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儿童败血症后护理计划的新兴要素:范围审查
Natalie J Middleton1, Catherine Pienaar2, Joanne Harvey2
1Child and Adolescent Health Service, Sepsis Program, Perth Children's Hospital, 15 Hospital Avenue, Nedlands 6009, WA, Australia.
概括
对于儿科幸存者而言,存在有限的败血症后护理模式,突出了证据缺口. 这项审查确定了两项新兴计划,为改善儿童康复提供了新的护理途径.
科学领域:
- 儿童重症监护
- 公共卫生
- 医疗服务研究
背景情况:
- 败血症是澳大利亚儿童死亡的主要原因,不成比例地影响着幼儿,有先前病情的儿童和土著人口.
- 幸存者在从医院到家庭过渡期间面临重大挑战, 长期影响往往未得到解决.
研究的目的:
- 确定和描述现有的毒后护理干预措施和儿童幸存者的模型.
- 帮助开发一个结构化的败血症后护理路径.
主要方法:
- 根据JBI范围审查框架和PRISMA指南进行范围审查.
- 来自数据库的文献,科克伦协作,参考清单,专家咨询,以及医疗机构的灰色文献.
主要成果:
- 八个资源符合纳入标准,描述了两个新兴的模型:费城儿童医院儿童败血症生存计划和昆士兰儿童败血症计划.
- 这两种模式都强调心理支持和护理协调,前者使用护士协调员和问卷,后者开发数字资源和同行指导计划.
- 两种模式都没有经过正式评估或证明可衡量的结果;灰色文献提供了没有定义干预措施的一般方法.
结论:
- 对于儿童的结构化,评估的败血症后护理存在显著的证据差距.
- 虽然没有正式评估这些模式,但它们为开发一个全面的,文化敏感的,以家庭为中心的护理模式提供了基础.
- 这些发现直接影响了为儿童幸存者开发试验性败血症后护理途径.
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