使用修改后的明尼苏达州排毒量表来评估酒精戒断综合征:综合性审查
Torri Trojand1, Jaclynn Morgan2, Charles J Shamoun3
1Torri Trojand is a PhD student at the University of Western Ontario, London, Ontario, Canada, and a critical care nursing education specialist at Henry Ford Health, Detroit, Michigan.
Critical care nurse
|April 1, 2025
概括
修改后的明尼苏达州排毒量表 (mMINDS) 是护士在CIWA-Ar上更喜欢的,用于管理重症监护室中酒精戒断综合征,从而改善患者的治疗结果和缩短住院时间.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 药理学 药理学 是一个学科.
背景情况:
- 酒精使用障碍是美国日益严重的公共卫生问题.
- 酒精戒断综合征需要准确的评估工具来有效管理.
- 临床研究所酒精量表修订的戒断评估 (CIWA-Ar) 缺乏在重症监护机构的验证.
研究的目的:
- 为了比较修改后的明尼苏达州排毒量表 (mMINDS) 与CIWA-Ar用于评估重症监护室 (ICU) 患者急性酒精戒断的疗效.
- 确定mMINDS是否能在重症监护中更好地评估酒精戒断症状.
主要方法:
- 采用了基于惠特莫尔和Knafl的框架的综合性审查方法.
- 文献搜索侧重于涉及mMINDS,神经临床护理和一般临床护理的研究.
主要成果:
- 护士们更喜欢mMINDS,而不是CIWA-Ar.
- 对于CIWA-Ar分数超过10的患者,mMINDS评估更准确.
- 使用mMINDS与改善的患者结果相关,包括更短的ICU停留时间,减少使用二,以及减少狂妄症的发病率.
结论:
- "mMINDS"证明了护士们对治疗重症监护中的酒精戒断综合征的有效性和偏好.
- 研究结果表明,mMINDS适用于关键和非关键护理环境.
- 建议在重症监护区实施mMINDS,以改善患者的治疗结果.
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