在患有中风后食症的患者中,口服固体药物的服用. 这对护士来说是一个挑战吗?
Michaela Trapl-Grundschober1,2,3, Steffen Schulz4, Simon Sollereder5
1Karl Landsteiner University of Health Sciences, Krems, Lower Austria, Austria.
Journal of clinical nursing
|February 26, 2024
概括
脑卒中护士优先考虑患者的安全,避免使用全固体药物 (SMs) 治疗脑卒中后失足症患者. 他们经常在怀疑吞困难时修改药物或使用非口服途径.
科学领域:
- 护理 护理 护理
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 脑卒中后食障碍在药物管理方面存在重大挑战.
- 确保固体药物的安全和有效输送对于患者的康复和预防并发症至关重要.
研究的目的:
- 调查中风护士如何管理向经历中风后失消症的患者提供固体药物 (SMs).
- 为了确定当前的做法,挑战和潜在的改善领域,在SM管理这群患者群体.
主要方法:
- 一项采用自主管理的在线调查进行的横截面研究.
- 在2021年9月至12月,在德语国家对护士进行了调查.
- 分析了195个从中风病房工作的护士那里得到的反应.
主要成果:
- 大多数护士使用标准化的吞查,以识别失食症.
- 没有护士报告将整个SMs口服给疑似消化不良的患者.
- 大约一半的护士修改SMs如果有指示的消化不良,与许多选择非口腔路线.
结论:
- 卒中护士意识到食障碍的风险,并避免整个SM,经常修改它们或使用非口服的管理.
- 需要准确的,基于证据的指导,关于SM管理中风后食障碍,与查工具和专家咨询相结合.
- 目前的做法强调了患者安全在药物供应中风幸存者吞障碍患者的重要性.
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