用于评估高流量鼻患者的舒适度的工具:一个范围审查
Alessandro Galazzi1, Matteo Petrei1, Alvisa Palese1
1Department of Medicine, University of Udine, Udine, Italy.
虽然在高流量鼻腔管 (HFNC) 治疗期间患者的舒适性经常被研究,但只有少数有效的工具存在. 大多数仪器测量的是疼痛,而不是舒适度,这凸显了需要更好的评估方法在HFNC护理.
科学领域:
- 医学研究 医学研究
- 护理 护理 护理 护理
- 患者体验 患者体验
背景情况:
- 在高流量鼻腔管 (HFNC) 治疗期间,患者的舒适度至关重要.
- 现有的文献经常研究HFNC患者的舒适性.
- 然而,用于舒适度评估的特定工具需要进行彻底评估.
研究的目的:
- 识别和绘制用于评估HFNC期间患者舒适度的工具.
- 为了确定这些舒适度评估工具对HFNC的验证状态.
- 为满足在HFNC治疗中可靠的舒适度测量的需求.
主要方法:
- 进行了全面的范围审查.
- 在2023年7月的PubMed,Scopus,CINAHL和Cochrane图书馆中进行了搜索.
- 包括了涉及成人,儿科和新生儿患者接受HFNC的研究.
主要成果:
- 包括74篇文章;只有12.2%的文章主要关注舒适性.
- 确定了25种不同的工具,分为14种类型,通常是根据疼痛尺度进行调整的.
- 视觉模拟量表和数值评分量表是最常见的,但只有一般舒适度问卷和舒适度量表显示了特定的验证.
结论:
- 在HFNC专门验证的舒适度评估工具中存在很大的差距.
- 当前的做法往往依赖于疼痛评估工具,可能导致误解.
- 进一步的研究和对HFNC的验证舒适度措施的开发对于有效的患者护理至关重要.
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