护士领导的家庭沟通干预措施在ICU的特点和有效性:系统性审查和元分析
ZhiRu Li1,2, FangYan Lu1, Martha Abshire Saylor2
1Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Critical care medicine
|November 14, 2025
概括
在ICU中由护士领导的家庭沟通干预可以提高沟通质量,减少住院时间. 然而,对患者痛苦,满意度或死亡率的影响是有限的,需要进一步研究最佳实施.
科学领域:
- 关键护理护理 关键护理护理
- 卫生沟通 卫生沟通
- 系统审查是系统的审查.
背景情况:
- 在重症监护室 (ICU) 的家庭沟通对于患者和家庭的福祉至关重要.
- 现有的干预措施各不相同,需要了解它们的特点和有效性.
研究的目的:
- 系统地审查和综合有关护士领导的家庭沟通干预措施的证据,在成人ICU.
- 确定这些干预措施的特点,作用和有效性.
主要方法:
- 在多个数据库 (PubMed,科学网等) 中进行全面的搜索. 该研究于1995年1月至2025年7月进行.
- 包括的研究是随机对照试验 (RCT) 和准实验设计.
- 评估了证据水平和偏差风险,并根据PRISMA指南综合了数据.
主要成果:
- 包括14项研究 (7项RCT,7项准实验),重点是面对面,结构化和定制干预.
- 护士采取了信息传递,情感支持,家庭评估,会议促进和过渡支持的角色.
- 干预措施显示有潜力改善沟通质量 (SMD = 0.26) 和减少住院时间 (MD = -3.87天),但对心理痛苦,满意度或死亡率的影响有限.
结论:
- 在干预强度,实施者角色和适应描述方面存在显著的异质性.
- 未来的研究应该集中在确定最佳干预剂量和定制和实施的最佳实践上.
- 整合专门的护理角色,如沟通促进者,可以提高ICU中的沟通和结果.
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