在被送往重症监护病房的患者中注册预先指示:一个流行率研究
Estela Hernández Bello1, Alberto Hernández Embid2, María Luisa de la Rica Escuin3
1Doctora en Ciencias de la Salud, Enfermera en la UCI Quirúrgica del Hospital Clínico de Zaragoza, Spain; GIISA026 - Grupo de Investigación Enfermera en Procesos de Final de Vida, Spain.
Enfermeria clinica
|November 15, 2025
概括
预先规划生命终端护理,记录在预先指令 (VAD) 中,在ICU中仍然未得到充分利用. 在2019年至2021年期间,注册率较低且没有变化,这凸显了需要提高意识和规划的需要.
科学领域:
- 关键护理医学 关键护理医学
- 医学伦理 医学伦理
- 公共卫生 公共卫生
背景情况:
- 通过预先指令 (VAD) 记录的预先规划,通过将患者的愿望与医疗决策相协调,促进了终身护理.
- 在ICU中的沟通挑战强调了预先建立的VAD对患者倡导的重要性.
- 确保患者的自主性需要有效的机制来记录和尊重终身偏好.
研究的目的:
- 量化2019年和2021年ICU患者中记录的VAD的流行率.
- 分析VAD注册与患者人口统计 (年龄,性别,来源) 和临床因素 (病理,出院原因) 之间的关联.
- 在COVID-19大流行背景下评估VAD记录率和模式的变化.
主要方法:
- 在萨拉戈萨的一个ICU中进行了一项横截面描述性研究.
- 收集了2019年和2021年入院的所有患者的数据.
- 进行了描述性和双变量分析,显著水平为p < 0.05.
主要成果:
- 在2019年 (1.7%) 和2021年 (1.8%) 两年,VAD注册率都很低,没有观察到任何显著变化.
- 在这两年中,大多数VAD被记录在ICU入院前.
- 在2021年,在VAD注册和城市起源之间发现了统计学上显著的关联.
结论:
- 该研究发现,在ICU患者中,VAD注册率始终很低.
- 在2019年和2021年之间,VAD文档没有显著增加.
- 提高意识和提前护理规划的促进对于在临终场景中尊重患者的愿望至关重要.
相关概念视频
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Guidelines for Nursing Documentation I
1.7K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.7K
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
Assessment of apical radial pulse
1.2K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.2K


