在心脏外科手术后的患者中,与延迟输出管相关的因素的综述
Regina Indah Kumalasari1, Cecep Eli Kosasih2, Ayu Prawesti Priambodo2
1Master Study Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Vascular health and risk management
|January 14, 2025
概括
心脏手术后延迟的输出管与风险增加有关. 关键因素包括患者年龄,心脏功能,手术持续时间和手术后并发症,如血液动力学不稳定.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 外科手术的结果
背景情况:
- 心脏手术后延迟的输出管 (DE) 与显著的发病率,死亡率和增加的医疗保健成本有关.
- 识别影响DE的因素对于改善患者的治疗结果至关重要.
- 之前的审查并没有系统地综合有关心脏手术患者DE的现有文献.
研究的目的:
- 系统地确定影响心脏手术后患者延迟输出管的因素.
- 为了确定这个患者群体中延迟输出管的主要原因.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 文献搜索包括PubMed,Scopus,Science Direct,CINAHL,Sage和谷歌学者 (2014-2024年) 在内.
- 专题分析用于综合来自八篇纳入的文章 (13,801名参与者) 的数据.
主要成果:
- 发呆症的患病率在13.6%至91.9%之间.
- 关键影响因素包括手术前 (年龄≥60岁,EF<50%),手术内 (手术≥7小时,IABP,镇静剂) 和手术后 (BNP≥806ppg/mL) 的因素.
- 导致DE的主要原因是血液动力学不稳定 (33.51%),意识下降 (31.91%) 和出血 (20.74%).
结论:
- 了解影响DE的因素对于优化术后护理和资源配置至关重要.
- 有效的DE管理可以提高断奶,输出管成功,以及患者的康复.
- 需要进一步的研究,专门针对心脏外科手术患者的延迟输出管.
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