在重症监护病人的临床恶化护理监测:一个范围审查
Yeonju Kim1, Yesol Kim2, Jiin Kim1
1College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.
Intensive & critical care nursing
|September 11, 2025
概括
本范围审查综合了关于在重症监护病房中临床恶化护理监测的知识. 将定量数据与定性见解相结合,可以提高患者的安全性和早期检测.
科学领域:
- 护理研究 护理研究
- 患者安全 患者安全
- 关键护理医学 关键护理医学
背景情况:
- 在重症监护室 (ICU) 的临床恶化带来了重大风险.
- 有效的护理监测对于早期检测和干预至关重要.
- 关于护理监督实践的现有知识需要全面综合.
研究的目的:
- 系统地审查和总结有关ICU患者临床恶化的护理监测现有文献.
- 介绍研究,患者,临床恶化事件和监测方法的特征.
- 确定在重症监护中加强护理监督的差距和机会.
主要方法:
- 在五个电子数据库中进行了系统的文献搜索.
- 包括专注于护理监测成人ICU临床恶化的研究.
- 数据被提取并根据系统审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则进行分类.
主要成果:
- 分析了24个主要在发达国家2012年以后出版的来源.
- 确定了47个临床恶化事件,其中长期停留时间最常见.
- 监督变量包括尺度,评估记录,活动记录和笔记,评估记录最频繁;定性主题突出了警,决策,文档,通信和技术互动.
结论:
- 将定量监测数据与定性发现相结合,可以提高ICU患者的安全性.
- 本综述为研究人员,教育工作者和从业人员提供了对护理监测的全面了解.
- 有效利用监测数据是早期发现临床恶化的关键,改善患者的治疗结果.
相关概念视频
Respiratory Assessment: Purpose and Indications
1.7K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.7K
Current Trends in Nursing I
5.3K
Current trends in nursing include:
5.3K
Planning Nursing Care I
5.5K
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...
5.5K
Acute Coronary Syndrome V: Nursing Management
271
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
271
Nursing Assessment
9.1K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
9.1K
Nursing Clinical Information System
1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K

