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在心肺复苏期间和之后对专家息护理参与的看法:一种定性研究

Theresa Tenge¹, Manuela Schallenburger², Yann-Nicolas Batzler²

¹Department of Anesthesiology, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.

Critical care explorations

|April 12, 2024

概括

将专业息护理 (sPC) 整合到心肺复苏 (CPR) 中,对于解决患者和家庭困境至关重要. 临床医生对触发因素和实施的看法各不相同,突出显示了需要量身定制的策略和进一步研究的需要.

科学领域:

医学伦理医学伦理
抚慰性护理是一种缓解性护理.
紧急医疗紧急医疗

背景情况:

心肺复苏 (CPR) 可以给患者,家庭和临床医生带来重大的心理,精神和社会痛苦.
专业息护理 (sPC) 并没有经常被整合到心肺复苏护理中,尽管它有可能解决这些痛苦.

研究的目的:

探索临床医生在CPR期间和之后整合sPC的观点.
评估对sPC的需求,确定其整合的触发因素,并探索实施策略.

主要方法:

一项定性,半结构化的焦点小组研究与德国一所学术教学医院的18名多专业临床医生 (护理人员,住院医生,顾问) 进行.
用内容结构化内容分析对焦组数据进行了转录和分析.

主要成果:

出现了六个主要类别:了解息护理和死亡,心肺复苏条件,预后,亲属参与,治疗计划和SPC实施.
对SPC需求和触发因素的看法因角色和理解而异;一些人认为CPR本身是触发因素,另一些人认为是先前存在的条件或家庭动态.
多方面的实施建议强调了沟通,特别关注外体心肺复苏.

结论:

在CPR期间和之后,临床医生对sPC整合的看法是多样化的,受专业角色和理解的影响.
识别适当的触发因素和沟通策略是SPC在CPR中成功实施的关键.
需要进一步研究体外心肺复苏的具体挑战,以及对结果的研究.

关键词:

紧急护理紧急护理重症监护室的重症监护室是重症监护室的重症监护室.这是跨学科的护理.需要评估需要评估.触发器触发器是一个触发器.

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