在关键护理中的沟通气管切除术患者依赖于袖口膨胀:一个范围审查
Carla McClintock1, Daniel F McAuley2, Lisa McIlmurray2
1Wellcome Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast BT7 1NN, UK; Critical Care Unit, Altnagelvin Hospital, Western Health and Social Care Trust, Derry, BT47 6SB, UK.
概括
患有气管切除术的重症患者由于失声而感到丧. 增强型和替代性沟通 (AAC) 策略有帮助,但多学科的方法对于有效的沟通和心理健康至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 通信科学 通信科学
- 心理学 心理学 心理学
背景情况:
- 患有气管切除术和袖口膨胀的重症患者经常面临重大沟通障碍.
- 失声会导致负面的心理影响,包括丧和痛苦.
研究的目的:
- 综合证据的沟通策略,为严重疾病的气管切除术患者,依赖于袖口膨胀.
- 为了识别失声的心理影响.
- 探索增强型和替代性沟通 (AAC) 策略,它们的促进者和障碍.
主要方法:
- 使用乔安娜·布里格斯研究所框架和PRISMA-ScR指南进行了范围审查.
- 在CINAHL,Embase,Medline和Web of Science (2000-2023) 进行了搜索,并通过手工搜索进行了补充.
- 包含的研究重点是失声和AAC系统对严重病情的气管切除术患者的心理影响.
主要成果:
- 23项研究 (11项定性研究,9项定量研究,3项混合研究) 符合纳入标准.
- 失声主要造成挫折;AAC系统 (无助和辅助) 有优缺点.
- 高科技的AAC显示出对身体限制的承诺,而像眼神接触这样的无助策略得到了重视. 语音治疗的参与促进了沟通,患者相关的挑战经常成为障碍.
结论:
- 有效的沟通对于严重病情的气管切除术患者来说,在心理上至关重要.
- 虽然AAC系统是实用的,但没有一个解决方案适合所有患者.
- 持续的评估和多学科的团队方法对于优化沟通成果至关重要.
相关概念视频
Tracheostomy: Procedure and Tubes
541
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
541
Oxygen Delivering System III: Tracheostomy and T-piece
861
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
861
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
560
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
560
Tracheostomy Care II: Procedure
170
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
170
Tracheostomy Decannulation
159
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
159
Tracheostomy Care I: Pre-procedural Steps
184
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
184


