作为积极合作伙伴的患者 - - 在重症监护室成功早期动员的关键
Annika Söderberg1,2, Veronika Karlsson3, Monika Fagevik Olsén1
1Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Arvid Wallgrens Backe, University of Gothenburg, Gothenburg, SE, Sweden.
在重症监护中早期动员需要临床医生将患者作为积极的合作伙伴,解决时间限制和安全问题等挑战. 以人为中心的方法对于成功的患者康复和预防 Delirium 等并发症至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 患者康复 患者康复
- 医疗保健专业人士的观点 医疗保健专业人士的观点
背景情况:
- 越来越多的证据支持在重症监护机构早期动员的好处.
- 早期动员独特地需要患者积极参与,这给临床医生带来了独特的挑战.
- 关于临床医生的挑战和早期动员的成功因素的探索有限.
研究的目的:
- 探索重症监护医生在早期动员过程中面临的挑战.
- 从临床医生的角度来看,确定成功早期动员的关键因素.
主要方法:
- 与17名重症监护临床医生 (护士,助理护士,理疗师) 进行了半结构化采访.
- 使用现象学方法分析了采访数据,以了解不同的观点.
主要成果:
- 确定了四个关键主题:承担责任,患者的观点,调动的时间和调动的"技巧".
- 早期动员,包括定位和感官刺激,对于预防妄想和重新定位患者至关重要.
- 临床医生强调患者参与,准备和谈判以实现最佳动员,同时承认对时间和安全的担忧.
结论:
- 在重症监护中,早期动员至关重要,需要以人为中心的方法.
- 让患者作为积极的合作伙伴参与,是成功实现早期动员结果的关键.
- 建议将早期动员 (定位,感官刺激) 整合到日常患者护理计划中.
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