在重症监护室的病人激动:一个概念分析分析
Anne Mette N Adams1,2, Diane Chamberlain1,2, Charlotte Brun Thorup3
1College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Journal of advanced nursing
|April 25, 2025
概括
在重症监护室 (ICU) 的患者动荡是复杂的,影响患者和工作人员. 了解其原因和后果对于开发超越药物治疗的有效,多方面的管理策略至关重要.
科学领域:
- 临界护理医学 临界护理医学
- 护理科学 护理科学
- 心理学 心理学 心理学
背景情况:
- 在重症监护室 (ICU) 患者的骚动是一个重要的担忧,对患者,家人和工作人员造成负面后果.
- 缺乏明确的共识定义,阻碍了对ICU动荡的有效预防和管理策略.
研究的目的:
- 探索和定义在重症监护室设置中患者激动的概念.
- 识别ICU患者激动的属性,先例和后果.
主要方法:
- 使用沃克和阿万特的八步方法进行概念分析.
- 在MEDLINE,PsychINFO和CINAHL数据库中进行了全面的文献搜索.
- 分析了1992年至2023年间发表的32篇关于患者煽动的论文.
主要成果:
- 病人激动在ICU的特点是过度的运动活动,情绪紧张,认知障碍,和破坏性行为.
- 前例包括严重疾病,药物,不适,患者特征和工作人员行为.
- 后果从中断的治疗和糟糕的结果到所有参与者的心理痛苦.
结论:
- 病房动荡是一个复杂的问题,影响患者的治疗和临床结果,影响医疗保健专业人员的工作量和工作满意度.
- 多方面的管理策略是必不可少的,不仅仅依赖于药理干预.
- 需要进一步的研究,以制定更好的预防和管理策略,以改善ICU中的患者激动.
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