预防PICS的非药物干预措施在重症成人患者:一个系统审查和网络元分析的协议
Xiaoying Sun1,2, Qian Tao2, Qing Cui3
1School of Nursing, Sun Yat-Sen University, Guangzhou, 510080, China.
Systematic reviews
|May 14, 2024
概括
后重症监护综合征 (PICS) 影响了许多ICU患者. 本研究系统地审查非药物干预措施,以找到PICS最有效的预防策略,改善患者的治疗结果.
科学领域:
- 临界护理医学 临界护理医学
- 基于证据的实践.
- 系统审查方法论 系统审查方法论
背景情况:
- 后重症监护综合征 (PICS) 是一种流行病,在重症监护单元 (ICU) 入院后影响严重病情的成年患者.
- 目前对预防PICS的非药理学措施进行的比较分析缺乏关于最佳治疗疗效的全面证据.
- 对于指导PICS预防临床实践的强有力的证据的需求至关重要.
研究的目的:
- 系统地审查和综合有关预防后重症监护综合征 (PICS) 的非药物干预的证据.
- 进行贝叶斯网络元分析 (NMA) 来比较各种非药物干预措施的有效性,并将其与通常的护理进行比较.
- 确定成人ICU患者PICS预防的最有效的非药理学策略.
主要方法:
- 在9个电子数据库中系统搜索关于非药物预防PICS的随机对照试验 (RCT).
- 数据提取和偏差风险评估,使用两位独立审查员的Cochrane协作工具.
- 应用传统的对对元分析和贝叶斯的NMA来评估干预的有效性,使用NMA工具的信心评估的信心.
主要成果:
- 为了预防PICS存在多种非药理干预措施,但直接比较数据有限.
- 大多数干预措施只与标准护理进行了比较,这阻碍了对相对有效性的清晰理解.
- 该研究旨在提供各种PICS预防策略的比较有效性数据.
结论:
- 目前关于非药物干预措施对PICS预防的比较有效性的证据不足.
- 这一系统性审查和NMA将为PICS预防的最佳非药物战略提供有价值的见解.
- 研究结果将为医疗保健提供者和指导方针制定者在为成人ICU患者选择有效的PICS预防干预措施方面提供信息.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.2K
07:16An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
3.2K
相关概念视频
01:30Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K
01:29Acute Respiratory Failure-V
135
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
135
01:17Endotracheal Intubation II: Nursing Management
593
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
593
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.8K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.8K