关于ICU生命终端护理的共识声明 - - 一项斯堪的纳维亚多学科德尔菲研究
Iben Strøm Darfelt1,2, Mette Asbjoern Neergaard2,3, Pål Klepstad4,5
1Department of Anaesthesiology and Intensive Care, Gødstrup Hospital, Herning, Denmark.
Acta anaesthesiologica Scandinavica
|March 11, 2025
概括
这项研究确定了10个核心领域和59个共识声明,以优化斯堪的纳维亚重症监护室 (ICU) 的终身护理,增强患者的尊严和家庭支持.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
背景情况:
- 在重症监护室 (ICU) 的生命终端护理提出了复杂的伦理,文化和医疗挑战.
- 确保患者在终身护理期间获得舒适和尊严,对于重症患者及其家人来说至关重要.
研究的目的:
- 开发斯堪的纳维亚ICU生命终端护理的核心领域和共识声明.
- 纳入患者,家庭和多学科专家的观点.
主要方法:
- 一项为期三轮的德尔菲研究,涉及来自五个斯堪的纳维亚国家的多学科咨询委员会.
- 包括ICU医生,护士,息治疗专家和前ICU患者/家属.
- 根据专家和临床医生的反对潜在领域的排名和共识陈述的代改进.
主要成果:
- 在第三轮德尔菲会议后,在10个核心领域的59个声明上达成共识.
- 这10个领域涵盖了沟通,治疗决策,精神需求,机械呼吸,症状管理,镇静,息护理咨询,患者转移,丧亲护理和死后汇报.
- 这些领域涉及生命终端护理在ICU环境中的关键方面.
结论:
- 开发的核心领域和共识声明旨在优化斯堪的纳维亚ICU的生命终端护理.
- 已建立的领域考虑了特定于该地区的文化和伦理细微差别.
- 这些发现可以为开发更好的ICU终身护理指南提供信息.
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