评估美国成年重症监护患者的不适
Marshall S Gunnels1, Emily M Reisdorf2, Jay Mandrekar3
1Marshall S. Gunnels is an intensive care unit nurse at the Mayo Clinic in Rochester, Minnesota.
概括
在重症监护室 (ICU) 中的重症患者报告了轻度至中度的不适,睡眠剥夺,导管,口渴和疼痛是主要原因. 对于有效的症状管理策略,需要进一步的研究.
科学领域:
- 关键护理医学 关键护理医学
- 患者体验 患者体验
- 症状管理 症状管理
背景情况:
- 在重症监护室 (ICU) 中的重症患者经常经历令人痛苦的症状和刺激.
- 不适,一种负面的情绪/身体状态,需要明确的评估才能有效管理.
- 了解患者报告的不适对于改善ICU护理至关重要.
研究的目的:
- 为了评估患者报告的不适,使用英语的"Inconforts des Patients de REAnimation (IPR) "问卷.
- 探索与ICU患者不适度得分相关的人口和临床因素.
主要方法:
- 横截面,描述性,单一队列研究设计.
- 180名警报和定向的成年ICU患者的便利样本.
- 进行了18项调查问卷,评估生理和心理不适刺激 (0-100级).
主要成果:
- 平均整体不适度得分为32.9 (SD 23.6).
- 最主要的不适来源包括睡眠剥夺 (4.0),输液导管/输管 (3.4),口渴 (3.0) 和疼痛 (3.0).
结论:
- 强症监护室患者报告了轻度至中度的不适程度.
- 进一步的研究应该集中在开发针对特定不适刺激的干预措施上.
- 有效的症状管理需要根据患者报告的经验量身定制的方法.
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