护理干预措施,以防止压力损伤在心脏开放手术患者:一个系统的审查
Yeter Kurt1, Mağfiret Kaşikçi2, Reezena Malaska3
1Faculty of Health Sciences, Fundamentals of Nursing Department, Karadeniz Technical University, Trabzon, Turkey.
护士可以使用多组分干预来预防心脏开放手术患者的压力损伤. 有效的策略包括专业护理包,充气,减压表面和在整个患者护理过程中进行内管管理.
科学领域:
- 护理科学 护理科学
- 患者安全 患者安全
- 手术护理 手术护理
背景情况:
- 护士在预防住院患者的压力损伤 (PIs) 中发挥着至关重要的作用,特别是那些接受开放心脏手术的人.
- 预防PI需要复杂的,多方面的护理干预措施,适合重症监护患者.
研究的目的:
- 系统地审查护理干预措施,以预防心脏开放手术后患者的压力损伤.
主要方法:
- 对17项研究进行了系统审查.
- 搜索的数据库包括Web of Science,PubMed,Scopus和CINAHL Ultimate,以及其他一些.
- 使用的关键词是"压力损伤"",护理干预"和"开放心脏手术",从2013年2月到2024年4月扫描的数据.
主要成果:
- 有效的干预措施包括专业护理包,充气头枕,压力传感器床盖,多层泡,减压涂层,内管 (ETT) 重定位和袖口压力调节.
- 这些干预措施适用于入院前,外科期间和术后.
- 这些干预措施的证据的强度从强到弱.
结论:
- 多组分护理干预措施的组合是有效的预防PIs在重症监护机构.
- 在整个患者护理过程中,对这些干预措施的一致应用对于PI预防至关重要.
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