关键护理护士和医生对机械通风患者实施早期积极动员的经验:一种定性研究
Jiajia Kong1,2, Hengyang Wang1,3, Donghui Jia1,3
1The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Nursing in critical care
|August 29, 2025
概括
重症监护室 (ICU) 的护士和医生在为机械呼吸器患者实施早期活跃动员时面临着不同的情绪和挑战. 解决这些问题需要更好的规划,资源和协作,
科学领域:
- 危急护理医学
- 护理研究
- 质量健康研究
背景情况:
- 在机械呼吸的患者中, 长时间的静止会导致并发症.
- 早期积极动员 (EAM) 可以减轻这些风险.
- 关于ICU工作人员对EAM实施的经验的了解有限.
研究的目的:
- 探索实施EM的ICU护士和医生的实践经验.
- 在机械通风设置中识别EAM的促进因素和障碍.
主要方法:
- 使用半结构面试的现象学定性设计.
- 这些数据来自中国西部五个三级重症监护室的31名护士和医生.
- 使用NVivo软件进行的主题分析.
主要成果:
- 护士报告的主题包括情绪反应,感知好处,挑战和期望.
- 医生确定了与EAM的必要性,规划需求,决策因素和专业角色相关的主题.
- 这两个小组提出了改善EAM实施的建议.
结论:
- 护理中心工作人员的经验对EAM的实施和有效性产生了重大影响.
- 加强资源配置,规划和跨学科合作对于优化患者康复至关重要.
- 定制培训和机构支持可以提高护士对EAM的信心和效率.
相关概念视频
Mechanical Ventilation II: Invasive Ventilation
253
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
253
Cardiopulmonary Resuscitation II: ACLS Airway Management
88
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
88
Mechanical Ventilation I: Indication and Settings
922
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
922
Acute Respiratory Failure-V
203
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
203
Mechanical Ventilation III: Noninvasive Ventilation
224
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
224
Pneumonia V: Nursing management and Prevention
2.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.4K


