从三方角度探讨ICU中的息护理实施的障碍和促进者:定性系统审查和元聚合
Yuting Shen1, Hui Xu2,3, Yinghui Zou3
1China Medical University, Shenyang, Liaoning, China.
BMJ open
|August 26, 2025
概括
在重症监护室 (ICU) 的息护理受情绪支持,沟通,护理模式,资源和教育的影响. 改善这些领域可以增强患者和家庭在重症监护室的体验.
科学领域:
- 危急护理医学
- 缓和护理
- 质量研究综合
背景情况:
- 在重症监护室 (ICU) 整合息治疗带来了独特的挑战.
- 了解医疗保健提供者,患者和家庭的观点对于有效实施至关重要.
研究的目的:
- 综合有关ICU息护理的经验和看法的定性证据.
- 确定影响ICU环境中的息护理提供障碍和促进因素.
主要方法:
- 进行了定性研究的元聚合.
- 在多个数据库中进行了广泛的文献搜索.
- 使用乔安娜·布里格斯研究所 (JBI) 的工具提取和评估数据,然后进行元聚合.
主要成果:
- 包括31个定性研究,产生534个结论.
- 结果被分为10个主题,并总结为5个关键领域:情绪管理,沟通,护理模式,环境因素/资源和教育.
- 使用"明确"或"可信"等级来评估调查结果的可信性.
结论:
- 在ICU中的息护理受到情绪管理,沟通,护理模式,资源可用性和员工教育的重大影响.
- 建议包括加强多学科团队合作,增强情感和沟通支持,优化资源,提供有针对性的培训.
- 未来的研究应该集中在调整息护理策略以适应各种ICU环境.
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