在儿科突发 Delirium 开发护理干预措施:一个范围审查
M Earwaker1, N Anderson1, V Egli1
1The School of Nursing, Faculty of Medical and Health Sciences the University of Auckland, Aotearoa New Zealand.
Contemporary nurse
|March 1, 2024
概括
儿童的 Delirium,麻醉后的并发症,增加了受伤和长时间住院的风险. 关键的护理干预侧重于儿童焦虑,术后护理,连续性和药物管理,以尽量减少这些影响.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 护理实践 护理实践
- 儿童心理学 儿童心理学
背景情况:
- 麻醉后儿童出现 Delirium (ED) 与重大风险有关,包括受伤,手术部位损伤,延迟出院和延长住院.
- 勃起障碍也可能导致孩子在手术后几周的情绪和行为问题,需要仔细的护理管理.
- 虽然许多因素是可疑的,但它们对ED的影响和对护理实践的影响需要彻底调查.
研究的目的:
- 在儿科患者中进行突发狂妄症的范围审查.
- 批判性地综合有关影响儿童ED的因素的证据.
- 为发展护理干预措施提供信息,以预防或最大限度地减少儿科ED.
主要方法:
- 以PRISMA检查清单为指导的范围审查.
- 包括2000年至2020年间发表的14项同行评审研究和指南.
- 对精选的文献进行演性的专题分析,重点关注ED和护理实践.
主要成果:
- 儿童焦虑成为管理突发狂妄症的一个重要因素.
- 术后阶段和护理的连续性被确定为护理管理中的关键主题.
- 药物管理实践也被强调为儿童ED管理的关键.
结论:
- 儿科紧急 Delirium 的护理管理应优先解决儿童的焦虑,并确保无的术后护理.
- 需要进一步的研究,以探索护士领导的ED干预措施在不同的医院环境.
- 在不同的医疗保健系统中调查ED可以完善预防和管理策略.
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