呼吸速率监测和早期检测恶化的做法
Susan A Kayser1, Rachel Williamson2, Gabriela Siefert3
1Health Economist, Baxter International, Batesville, Indiana, USA.
护士经常错过或不准确地记录呼吸率 (RR),这是检测患者衰退的关键指标. 需要加强教育,以强调准确的RR监测在患者护理中的重要性.
科学领域:
- 护理研究 护理研究
- 患者安全 患者安全
- 监测生命体征 监测生命体征
背景情况:
- 呼吸速率 (RR) 越来越被认为是早期检测患者病情恶化的最关键重要标志.
- 尽管RR很重要,但它是临床实践中最常被不准确测量或遗漏的生命体征.
研究的目的:
- 评估早期检测患者病情恶化的流行率.
- 为了确定护士是否认为RR是患者病情恶化的主要指标.
- 了解RR监测的全球护理实践.
主要方法:
- 在护士中进行了一项双盲调查.
- 从亚太,中东和西欧地区招募了参与者.
主要成果:
- 在161名受访者中,80%的受访者报告说,他们有早期发现患者病情恶化的倡议.
- 只有12%的护士认为RR是恶化的最重要的指标.
- 27%的护士经常记录所有医疗/外科患者的RR.
- 56%的护士报告说,需要60秒或更长时间来测量RR.
结论:
- 在全球范围内,护士往往低估了对所有患者的一贯而准确的RR测量的重要性.
- 显然需要改善国际护理教育,重点关注RR在患者监测中的关键作用.
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