护理干预预防和管理危重病患者 Delirium:一个范围审查
Filipa Fernandes1, Mariana Santos2, Ana Margarida Anacleto1
1Hospital de Vila Franca de Xira, 2600-009 Vila Franca de Xira, Portugal.
Healthcare (Basel, Switzerland)
|June 19, 2024
概括
护理干预措施,特别是非药物策略,对于预防和管理重症患者的妄想至关重要. 早期识别和协调护理改善了患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 神经精神病学是一种神经精神病学.
- 护理科学 护理科学
背景情况:
- 妄想是一种常见的,急性神经精神综合征在重症监护室,与预后不佳相关.
- 在历史上被视为预期的并发症,妄想现在被认为具有显著的发病率,死亡率和成本影响.
- 有效的预防和早期发现妄想对于改善患者的治疗结果和降低医疗保健费用至关重要.
研究的目的:
- 确定和综合护理干预措施,以预防和管理严重病情的成年患者的妄想.
- 探索护理在解决可修改的风险因素的作用,这些风险因素有助于妄想的发展.
- 评估非药理学和药理学护理策略在痴呆症护理中的证据.
主要方法:
- 使用范围审查方法来系统地搜索和综合相关文献.
- 在包括Medline (PubMed),CINAHL,Scopus,Web of Science和JBI在内的主要数据库中进行了广泛的文献搜索.
- 最终分析包括了15篇文章,这些文章符合审查的纳入标准.
主要成果:
- 确定了几种类型的非药物治疗护理干预措施,这些干预措施针对痴呆症的可修改风险因素.
- 护士在通过直接的病人护理和环境修改来最大限度地减少这些风险因素方面发挥着关键作用.
- 虽然没有单一的药物可以预防或治疗妄想症,但谨慎使用精神活性药物是合理的管理过度活跃的行为.
结论:
- 非药物干预是预防和管理在重症监护机构狂妄症的核心.
- 一种协调的方法,将非药理学策略与明智的药理学使用相结合,对于最佳的患者护理至关重要.
- 护理专业人员是实施有效,基于证据的妄想管理协议的关键.
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
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
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
01:22Nursing Diagnosis
2.7K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.7K
01:15Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
2.5K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
2.5K