机械通风期间的动员:一项定性研究,探讨了重症监护室有意识的患者,护士和理疗师的实践
Lene Lehmkuhl1,2, Pia Dreyer3,4, Eva Laerkner2,5
1Department of Anaesthesiology and Intensive Care, OUH Svendborg Hospital, Svendborg, Denmark.
Journal of clinical nursing
|December 28, 2023
概括
动员有意识的机械通风患者需要灵活的计划和专业间的沟通. 医疗保健专业人员使用支持,反和幽默来激励患者在重症监护室 (ICU) 动员期间.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学 康复科学 康复科学
- 质量健康研究 质量健康研究
背景情况:
- 在重症监护室 (ICU) 早期动员可以减轻长期严重疾病的后果.
- 对ICU动员的临床实施仍然有限.
研究的目的:
- 探索动员有意识,机械呼吸患者的实践.
- 调查动员期间患者,护士和理疗师之间的相互作用.
主要方法:
- 采用现象学-解释学方法的定性研究.
- 在三个ICU的参与者观察,包括12名患者,31名护士和4名理疗师.
- 与医疗保健专业人员进行半结构化患者访谈和焦点小组,使用Ricoeur的解释理论进行分析.
主要成果:
- 医疗保健专业人员提供平衡的支持和指导,灵活调整流动性计划.
- 通过反和幽默,患者动员的动机得到了加强.
- 患者努力应对,而专业人士保持"平衡的准备"并谈判计划.
结论:
- 澄清专业间沟通对于调整患者动员期望至关重要.
- 医疗保健专业人员逐步采取"平衡的准备"方法对于支持和挑战动员至关重要.
- 重症监护中的协同作用是通过护士-理疗师合作,反,幽默以及灵活的,具体情况的流动性计划来实现的.
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