在区域烧伤中心利用初级和专业息护理
Zoe Tao1, Alexandra Hoffman1, Anna Stecher2
1Department of Surgery, Oregon Health and Science University, 97239, Portland, OR, USA.
概括
烧伤患者的严重程度得分较高与息治疗咨询的增加相关. 这表明需要重新评估资源配置,以确保所有患者都能获得适当的息治疗,而不论即时死亡风险.
科学领域:
- 创伤外科 手术 创伤外科
- 抚慰性护理是一种缓解性护理.
- 关键护理医学 关键护理医学
背景情况:
- 有限的研究存在于伤手术中的专业息护理与初级息护理之间.
- 烧伤外科医生进行目标护理讨论的能力还不清楚.
- 了解严重烧伤患者的息护理利用模式至关重要.
研究的目的:
- 描述严重烧伤或吸入伤害的患者使用息护理的情况.
- 调查严重程度得分 (mBaux,SOFA) 与息护理参与之间的相关性.
- 为了评估严重程度得分和护理目标之间的关系,由烧伤外科医生领导的讨论.
主要方法:
- 在2020-2021年期间入院的163名烧伤患者的回顾性图表审查.
- 纳入标准:mBaux分数> 60,烧伤或吸入伤害.
- 收集关于息护理咨询情况和护理讨论目标的数据.
主要成果:
- 增加的mBaux和SOFA分数与更高的专业息咨询几率相关.
- 较高的mBaux和SOFA分数与烧伤外科医生对护理讨论目标的更高概率相关.
- 息护理接受者有更大的烧伤表面积,更多的并发症和代码状态变化.
结论:
- 较高的严重程度得分 (mBaux,SOFA) 与增加的息治疗参与度 (专科和初级) 有关.
- 在资源分配中存在潜在的偏见,有利于急性病患者.
- 患有较低即时死亡风险的患者可能需要额外的注意,以满足息护理需求.
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