护士在重症监护病人的认知问题管理方面的经验:一种定性研究
Ann Louise Bødker Hanifa1, Anette Bjerregaard Alrø1, Anna Holm1
1Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; The ICU Cognitive Rehabilitation Nursing Research Programme (ICU-CogHab).
Intensive & critical care nursing
|August 4, 2023
概括
护士们经常认为认知问题和妄想有联系,专注于妄想的预防. 他们使用家庭投入和"屏蔽"技术来管理重症监护病人的认知能力.
科学领域:
- 护理 护理 护理 护理
- 密集护理医学 密集护理医学
- 认知健康 认知健康
背景情况:
- 护士在确定重症监护室 (ICU) 患者认知障碍方面发挥着至关重要的作用.
- 目前尚不清楚护士是否能区分认知障碍和妄想症.
- 了解护士的观点可以揭示管理ICU认知挑战的障碍和促进者.
研究的目的:
- 探索护士在ICU患者的认知问题方面的经验.
- 研究护士如何感知和管理与 Delirium 不同或相关的认知问题.
主要方法:
- 现象学-解释学研究涉及采访十名ICU护士.
- 数据收集于2022年3月至4月,并使用Ricœur启发的解释进行分析.
主要成果:
- 护士认为认知问题和妄想是相互关联的.
- 护士积极寻找病人的身份,超越他们的状况.
- 护士努力在破坏性的ICU环境中保持正常状态.
结论:
- 护士通过优先考虑痴呆症预防来管理认知问题,经常依靠家庭进行认知评估.
- 一种新的护理方法涉及"屏蔽"患者从ICU环境来管理认知.
- 有效的沟通和家庭参与是识别认知问题的关键;妄想协议可以保护认知.
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