儿科重症监护中的人性化策略:一个范围审查
María Esther Salgado-Reguero1, Sara Furtado-Eraso2, Arantxa Bujanda-Sainz de Murieta3
1Servicio Navarro de Salud-Osasunbidea (SNS-O), Hospital Universitario de Navarra, Unidad de Cuidados Intensivos Pediátricos, Pamplona, Navarra, Spain; Departamento de Ciencias de la Salud, Universidad Pública de Navarra (UPNA), Pamplona, Navarra, Spain; IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Navarra, Spain.
Enfermeria intensiva
|May 1, 2025
概括
人性化儿科重症监护室 (PICU) 需要更多的研究. 虽然生命末期的护理和沟通是优先考虑的,但其他人性化策略需要开发,以获得更好的患者和家庭体验.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 医疗保健的人性化 医疗保健的人性化
- 提高质量 提高质量
背景情况:
- 国际HU-CI项目概述了八种人性化重症监护病房 (ICU) 的策略.
- 与成人ICU相比,儿童重症监护室 (PICU) 在人性化方面得到的关注较少.
- 关于PICU中人性化实践和结构的数据有限.
研究的目的:
- 在儿科重症监护中的HU-CI框架内确定关于人性化概念的证据.
- 了解PICU中人性化策略的实施情况.
主要方法:
- 对PubMed和CINAHL的文献进行了范围审查.
- 纳入了研究,重点关注PICU中的HU-CI框架元素,考虑了患者,家庭和医疗保健专业人士的观点.
- 数据根据HU-CI的战略路线进行了叙述性综合.
主要成果:
- 审查中包括了41篇文章.
- 生命终端护理和沟通是HU-CI最常涉及的行动线.
- 灵活的时间表,家庭存在,患者福祉,专业护理,ICU后综合征和人性化的基础设施的代表性较低.
结论:
- 需要进一步的研究来开发和改进所有HU-CI行动线向PICU实践的整合.
- 在所有八个方面加强人性化策略对于优化儿科重症监护至关重要.
- 目前的证据表明,需要一种更全面的方法来使PICU人性化.
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