对成人重症监护单位的身体克制进行综合性审查
Janisha Kavumpurath1,2, Kulanthayan Kc Mani3, Fatma Refaat2
1Department of Nursing, University Putra Malaysia, Selangor, Malaysia.
F1000Research
|August 7, 2024
概括
身体束 (PRs) 在重症监护中很常见,但存在风险. 通过加强培训和基于证据的指导方针标准化护理实践对于安全的患者护理和最大限度地减少不良事件至关重要.
科学领域:
- 护理 护理 护理
- 关键护理医学 关键护理医学
- 患者安全 患者安全
背景情况:
- 在成人重症监护单位经常使用物理束 (PRs).
- 尽管PR用于安全性,但它对患者构成重大风险.
- 来自PR的并发症可能会对患者的短期和长期结果产生负面影响.
研究的目的:
- 评估现有关于成人重症监护中的身体限制实践的证据.
- 检查PR流行,影响因素和护理角色.
- 探索护士的经验和与PR申请相关的并发症.
主要方法:
- 2009年1月至2019年12月期间发表的综合性研究综述.
- 在多个数据库 (PubMed,Scopus等) 中进行全面的文献搜索. ) 的情况.
- 关键词包括"限制"",关键护理"",护理"和"经验";使用CASP和JBI工具评估的方法质量.
主要成果:
- 在成人重症监护病房中发现了PR应用的高患病率.
- 关键话题包括公关使用的决定因素,限制类型,决策,道德困境和指导方针.
- 分析了常见的并发症和辅助药物的使用 (镇静剂,止痛药,抗精神病药).
结论:
- 使用PR的持续时间与不良事件的风险相关.
- 重症护理护士需要加强培训,以规范公关实践.
- 基于证据的建议对于关于公关使用的最佳决策至关重要.
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