痴呆症和冠状病毒疾病2019年:回顾过去,向前迈进
Kelly M Potter1, Brenda T Pun2, Kerri Maya3
1Department of Critical Care Medicine, CRISMA Center, University of Pittsburgh, Pittsburgh, PA, USA.
Critical care nursing clinics of North America
|July 28, 2024
概括
由于危机护理的变化,2019年冠状病毒疾病大流行使重症监护室 (ICU) 的痴呆率翻了一番. 流行病后的康复需要整合妄想管理,基于证据的护理和家庭参与,以实现整体的患者康复.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 冠状病毒疾病2019 (COVID-19) 流行病需要在临床护理中进行危机驱动的变化.
- 这些变化,包括深度镇静和访客限制,显著增加了重症监护室 (ICU) Delirium 的发生率.
- 诸如高工作量和卫生系统压力等因素加剧了这个问题,导致妄想率翻一番.
研究的目的:
- 分析与流行病相关的护理变化对ICU痴呆率的影响.
- 强调需要将经验教训纳入流行后的医疗保健策略.
- 倡导一种整体的病人护理方法,强调妄想管理和家庭参与.
主要方法:
- 在COVID-19大流行期间对ICU护理变化的观察分析.
- 对导致 Delirium 发病率增加的因素的审查.
- 综合了疫情后恢复和改善患者护理的策略.
主要成果:
- 在COVID-19大流行期间,ICU中的痴呆率翻了一番.
- 深度镇静,访问限制和系统应变是关键的因素.
- 疫情强调了基于证据的痴呆症管理和家庭参与的重要性.
结论:
- 医疗保健系统必须优先考虑流行病后的恢复,并纳入从流行病中吸取的经验教训.
- 有效的妄想管理策略,包括基于证据的护理和家庭参与,至关重要.
- 赋予临床医生权力和创造性地提供护理对于更全面的患者护理模式至关重要.
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