[在成人重症监护病房中使用宿舍资源:使用者与非使用者之间的比较]
Chieh-Han Su1, Yu-Chang Yeh2, Jaw-Shiun Tsai3
1MSN, RN, Nurse Practitioner of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, Taiwan, ROC.
Hu li za zhi The journal of nursing
|November 20, 2023
概括
尽管建议在重症监护室 (ICU) 提供早期息治疗,但利用率仍然很低. 一项研究发现,近20%的急需息治疗的ICU患者无法获得这些重要资源.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于时间限制和不可预测的疾病进展等因素,集中护理单位 (ICU) 的息护理整合受到限制.
- 在ICU中缓解护理的使用率低,增加了无效医疗护理和糟糕的终身体验的风险.
- 了解ICU中的息护理需求对于改善护理质量至关重要.
研究的目的:
- 调查成人ICU的宿舍资源利用情况.
- 为了比较使用和不使用这些服务的患者之间的宿舍资源利用率.
主要方法:
- 来自台湾医疗中心的成人ICU数据的回顾性相关性研究 (2022年6月至7月).
- 分析包括描述性统计,独立的t测试和千平方测试.
- 分析了1181名患者的病历.
主要成果:
- 18.4%的患者使用了宿舍资源.
- 在被确定急需息治疗的患者中 (在ICU入院后30天内死亡),20.2%的患者没有使用这些资源.
- 在各种临床因素中,在紧急需要的患者之间观察到显著的差异,这些患者在各种临床因素中使用和不使用宿舍资源.
结论:
- 很大一部分急需息治疗的ICU患者没有利用可用的资源,这表明需要改善决策支持.
- 在获得和没有获得息治疗的患者之间存在多方面的差异.
- 未来的研究应该集中在确定息护理需求和优化ICU资源配置的策略上.
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