从重症监护室出院的成年幸存者的干预措施:范围审查
Tong Wu1,2, Fanghong Yan2,3, Guoli Zhang2,4
1Health Management Center, Gansu Provincial Hospital, Lanzhou, Gausu, China.
BMJ open
|August 17, 2025
概括
成年重症监护病房 (ICU) 的幸存者需要更好的社会支持和自我参与干预措施. 未来的战略应整合以患者为中心的长期护理的数字工具,以改善康复和生活质量.
科学领域:
- 临界护理医学 临界护理医学
- 康复 康复 康复 康复
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在重症监护室 (ICU) 住院的成年幸存者经常经历长期的身体,心理和社会挑战.
- 现有的ICU退院后干预措施需要全面地图,以确定护理上的差距.
- 了解干预的风景对于优化ICU幸存者的康复途径至关重要.
研究的目的:
- 对ICU出院后成年幸存者的干预措施进行全面的范围审查.
- 识别和分类 ICU 后出院干预的组成部分.
- 评估这些干预措施的交付方法,目标和共同点.
主要方法:
- 使用了跟随Arksey和O'Malley的范围审查方法.
- 在多个国际数据库 (Embase,Medline,Scopus等) 中进行了系统的搜索. 和临床试验登记册.
- 包括2000年1月至2025年5月以英语或中文出版的文献,重点关注成人ICU退院后的干预措施.
主要成果:
- 39项研究报告了14个干预组件,最常见的是ICU经验审查,物理治疗和临床评估.
- 社会,同行支持和幸存者参与干预的普遍性较低.
- 干预措施主要针对心理健康,生活质量和身体功能,较少关注社会恢复和医疗利用.
结论:
- 目前的ICU放电后干预措施不足以满足社会,同行支持和自我参与的需求.
- 未来的干预措施应以患者为中心,强调长期护理,并利用改善结果的措施,包括ICU特定的生活质量工具.
- 数字技术的整合可以提高后ICU护理的获取,连续性和可持续性.
相关概念视频
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
01:21Planning Nursing Care I
5.7K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.7K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.4K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.4K
01:31Discharge Summary Forms
1.4K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.4K
01:28Acute Coronary Syndrome IV: Interprofessional Care
525
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
525
01:20Acute Kidney Injury V: Interprofessional Care
548
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
548