快速反应系统和护理护理计划的连续性,以预防ICU后综合征
Gemma Leiva-Aguado1, Maria Isabel Calleja-Serrano1, Mara Del Carmen Cuenca-Soriano2
1Unidad de Medicina Intensiva, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Enfermeria intensiva
|May 21, 2025
概括
一种新的护理连续性护理模式,包括监视和监测,有助于预防重症监护室 (ICU) 后综合征. 这种方法支持患者的康复,并改善关键护理后的生活质量.
科学领域:
- 护理科学 护理科学
- 关键护理医学 关键护理医学
- 患者的恢复 患者的恢复
背景情况:
- 住院患者的临床恶化可以由护士预测,但重症监护室 (ICU) 后的幸存者通常会经历持续的身体,精神和认知障碍.
- 从重症监护中增加的生存率需要在不同医疗机构为ICU幸存者提供个性化的护理连续性.
- 在重症监护后的后急性综合征需要积极管理,以减轻长期的健康后果.
研究的目的:
- 设计和实施护理咨询的连续性,与监控系统和护士监控相集成.
- 预防和最大限度地减少与后ICU综合征相关的身体,心理和认知变化.
- 加强患者及其家属在ICU出院后恢复生活质量的改善.
主要方法:
- 实施一个覆盖超过665张成人住院病床的监控系统.
- 为从重症监护室出院的患者建立护理咨询的连续性.
- 在重症监护,住院和初级保健机构的整个康复阶段监测患者.
主要成果:
- 从2023年2月到2024年1月,有2126名患者从重症监护中出院.
- 其中,87名患者参加了ICU后的随访,其中55人进行了全部随访,32人进行了部分随访.
- 实施的系统旨在在整个患者旅程中提供持续的护理护理.
结论:
- 监控系统和持续的护理监测可以预防或最大限度地减少ICU后综合征.
- 这种综合方法支持患者及其家属的康复,改善整体生活质量.
- 跨不同护理水平的护理连续性对于管理复杂的患者需要的临床后护理至关重要.
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