重症监护室的干预措施,以提高死亡和死亡的质量:范围审查
Kazuaki Naya1, Hideaki Sakuramoto2, Gen Aikawa3
1Wakayama Faculty of Nursing, Tokyo Healthcare University, Wakayama, Japan.
BMJ supportive & palliative care
|August 1, 2024
概括
这次审查确定了10个策略,以提高重症监护病房 (ICU) 的终身护理质量. 未来的研究应该专注于患者直接评估死亡质量和症状.
科学领域:
- 临界护理医学 临界护理医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 重症监护病房 (ICU) 面临着高死亡率和生命末期护理的重大挑战.
- 后重症监护综合征-家庭影响丧亲,增加焦虑和抑郁的风险.
- 不充分的沟通和终身护理凸显了急需改善ICU的情况.
研究的目的:
- 对专注于改善ICU中死亡和死亡质量的研究进行范围审查.
- 确定旨在加强ICU环境中的终身护理的干预措施.
- 分析这些干预措施对患者的评估措施和影响.
主要方法:
- 在MEDLINE,CINAHL,PsycINFO和中央医学杂志数据库中搜索到2023年12月之前发表的研究.
- 使用Joanna Briggs模型提取和分类研究特征和细节.
- 分析了24篇相关文章以确定干预策略.
主要成果:
- 确定了10种不同的干预策略,以改善ICU生命终端护理.
- 干预措施包括沟通技巧,症状管理,家庭聚会和丧亲关怀.
- 大多数研究使用代理评估 (例如,家庭成员) 来评估干预效应,没有注意到患者评估.
结论:
- 十个干预策略可以提高ICU中死亡和死亡的质量.
- 目前的评估主要依赖于代理评估,这表明直接以患者为中心的结果测量存在差距.
- 未来的研究应该优先考虑患者对死亡过程和症状管理的直接评估.
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