在儿科重症监护病房实施创新的息护理查工具:试点研究
Caitlyn H Hodge1, Elizabeth W J Kerris1, Michelle C Freeman1
1Department of Pediatrics, Penn State College of Medicine, Penn State Health Children's Hospital, Hershey, Pennsylvania, USA.
一个新的查工具有效地识别了儿科重症监护室 (PICU) 中的重症儿童,他们可以从儿科息治疗 (PPC) 中受益. 这种工具有助于对高风险患者进行早期干预.
科学领域:
- 儿科重症监护室的重症监护室
- 抚慰性护理是一项非常重要的护理.
- 医疗保健查工具 医疗保健查工具
背景情况:
- 儿科息治疗 (PPC) 改善了高死亡风险的重症儿童的治疗结果.
- 在儿科重症监护室 (PICU) 早期识别符合条件的患者对于有效的PPC整合至关重要.
研究的目的:
- 开发和验证儿科重症监护-儿科息护理屏幕 (PICS) 以确定可以从PPC中受益的PICU患者.
- 为了评估定期查是否增加PPC,在PICU内进行咨询.
主要方法:
- 一个前性,单中心研究是在一个24个床位的PICU中进行的.
- 两名临床医生在六个月内 (2022年4月至10月) 使用PICS工具完成了每周一次查.
- 收集的数据包括查结果,患者的并发症和技术依赖.
主要成果:
- 在162个查中,有47个 (29%) 呈阳性. 启动了14个新的PPC咨询.
- 阳性查与多种并发症 (68%对26%),技术依赖 (57%对5%) 和先天性缺陷 (26%对10%) 显著相关.
- 查工具确定了最有可能从PPC咨询中受益的PICU患者.
结论:
- 七个问题的PICS工具有效地识别了可以从PPC中受益的PICU患者.
- 患有慢性疾病和并发症的患者更有可能呈阳性查,这表明需要早期PPC参与.
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