患者和家人从儿科重症监护室直接出院回家的经验
Nadia Roumeliotis1,2, Jade Desforges1, Mary-Ellen French1
1Pediatric ICU, CHU Sainte-Justine.
Hospital pediatrics
|September 5, 2023
概括
从儿科重症监护室 (PICU) 直接送回家,对家庭来说可能是压力. 然而,大多数家庭都表示感到舒适,这凸显了在这个关键的过渡时期需要更好的支持.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 患者和家庭的护理转换.
- 医疗服务研究 医疗服务研究
背景情况:
- 从儿科重症监护室 (PICU) 直接出院回家的趋势越来越大.
- 从PICU过渡与患者和护理人员的压力和不良事件风险增加有关.
- 有限的研究存在于直接PICU出院后患者和家庭的结果.
研究的目的:
- 探索与从PICU直接出院家庭 (DDH) 相关的家庭经验和结果.
- 在PICU DDH过程中确定家庭面临的关键主题和挑战.
- 为改善儿科重症监护过渡期间支持的战略提供信息.
主要方法:
- 探索性混合方法研究,涉及半结构化和电话采访与从PICU直接送回家的儿童的家庭.
- 数据收集发生在放电和放电后的7天和28天.
- 定量测量包括舒适度表和通用焦虑障碍-7查.
主要成果:
- 主题分析揭示了压力,焦虑,自信,期待家庭护理和需要支持的主题.
- 舒适度的中位数为4 (舒适);然而,16个家庭报告了临床显著的焦虑 (GAD-7分数范围为8-12).
- 在28天的随访期间,2名患者重新入院,6名患者访问了急诊室.
结论:
- 许多家庭报告说,尽管经历了焦虑,但从PICU直接送回家感觉很舒服.
- 了解家庭的经历对于开发在PICU出院期间有效的支持系统至关重要.
- 改进的支持可以提高患者和家庭在从PICU到家的关键过渡期间的福祉.
相关概念视频
Discharge Summary Forms
783
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
783
Appendicitis-II: Diagnostic Studies and Management
98
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
98
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
Documentation in Long-Term and Home Healthcare Setting
916
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
916


