在创伤和手术ICU设置中加强息护理沟通:系统性审查
Marie Nicole Hamel1, Stella Ng1, Sara Saymuah2
1The Warren Alpert Medical School, Brown University, Providence, RI, USA.
The American journal of hospice & palliative care
|November 5, 2025
概括
在创伤重症监护室 (ICU) 中,有结构的沟通和早期的跨学科合作提高了患者和家庭的满意度. 在这些重症监护机构中,仍然需要标准化的息性沟通协议.
科学领域:
- 创伤外科 手术 创伤外科
- 抚慰性护理是一种缓解性护理.
- 关键护理医学 关键护理医学
背景情况:
- 创伤重症监护室的息护理面临着诸如预后不确定性和时间限制等挑战.
- 建议对高风险创伤患者进行早期的护理目标讨论.
- 这些策略在实践中的实施尚未得到充分理解.
研究的目的:
- 识别创伤重症监护中使用的沟通策略.
- 评估这些策略对患者和以家庭为中心的护理的影响.
主要方法:
- 在主要数据库 (PubMed,Embase,CINAHL,Web of Science) 进行了全面的文献搜索,截至2024年10月.
- 研究的重点是成人创伤/外科ICU患者,息治疗,沟通策略或治疗目标讨论.
- 使用基于理论的分析进行了定性合成,对提取的数据进行了应用.
主要成果:
- 包括39项研究,揭示了五个主要主题:沟通框架,跨学科方法,障碍,提供者教育和对满意度的影响.
- 结构化沟通工具 (家庭会议,检查清单,决策辅助工具) 改善了共享决策.
- 强调了息护理和创伤团队之间的共同责任.
结论:
- 结构化的沟通和早期的跨学科参与对家庭满意度和以患者为中心的结果产生了积极的影响.
- 在创伤重症监护室的标准化息性沟通仍然是一个重大挑战.
- 未来的研究应该优先考虑有针对性的教育和标准化的协议.
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