在儿科重症监护病房使用身体束的普遍性和相关变量:西班牙多中心研究
Alejandro Bosch Alcaraz1, Sylvia Belda Hofheinz2, Jesús Corrionero Alegre3
1Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, University of Barcelona (UB), Barcelona, Spain; Mental Health, Psychosocial and Complex Nursing Care Research Group-NURSEARCH, University of Barcelona, Barcelona, Spain.
Intensive & critical care nursing
|August 8, 2024
概括
在西班牙儿科重症监护室 (PICU) 中,身体克制 (PR) 的使用仍然普遍,为16%. 呼吸道疾病和初次入院状态显著影响儿科患者使用PR的持续时间.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 患者安全研究的研究.
背景情况:
- 身体克制 (PR) 是一个在儿科重症监护室 (PICU) 中使用的做法.
- 了解PR使用的流行率和影响因素对于改善患者护理和安全至关重要.
研究的目的:
- 确定在西班牙PICU中使用身体限制 (PR) 的流行率.
- 分析PR使用与患者/PICU特征之间的关联.
主要方法:
- 从2022年1月到2023年1月,西班牙PICU进行了一项多中心流行研究.
- 数据是通过直接观察,医疗记录审查和专业访谈收集的.
- 六个月的数据收集涉及每周三次24小时的观察.
主要成果:
- 在336名患者中,PR使用的总体粗略流行率为16% (95%CI:15%-17.7%).
- 与术后患者相比,患有呼吸系统疾病的儿科患者接受了较长时间的PR.
- 入院诊断,特别是呼吸道问题,显著影响了PR持续时间.
结论:
- 在西班牙的PICU中,身体限制 (PR) 的使用仍然是现实,患病率为16%.
- 诸如入院诊断,呼吸支和限制应用的原因等因素与其持续时间相关.
- 意识到PR的流行程度,需要制定政策,尽量减少其使用,防止儿童患者的不良影响.
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