开发一种以患者为导向的转移工具,用于从重症监护病房到病房的过渡:一种混合方法研究
Jariya Sereeyotin1,2,3,4, Hayley Robinson3,4,5, Michael E Detsky3,4
1Department of Anesthesiology, Division of Critical Care Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|January 3, 2025
概括
一个以患者为导向的离院汇总工具,用于重症监护室 (ICU) 的转移,可以提高患者的知识并减少焦虑. 确定了加强从重症监护室过渡到医院病房护理的基本要素.
科学领域:
- 关键护理医学 关键护理医学
- 患者过渡 患者过渡
- 卫生沟通健康沟通
背景情况:
- 从重症监护室 (ICU) 转移到医院病房的患者可能会引起焦虑和知识差距.
- 补充口头信息的书面摘要可以改善患者的理解,并减少过渡期间的压力.
研究的目的:
- 确定一个特定于ICU的以患者为导向的离院总结工具 (PODS-ICU) 的基本要素.
- 解决信息缺口,改善患者从重症监护室到病房的过渡体验.
主要方法:
- 这是一项混合方法研究,涉及到转移到病房的ICU患者和临床医生.
- 经过验证的问卷测量了搬迁压力;标准化的问题探讨了患者的需求和临床医生的观点.
- 诱导性主题分析用于定性数据的解释.
主要成果:
- 招募了22名参与者 (10名患者,12名临床医生).
- 基本的PODS-ICU元素包括:转换的原因,ICU摘要,临床更新,目的地详细信息,药物调和,未来护理计划和后续.
- 家庭的存在和提前通知是关键的支持需求;建议积极的沟通和标准化工具.
结论:
- 发现的信息缺口为PODS-ICU的基本要素提供了信息.
- PODS-ICU有可能减少患者转移焦虑,并改善ICU过渡期间的护理质量.
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