身体受限的重症监护病人的四肢血管并发症:一个前性观察性研究
İlknur Yıldız1, Ayse Özkaraman2
1Yunus Emre State Hospital, Eskişehir, Türkiye.
Nursing in critical care
|June 27, 2024
概括
在重症监护室 (ICU) 的身体克制可能导致血管并发症. 患有内管,低GCS得分和高INR值的患者有更高的风险,需要密切监测.
科学领域:
- 密集护理医学 密集护理医学
- 血管外科 血管外科
- 患者安全 患者安全
背景情况:
- 在重症监护室 (ICU) 中,为了患者的安全,激动管理和治疗延续,使用身体克制.
- 然而,身体限制对患者的身体和心理健康构成风险,这强调了需要明智使用的必要性.
研究的目的:
- 在ICU环境中调查身体受限患者四肢血管并发症的发生率.
- 确定与这些血管并发症的发展相关的因素.
主要方法:
- 在土耳其的八个ICU进行了前性观察性研究.
- 从2022年9月1日到2023年3月31日收集数据,分析了身体限制地点的血管并发症.
- 统计分析包括独立的样本t测试,曼-惠特尼U测试和皮尔森-χ2测试.
主要成果:
- 在9.8%的研究患者中,在身体限制部位发生了血管并发症,导致限制终止.
- 血管并发症的比率较高的患者观察到内管,格拉斯哥昏迷表 (GCS) 分数较低,国际正常化比率 (INR) 值较高的患者.
- 皮肤和限制部位的皮肤温度变化与按摩和奶油应用等特定护理干预措施有关.
结论:
- 血管并发症是身体受限的ICU患者的潜在风险.
- 内管道输液,低GCS得分和高的INR值被确定为这些并发症的重要危险因素.
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