影响支气管炎儿童饮食决策的因素 支气管炎儿童在高流量鼻腔管上的饮食决策
Kristin A Shadman1, Claire A Rosenberger2, Laura P Chen1
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Hospital pediatrics
|August 7, 2024
概括
高流量鼻管 (HFNC) 支气管炎儿童的食决定受儿童因素,护理团队经验和机构资源的影响. 了解这些因素可以帮助标准化对HFNC的儿科患者的护理.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 呼吸系统药物 呼吸系统药物
- 医疗保健系统工程 医疗保健系统工程
背景情况:
- 高流量鼻腔管 (HFNC) 经常用于儿科支气管炎病例.
- 在食建议方面缺乏共识,导致实践的变化.
- 确定影响养决策的因素对于优化护理至关重要.
研究的目的:
- 在HFNC上确定影响小儿支气管炎患者食决策的因素.
- 从跨学科护理团队成员的全国样本中探索观点.
- 了解医院工作系统对养实践的影响.
主要方法:
- 使用半结构化虚拟访谈进行定性研究.
- 与美国10家医院的护士,呼吸治疗师,语音语言病理学家和医生一起进行.
- 根据患者安全系统工程倡议2.0模型,对转录的访谈进行内容分析.
主要成果:
- 确定了影响养决策的11个因素,根据SEIPS模型进行分类.
- 关键因素包括孩子/父母的特点,护理团队的经验,机构指导方针,文化和沟通.
- 采访强调了人,工具,组织,环境,任务和过程之间的相互作用.
结论:
- 在HFNC的儿科支气管炎患者的食决定是多因素的.
- 这些因素包括患者特定的因素,护理团队的专业知识和机构支持系统.
- 结果可以指导质量改进计划,以减少实践变化.
相关概念视频
Factors Affecting Pulmonary Ventilation
1.3K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.3K
Administering Oxygen by Nasal Cannula
454
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
454
Oxygen Delivering System I: Nasal Cannula and Face Mask
273
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
273
Acute Respiratory Failure-V
126
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
126
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Enteral Nutrition I: Orogastric and Nasogastric Feeding
227
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
227


