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在约旦重症监护病房中为有意识障碍的患者实施以家庭为中心的护理:一种混合方法的准实验性研究
1College of Nursing, King Khalid University, Mahayil Asir, Saudi Arabia.
一个结构化的以家庭为中心的护理 (FCC) 计划被证明是可行的,并且可以接受在约旦ICU的有意识障碍 (DoC) 的患者. 干预改善了患者的康复和家庭满意度,显示了文化适应能力.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 医疗服务研究 医疗服务研究
背景情况:
- 以家庭为中心的护理 (FCC) 是重症监护的最佳实践,增强了沟通和患者安全.
- 家庭主导的感官刺激表明,在意识障碍 (DoC) 中神经恢复有希望.
- 在中东的ICU中,结构化的FCC干预并不常见,对文化相关性和结果的理解有限.
研究的目的:
- 评估结构化FCC计划"共同恢复"的可行性,可接受性和临床影响.
- 该计划是为约旦ICU的DoC患者,他们的家人和医疗保健提供者设计的.
主要方法:
- 一项准实验性研究,采用前测试后测试对照组设计.
- 包括60名患者和家属,以及25名ICU护士.
- 使用了定量测量 (GCS,CRS-R,ICU停留,家庭满意度) 和定性访谈.
主要成果:
- 高招聘率 (86%) 和完成率 (100%) 表明可行性,没有不良事件.
- 干预组的GCS和CRS-R得分得到了更大的改善,ICU停留时间更短.
- 家庭 (97%的建议) 和护士 (92%的文化适当) 的接受度高,家庭满意度显著提高.
结论:
- "共同恢复"FCC计划是可行的,安全的,可以接受的,并改善了DoC患者的临床结果.
- 结构化的FCC计划可以提高ICU中的患者康复和家庭满意度.
- 美国联邦通信委员会 (FCC) 的项目证明了文化适应能力,适用于中东和中低收入地区.
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