重症监护室护士对家属参与心脏术后心脏病患者 Delirium 护理的看法:一种定性研究
Dina Azimzadeh1, Alexandra Lapierre2, Zineb Bouaouina3
1Faculty of Nursing, Université de Montréal, Montréal, Québec, Canada.
Intensive & critical care nursing
|March 12, 2025
概括
重症监护病房 (ICU) 的护士发现,家庭参与对心脏手术后的妄想管理有益. 然而,存在障碍,特别是在预防妄想方面,需要进一步研究教育和支持.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 狂妄症是成年患者心脏手术后在重症监护室 (ICU) 中经常出现的并发症.
- 家庭参与度的增加通常是由这种患者群体中 Delirium 的流行引起的.
研究的目的:
- 探索重症监护室 (ICU) 护士对影响家庭参与狂妄症护理的因素的看法.
- 确定促进家属参与预防,评估和管理术后心脏手术患者的妄想的促进者和障碍.
主要方法:
- 半结构面试的定性描述性主题分析.
- 来自加拿大两个大学附属的ICU的18名护士的便利样本.
主要成果:
- 六个主题出现了:参与的时间,信息共享,家庭特征,组织因素,家庭在检测中的作用,以及在妄想期间的家庭行动.
- 护士认为家庭参与是有益的,特别是在信息共享和妄想检测方面.
- 在接受护士与参与者的采访中,关于预防狂妄症的讨论显著缺席.
结论:
- 密切护理护士认为家庭参与妄想护理是有利的,取决于患者的身份,护士的态度,家庭属性和组织的支持.
- 结果为医疗保健提供者,管理人员和教育工作者提供了见解,以加强家庭参与ICU Delirium Care.
- 解决家庭参与的障碍,特别是预防妄想,需要进一步研究教育,资源和组织策略.
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