父母在儿科重症监护室的存在减少了术后镇静剂的需求:一项回顾性研究
Vitaliy Sazonov1,2, Alpamys Issanov3, Sayazhan Turar4
1Department of Surgery, School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan.
World journal of clinical pediatrics
|June 10, 2025
概括
父母在儿科重症监护室 (PICU) 的存在与降低镇静药物,但不是止痛药有关. 这一发现凸显了家长照顾在儿科镇静管理中的重要性.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 药理学 药理学是指药理学的学科.
- 以患者和家庭为中心的护理.
背景情况:
- 重症儿童的镇静可以导致副作用和并发症.
- 在儿科患者中评估疼痛和动荡是具有挑战性的,因为沟通障碍.
- 儿童镇静方案需要对患者安全给予严格的关注.
研究的目的:
- 调查内部家长护理协议对儿科重症监护室 (PICU) 镇静剂使用的影响.
- 评估家长的存在与儿科患者手术后镇静的需要之间的关联.
主要方法:
- 在第三级医疗中心的PICU中进行的一项回顾性队列研究.
- 在与流行病相关的父母存在限制期间的镇静实践与正常访问期间的镇静实践的比较.
- 使用里士满激发-镇静量表评估激发;用于分析家长护理与镇静的关联的后勤回归.
主要成果:
- 总共有289名儿科患者被分析;167人在限制期间和122人之后.
- 多变量分析显示,家长的照顾与明显较低的代谢处方几率有关 (OR=0.11).
- 在家长的照顾和处方止痛药之间没有发现显著的关联.
结论:
- 在PICU的家长护理与降低镇静药物的使用有关.
- 该研究没有发现与止痛药使用有类似的关联.
- 研究结果表明,父母的存在可能在调节儿科重症监护中需要镇静剂的过程中发挥作用.
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