在儿科重症监护病房中以家庭为中心的护理干预:一个范围审查
Karina R Charles1, Jessica A Schults2, Jed Duff3
1School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia; Paediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, Queensland, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Briscmdbane, Queensland, Australia.
在儿科重症监护室 (PICU) 中,以家庭为中心的护理显示出各种干预措施和结果. 为了更好的实践,需要更多的家长参与设计以家庭为中心的护理计划.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 以家庭为中心的护理
- 医疗保健干预措施 医疗保健干预措施
背景情况:
- 在儿童重症监护室 (PICU) 中,以家庭为中心的护理是标准的.
- 在PICU中对以家庭为中心的护理的干预,实施和评估缺乏明确性.
- 绘制这些干预措施的地图对于理解组件,结果和家庭参与至关重要.
研究的目的:
- 识别和绘制 PICU 中实施的以家庭为中心的护理干预措施.
主要方法:
- 根据PRISMA-ScR指南,搜索了七个数据库 (2013-2025年).
- 提取了有关干预组件,结果和家庭参与的数据.
- 评估的可复制性 (TIDieR) 和方法质量 (QI-MQCS,MMAT).
主要成果:
- 38项研究在2921项选中符合纳入标准.
- 常见的干预措施:家庭存在 (26%),PICU日记 (18%),护士领导的目标设定 (10%).
- 测量了102个结果;家庭满意度最常见 (15%). 只有4项研究让父母参与设计. 可复制性为63-96%;质量差异很大.
结论:
- 在以家庭为中心的护理干预措施和PICU的结果措施中存在显著的差异.
- 观察到评估,可复制性和质量的有限一致性.
- 在干预设计中父母的最小参与凸显了共同设计的倡议的需要.
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