患有生命限制疾病的婴儿的息护理:综合性审查
Rebecca Iten1,2, Moira O'Connor3, Fenella J Gill3,2
1Curtin University, Perth, Western Australia, Australia Rebecca.Iten@health.wa.gov.au.
BMJ supportive & palliative care
|December 20, 2023
概括
患有生命限制疾病的婴儿的息护理需要在初级和专业团队之间进行更好的协调. 加强医疗保健专业人员的息护理教育对于改善婴儿和家庭体验至关重要.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 新生儿医疗保健 新生儿医疗保健
- 限制生命的情况.
背景情况:
- 患有生命限制疾病的婴儿代表了多样化的患者群体.
- 对这些婴儿的息护理提供发生在各种环境中.
- 跨学科的初级医疗保健团队经常在没有专家息治疗咨询的情况下管理护理.
研究的目的:
- 综合现有的有关12个月以下患有生命限制疾病的婴儿息护理的文献.
- 识别护理模式和相关挑战.
- 探索家庭和医疗保健专业人员的经验.
主要方法:
- 2010-2022年间发表的综合性研究综述.
- 搜索了多个数据库,包括MEDLINE,CINAHL和EMBASE.
- 包括26个案例系列,9个定性,5个横截面和1个质量改进研究;使用演性内容分析进行分析.
主要成果:
- 确定了两种不同的息护理提供模式,影响了护理和经验.
- 医疗保健专业人员报告说,在重症监护机构中,息护理教育和挑战不足.
- 提前护理规划的障碍包括预后不确定性和终身护理过渡.
结论:
- 提供婴儿息护理涉及复杂的问题.
- 最佳的护理需要初级和专业息护理服务之间的合作.
- 优先考虑护士和医生的息护理教育是必不可少的.
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