在接受机械通风的成年人中,语言一致性和自控使用的关联
Hayley B Gershengorn1,2, Samira Patel3, Christopher M Mallow4
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Miami Miller School of Medicine, 1951 NW 7th Avenue, Miami, FL, 33136, USA. hbg20@med.miami.edu.
Intensive care medicine
|October 16, 2023
概括
在ICU的护士-病人语言一致性显著减少了约束使用的一半. 这一发现突显了沟通对于改善患者的治疗结果,减少激动和妄想识别的重要性.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 护理科学 护理科学
背景情况:
- 众所周知,临床医生与患者的语言一致性可以改善非重症监护室 (ICU) 设置中的结果.
- 语言一致性对特定ICU结果 (如妄症) 的影响仍然不太清楚.
研究的目的:
- 调查ICU护士-病人语言一致性与妄想相关结果之间的关联.
- 评估语言一致性对机械通风ICU患者的限制使用,激动和痴呆症识别的影响.
主要方法:
- 进行了一项回顾性队列研究,涉及成年,英语或西班牙语,机械通风ICU患者.
- 从2021年1月到2022年9月,收集了4326个班次的数据.
- 混合效应多变量回归被用来分析护士-病人语言一致性和结果之间的关联,控制患者级随机效应.
主要成果:
- 这项研究包括548名患者和157名护士,其中78.1%的班次显示出语言一致性.
- 语言一致性与限制使用的几率显著减少两倍相关 (OR:0.50;95% CI:0.39-0.63).
- 在一致的二中,还观察到激动 (OR:0.71;95% CI:0.55-0.92) 和妄想识别 (OR:0.54;95% CI:0.34-0.88) 的几率降低.
结论:
- 确保ICU的护士-病人语言一致性与限制使用的大量减少有关.
- 促进语言一致性可能是改善痴呆症管理,减少动,并尽量减少重症患者限制使用的关键策略.
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