对于通风重症监护病人的断奶相关干预:一个范围审查
Fritz Sterr1,2, Lydia Bauernfeind2,3, Michael Knop2
1Faculty of Health, School of Nursing Sciences, Witten/Herdecke University, Witten, Germany.
Nursing in critical care
|August 18, 2024
概括
本范围审查概述了呼吸机断奶干预措施,确定了关键研究领域,如通风模式和药理学. 它强调了营养和妄想管理等研究不足的方面,强调了多学科的护理.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 基于证据的实践.
背景情况:
- 机械通风在重症监护中至关重要,但存在风险.
- 呼吸机断奶对于患者的康复至关重要.
- 缺乏对断奶干预措施的全面概述.
研究的目的:
- 提供用于呼吸机断奶的干预措施的广泛概述.
主要方法:
- 通过对Medline,CINAHL和Cochrane图书馆数据库的系统搜索,进行了范围审查.
- 包括旨在输出输出管或消管在重症监护病房的干预措施.
- 用专题分析和聚类来组织确定干预措施.
主要成果:
- 包括193项研究,结果分为六个集群:肠道营养,气管切除术,身体治疗,通风模式和设置,干预捆绑和药理干预.
- 通风模式和药理学剂是最受研究的领域.
- 肠道营养,妄想治疗和促进睡眠被认为是研究不足的.
结论:
- 呼吸机断奶研究广泛,重点关注通风参数和药物.
- 需要多学科的方法和更广泛的干预措施.
- 未来的研究应该探索组合干预及其协同效应.
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