从多学科的角度来管理与外周静脉导管插入有关的炎:国际Delphi研究
Alba Torné-Ruiz1,2, Montse Sanromà-Ortiz1, Alex Corral-Nuñez2
1Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.
专家们对对外围静脉导管 (PVC) 炎的管理的共识很低,这突出了护理实践的显著变化. 标准化,基于证据的干预措施和跨学科团队对于改善患者的治疗结果至关重要.
科学领域:
- 医疗保健管理的管理
- 临床护理 临床护理
- 预防传染病 预防传染病
背景情况:
- 周围静脉导管 (PVC) 经常在医院使用,但存在风险,包括.
- 目前对与PVC相关的肺炎的管理策略缺乏标准化,在研究和实践中表现出相当大的异质性.
研究的目的:
- 建立专家的共识,关键的护理实践管理外周静脉导管 (PVC) 相关的肺炎在住院患者.
- 确定提高PVC炎的评估,治疗和跟进方案的关键领域.
主要方法:
- 使用了德尔菲方法,涉及文献计量审查和两轮专家小组成员的在线问卷.
- 包括护士,医生和药剂师,使用描述性统计和定性反的主题分析分析数据.
主要成果:
- 在评估,治疗和后续维度中确定了45项护理活动.
- 仅在11.12%的活动中达成高共识 (QD ≤ 0.6),这表明专家意见和实践存在显著的变化.
- 七个关键主题出现了,包括需要患者的角度,基于证据的做法,和跨学科的合作.
结论:
- 强调系统评估尺度的重要性,以及关于炎症状的共识.
- 强调需要基于严重程度的治疗,每日监测,患者参与和医疗保健素养.
- 突出了标准化护理,基于证据的实践和专业,跨学科团队的形成,以有效地管理PVC炎的关键需求.
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