家庭对成人重症监护室的身体限制实践和最小化的观点:一种定性描述性研究
Ziad Alostaz1, Louise Rose2, Sangeeta Mehta3
1Sally Horsfall Eaton School of Nursing, Daphne Cockwell Centre for Health Sciences, Waterfront Campus, George Brown College, Toronto, Ontario, Canada.
Intensive & critical care nursing
|December 2, 2024
概括
家庭参与重症监护室 (ICU) 的身体限制决策至关重要. 加强沟通和使用替代方案可以最大限度地减少克制的使用,并减少家庭的痛苦.
科学领域:
- 关键护理医学 关键护理医学
- 患者和家庭的体验.
- 定性研究是指质量研究.
背景情况:
- 在成人重症监护室 (ICU) 中使用物理束,但其使用和最小化引发了担忧.
- 家庭对身体约束实践的看法尚未完全被理解.
研究的目的:
- 探索家庭对身体限制做法的看法.
- 确定障碍物和促进者,以尽量减少成人ICU中的身体限制使用.
主要方法:
- 使用与家庭成员的半结构面试进行的定性描述性研究.
- 使用理论领域框架进行了演性内容分析.
- 在多伦多一家重症监护室接受了15个家庭成员的采访.
主要成果:
- 家庭报告了限制最小化的障碍,包括患者激动,护士不情愿,缺乏参与,以及对替代方案的有限知识.
- 促进者包括家庭的参与,及时的输出,使用替代品 (例如手套),更短的克制期和环境修改.
- 家庭因单方面决策和患者的痛苦而经历了情绪上的痛苦 (悲伤,震惊).
结论:
- 在ICU中使用身体限制存在重大问题,包括缺乏家庭参与和情绪影响.
- 临床医生和家庭之间的有效沟通和协作对于解决限制使用至关重要.
- 需要个性化策略,由障碍物和促进者提供信息,以减少限制使用和相关的痛苦.
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