家庭参与预防重症患者妄症:系统性审查和元分析
Jiaqi Li1, Yingying Fan2, Ruoyu Luo2
1Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China; Hangzhou Normal University Department of Nursing, Zhejiang 311121, China.
International journal of nursing studies
|November 1, 2024
概括
家庭参与显著减少了危急病患者的妄想. 家庭直接参与护理是预防妄想和缩短重症监护室停留时间最有效的方法.
科学领域:
- 关键护理医学 关键护理医学
- 老年学是指老年学的学科.
- 护理科学 护理科学
背景情况:
- 人性化的护理,强调家庭参与,是预防狂妄症的新策略.
- 家庭参与在预防重症患者痴呆症的有效性受到争议,不同程度的参与的影响尚不清楚.
研究的目的:
- 调查家庭参与对重症患者痴呆症的影响.
- 探索不同级别的家庭参与在预防妄想的有效性.
主要方法:
- 随机对照试验的系统审查和元分析.
- 进行全面的数据库搜索 (PubMed,EMBASE,CINAHL,科学网,Cochrane CENTRAL) 至2024年7月.
- 包括11项随机对照试验,涉及3113名重症患者.
主要成果:
- 家庭参与显著降低了妄想发病率 (RR=0.46) 和持续时间 (WMD=-2.18).
- 在家庭参与下,重症监护室 (ICU) 停留时间缩短 (WMD=-1.46).
- 直接参与护理对预防妄想表现出最明显的效果 (RR=0.37).
结论:
- 家庭参与是预防危急病患者妄症的一个重要因素.
- 家庭参与程度会影响妄预防的有效性,直接参与护理是最有益的.
- 研究结果支持将家庭成员更积极地纳入关键病患者的护理,以减少妄想.
相关概念视频
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Rheumatic Heart Disease IV: Nursing Management
5
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
5
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
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Methods of Documentation IV: Focus Charting
998
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
998


