带有机械循环支持的心脏性休克患者的护理管理:一个范围审查
Simone Amato1, Francesco Gravante2, Andrea Battisti3
1Cardiac Intensive Care Unit, Heart Transplant Centre and ECMO Service, San Camillo Forlanini Hospital, Rome, Italy.
Nursing in critical care
|November 6, 2025
概括
护士对于在机械循环支持 (MCS) 上管理心脏性休克 (CS) 患者至关重要. 关键干预措施包括监测,并发症预防,支持性护理和以协议为指导的应用,尽管实践的变化仍然存在.
科学领域:
- 心脏病学 心脏病学
- 护理科学 护理科学
- 关键护理医学 关键护理医学
背景情况:
- 有限的证据存在于心脏性休克 (CS) 患者的护理干预,需要机械循环支持 (MCS).
- 护士对于设备功能,患者监测和预防这些关键患者的并发症至关重要.
研究的目的:
- 进行范围审查,绘制护理人员在CS患者护理中的角色,得到MCS的支持.
- 在审查范围内包括通过体外膜氧化 (ECMO) 支持的患者的护理护理.
主要方法:
- 在主要数据库 (PubMed,CINAHL,Scopus,Web of Science) 进行了全面的文献搜索,截至2025年5月.
- 包括主要研究和灰色文献,重点关注密集护理或重症监护机构中患有MCS的成年CS患者.
主要成果:
- 十项研究符合纳入标准,反映了不同的临床和地理环境.
- 专题分析揭示了四个关键的护理干预领域:血液动力学/设备监测,并发症预防/管理,支持性护理和协议导向护理.
- 确定的护理角色包括持续监测,预防出血和血栓栓塞,支持性护理 (镇静,通风,营养) 和遵守安全协议.
结论:
- 护士在所有护理阶段对MCS的CS患者的管理中发挥着不可或缺的作用.
- 护理实践的变化和缺乏标准化的模型仍然是重大挑战.
- 加强护士培训,实施基于证据的协议,确保足够的人员,并标准化能力/文档对于改善护理质量和患者安全至关重要.
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