危急情形中的成年人压力的风险评估工具:范围审查
Ricardo Jorge de Barros Romeira Picoito1,2, Sara Maria May Pereira da Cruz Lapuente1,2, Alexandra Catarina Parreira Ramos1,2
1Universidade Católica Portuguesa, Escola de Enfermagem do Instituto de Ciências de Saúde, Lisboa, Portugal.
Revista latino-americana de enfermagem
|October 11, 2023
概括
这次范围审查对重症监护病房的压力风险评估工具进行了映射. EVARUCI 和 CALCULATE 仪器表现出最佳的性能和用户认可,尽管需要进一步调整.
科学领域:
- 关键护理医学 关键护理医学
- 护理 护理 护理
- 患者安全 患者安全
背景情况:
- 压力对在重症监护室 (ICU) 的成年患者构成重大风险.
- 有效的风险评估对于预防重症患者的压力至关重要.
- 现有的压力风险评估工具需要全面评估.
研究的目的:
- 绘制成年ICU患者压力风险评估的可用仪器.
- 为了确定这些工具的绩效指标.
- 了解用户的欣赏和仪器的局限性.
主要方法:
- 采用了一个范围审查方法,遵守系统性审查和元分析扩展范围审查 (PRISMA-ScR) 准则的首选报告项目.
- 通过EBSCOhost通过8个数据库进行了搜索,产生了1846项初步研究.
- 分析中包括了22项研究的最终样本.
主要成果:
- 确定了两个主要的仪器组:通用 (例如,布拉登,诺顿-MI) 和特定 (例如,EVARUCI,CALCULATE).
- 在EVARUCI和CALCULATE仪器显示出优异的预测性绩效指标.
- 用户反强调了CALCULATE规模,EVARUCI和RAPS-ICU,并指出了未来改进的领域.
结论:
- 有足够的证据支持在成人ICU中使用特定仪器进行压力风险评估.
- 仪器应根据个体患者的特点量身定制.
- 建议使用EVARUCI和CALCULATE,其中CALCULATE因其最新性,适当性,简单性和易用性而闻名.
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