursing, Federal University of Rio Grande do Norte, Natal, Brazil (Lima, Sena, Bispo, Chagas, Ribeiro, and de Oliveira Araújo).
まとめ
このスコーピングレビューは,血管活性薬剤による外流傷に対する看護のマッピングです. 治療戦略の改善の必要性を強調している.
科学分野:
- 介護 活動
- 薬理学について
- 患者の安全
背景:
- 血管活性薬の放出は重度の組織損傷を引き起こす可能性があります.
- 標準化された看護の介入は これらの合併症の管理に不可欠です
- 現在の看護の実践について包括的な概要が必要である.
研究 の 目的:
- 血管活性薬剤による外流傷の治療のための看護ケア戦略をマッピングし,合成する.
- 一般的な介入を特定し,臨床実務におけるその適用を評価する.
- エクストラバゼーションの管理における証拠に基づいたガイドラインの基盤を提供すること.
主な方法:
- ジョアンナ・ブリッグス研究所とPRISMA-ScRのガイドラインに従って,包括的なスコーピングのレビュー.
- 2022年7月から8月にかけて12のデータベースで検索し,関連する32の研究を特定しました.
- 証拠の質はPAGERツールを使用して評価されました.
主要な成果:
- 輸液中断,排水,カテーテル除去,および様々な薬理学的および非薬理学的治療を含む主要な看護介入を特定しました.
- よく報告された介入には,熱冷圧縮,四肢の上昇,フェントオラミン,局所用ニトログリセリン,ヒアルロニダース注入,および除菌技術が含まれています.
- 分析により,研究における介入の有意な重複が明らかになり,治療アプローチの範囲が狭いことが示された.
結論:
- 血管活性薬の放出に対する看護の介入は,かなりの繰り返しと限られた多様性を示しています.
- 既存の研究の方法論的厳しさはしばしば低いため,証拠の強さに影響を及ぼします.
- より多様で強力な治療プロトコルの開発と検証にはさらなる研究が必要です.
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