适应神经分歧儿童的外科护理 - - 综合性审查
Spandana Veeravalli1, Maia Michaud2, Judy Colton3
1Department of Surgical and Interventional Sciences, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada.
Journal of pediatric surgery
|March 21, 2025
概括
这项研究通过审查干预措施和制定检查清单,解决了对神经分歧儿童更好的术后护理的需求. 个性化护理计划,镇静调整和移动辅助器件是改善他们的医疗保健体验的关键主题.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 神经发育障碍 神经发育障碍
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 神经分离的儿童在例行手术中面临着独特的挑战,需要专门的术后护理.
- 缺乏基于证据的指导方针使得对不熟悉各种神经发育状况的医疗保健专业人员的护理变得复杂.
研究的目的:
- 对接受外科手术期间手术的神经分离儿童进行现有干预措施进行审查.
- 确定适应这群人群护理的关键主题.
- 制定一个实用的检查清单,以支持医疗保健提供者.
主要方法:
- 根据PRISMA-ScR指南进行全面的范围审查,搜索8个数据库,直到2023年5月.
- 纳入标准侧重于儿科神经变异群体,外科手术期间的干预和原始研究.
- 患者伙伴的观点被整合到数据分析和解释中.
主要成果:
- 对29项研究的分析揭示了三个主要主题:个性化护理计划 (27.6%),调制的手术前镇静 (17.2%),和创新的移动设备 (10.3%).
- 有效的护理计划包括护理人员的合作,患者的偏好,触发因素的识别和沟通策略.
- 包括儿童生活专家在内的多学科方法至关重要,在62.5%的护理计划研究中出现.
结论:
- 优化神经分离儿童的外科治疗需要对个体需求进行彻底评估.
- 个性化护理计划,包括定制的药理和非药理干预措施,对于改善结果至关重要.
相关概念视频
Endotracheal Intubation II: Nursing Management
403
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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...
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...
403
General Anesthesia: Overview
183
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
183
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Parenteral Anesthetics: Overview
91
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
91
Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
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...
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...
1.6K
Standards of Care II
629
Nurses bear specific legal responsibilities under several federal statutes, including:
629


