护士参与重症监护室的早期动员:系统性审查和元分析
Jungmin Lee1,2, Yeonju Kim3, Hyun Joo Lee4,5
1College of Nursing, Yonsei University, Seoul, Republic of Korea.
涉及护士的早期动员计划可以减少重症监护室 (ICU) 停留时间,但不能提高肌肉力量. 需要进一步的分析来定义护士.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 基于证据的实践.
背景情况:
- 早期动员是减少患者并发症和改善结果的关键策略.
- 在动员工作期间,护士是患者监测和协调护理的重要组成部分.
研究的目的:
- 评估护士领导的早期动员计划对肌肉力量和ICU停留时间的影响.
- 确定涉及护士的早期动员计划的具体组成部分.
主要方法:
- 随机对照试验 (RCT) 和非随机研究的系统审查和元分析.
- 在成人ICU患者的MEDLINE (PubMed),Embase,Cochrane和CINAHL数据库中进行了搜索.
- 使用RoB 2.0和ROBINS-I工具评估研究偏差;使用Rstudio进行的元分析.
主要成果:
- 其中包括9项研究,其中4项仅针对ICU护士,5项针对多学科团队.
- 早期动员显著减少了ICU停留时间 (p=0.04),但没有改善肌肉力量 (p=0.80).
- 在四个RCT中发现了偏见问题,在两个非随机研究中发现了中度风险;护士角色没有详细说明.
结论:
- 涉及护士的早期动员与更短的ICU停留有关,但没有增强肌肉力量.
- 护士在早期动员中的具体贡献和角色需要进一步定义.
更多相关视频
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
09:44Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
相关概念视频
Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Planning Nursing Care I
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Endotracheal Intubation II: Nursing Management
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
