护士报告的重症监护病房ABCDEF护理套餐的实践:土耳其的横截面研究
Öznur Erbay Dalli1, Derya Akça Doğan1, Rıdvan Bayram1
1Department of Internal Medicine Nursing, Bursa Uludag University Faculty of Health Sciences, Bursa, Turkey.
Nursing in critical care
|August 15, 2023
概括
土耳其的重症监护病房 (ICU) 显示疼痛和镇静评估率高,但缺乏结构化的妄想监测和标准化的早期动员协议. 加强这些领域可以改善患者护理.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 最近的指导方针倡导在重症监护室 (ICU) 提供ABCDEF护理包.
- 关于在土耳其ICU中采用这种基于证据的包裹的数据有限.
- 了解当前的做法对于有针对性的改进至关重要.
研究的目的:
- 评估土耳其ICU护士对ABCDEF护理包组件的实施情况.
- 确定关键护理捆绑干预措施的交付中存在的差距和需要改进的领域.
主要方法:
- 一项采用基于网络的调查进行的横截面研究.
- 招生标准:至少有一年经验的ICU护士.
- 通过Google表格收集的数据通过专业网络分发.
主要成果:
- 高度遵守疼痛评估 (92%) 和自发唤醒/呼吸试验 (88.8%/92.4%).
- 镇静方案 (不到50%) 和妄想监测 (54.7%) 的比率较低.
- 报告的早期动员率为68.7%,家庭参与多样化,专门支持有限.
结论:
- 虽然疼痛和镇静实践是常见的,但结构化妄想评估需要改进.
- 需要加强早期动员举措和结构化家庭参与策略.
- 对于所有ABCDEF捆绑组件的标准化协议对于最佳的患者结果至关重要.
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