重要和可行的以患者和家庭为中心的重症监护干预:与利益相关方的德尔菲研究
Bram Tilburgs1, Carolien Bakker-Crommentuijn1, Mirjam de Graaf2
1Radboud University Medical Center, Department of Intensive Care Medicine, Nijmegen, the Netherlands.
Intensive & critical care nursing
|October 16, 2025
概括
在ICU中,以患者和家庭为中心的护理 (PFCC) 是至关重要的. 顶级干预措施包括定期的多学科讨论,患者日记,心理支持,量身定制的时间表和一致的沟通,以减轻ICU体验.
科学领域:
- 临界护理医学 临界护理医学
- 患者体验 患者体验
- 医疗保健管理的管理
背景情况:
- 重症监护室 (ICU) 的入院对患者和家人造成重大压力.
- 建议以患者和家庭为中心的护理 (PFCC) 来减轻这种负担.
- 在ICU中对PFCC的关键干预仍然没有定义.
研究的目的:
- 确定在ICU中最重要的和可行的PFCC干预措施.
- 收集荷兰临床医生,患者和家庭成员的观点.
主要方法:
- 一个四个阶段的修改RAND/UCLA适当性方法 (RAM) 德尔菲研究.
- 文献审查和重点小组确定了初步干预措施.
- 密切护理的利益相关者 (护士,医生,患者,家庭) 根据重要性和可行性对干预进行了评级.
- 代评级和讨论精细化干预清单.
主要成果:
- 确定了35项PFCC干预措施,其中31项被评为重要和可行的.
- 出现了五种最高评级的干预措施:多学科对话,患者日记,心理支持,量身定制的日程安排和一致的沟通.
- 四项干预措施被评为不确定的重要性或可行性.
结论:
- 实施高评级的PFCC干预措施可以显著改善ICU体验.
- 确定了前五项干预措施,突出了减少ICU入院影响的优先事项.
- 这项研究为改善ICU患者和家庭护理提供了可操作的见解.
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