从儿科重症监护室出院后的患者随访:范围审查
Delphine Micaëlli1,2, Jérôme Naudin1, Stéphane Dauger1,3,4
1Médecine intensive et réanimation pédiatriques, Hôpital Universitaire Robert Debré, Assistance Publique Hôpitaux de Paris, Paris, France.
Nursing in critical care
|October 18, 2024
概括
儿科重症监护室 (PICU) 的幸存者经常面临长期挑战,但随访护理策略不一致. 本次审查强调,迫切需要制定标准化的PICU后出院协议,以改善患者的治疗结果.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 临床后续策略 临床后续策略
- 后重症监护综合征 后重症监护综合征
背景情况:
- 儿科重症监护室 (PICU) 的生存率增加导致更多的儿童经历长期影响.
- 现有的研究确定了PICU对儿童和家庭的各种影响,但缺乏专家的后续建议.
- 儿科后重症监护综合征 (PICS-P) 是幸存者的公认问题.
研究的目的:
- 系统地审查和确定儿科重症监护室出院后实施的临床后续策略.
- 分析2001年至2021年期间的PICU后随访护理趋势.
- 总结有关执行,参与人员和PICU后随访评估目标的当前实践.
主要方法:
- 从2021年1月到4月进行了全面的范围审查.
- 在PubMed,EMBASE和CINAHL数据库中进行了搜索.
- 关键词包括"PICU","PICU放电后"和"后续"在2001年至2021年间发表的文章,遵守PRISMA-ScR指南.
主要成果:
- 分析了最初652项已识别的研究中的68篇文章.
- 大多数后续护理是以研究为基础的 (88%),具有有限的多学科PICU团队参与 (6%).
- 共同的后续计划包括在放任后的评估,3个月,6个月和12个月,20%的评估超过一年. 生活质量和神经结果是主要重点,而父母的情感影响仅在7%的研究中被评估.
结论:
- 在PICU退院后的随访中,存在着关于时间,医疗保健专业人员和评估方法的显著异质性.
- 由于PICU幸存者的数量不断增加,因此对随访护理的标准化和协调非常需要.
- 制定PICU后随访的临床指南对于解决PICS-P和确保全面的患者护理至关重要.
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