改善婴儿和儿童生命终端密集护理:对干预要素的范围审查
Elizabeth G Broden Arciprete1,2, Na Ouyang3, Sarah E Wawrzynski4
1National Clinician Scholars Program, School of Medicine, Yale University, New Haven, CT 06520, USA.
Children (Basel, Switzerland)
|November 27, 2025
概括
临近生命终点 (EOL) 的儿童的儿科重症监护干预主要集中在临床医师教育上. 未来的研究应该优先考虑新生儿和儿科重症监护室 (NICU/PICU) 中以家庭为中心的结果.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健 干预 研究 研究 研究
背景情况:
- 高质量的儿科重症监护需要对临终儿童及其家属提供强有力的支持.
- 了解新生儿和儿科重症监护室 (NICU/PICU) 现有的EOL干预措施,对于识别研究缺口至关重要.
研究的目的:
- 进行范围审查,评估PICU儿童的EOL干预措施的特点.
- 确定共同的干预要素,背景因素和实施挑战.
主要方法:
- 在六个主要数据库中进行了全面的文献搜索,并补充了参考搜索.
- 包括针对因任何原因死亡的儿童的专业间干预措施.
- 数据提取侧重于干预组件,背景,障碍和促进因素,并对分析进行定性编码.
主要成果:
- 在包括的44项研究中,大多数专注于新生儿ICU (64%) 和一般PICU (23%).
- 干预措施主要针对临床医生的知识 (57%),临床结构/流程 (25%) 和沟通 (18%),通常通过实践变化 (57%) 和教育 (45%) 进行.
- 测量结果包括临床医生的知识 (39%) 和定性反 (41%),对家庭心理健康 (7%) 或丧亲 (5%) 的有限检查.
结论:
- 目前儿科重症监护中的EOL干预主要旨在通过教育改善临床医生的结果.
- 有必要设计,测试和实施专门专注于增强家庭成果和经验的干预措施.
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