在重症监护室使用血管压缩剂:对于患者和家人来说,最重要的是什么
Karla D Krewulak1, Laura Hernández1, Stephana J Moss1
1Department of Critical Care Medicine, Alberta Health Services & University of Calgary, Calgary, AB, Canada.
概括
患者和家人接受血管压缩剂作为救命护理,但希望对风险和长期结果进行明确的沟通. 了解这些观点是以患者为中心的重症监护室 (ICU) 治疗的关键.
科学领域:
- 关键护理医学 关键护理医学
- 患者体验研究 研究研究
- 卫生沟通健康沟通
背景情况:
- 血管压缩剂对于在ICU中管理危及生命的低血压至关重要.
- 潜在的风险包括器官血流减少和心脏工作量增加.
- 患者,家庭和公众对血管压缩剂治疗风险和益处的看法不太清楚.
研究的目的:
- 探索前ICU患者,家庭和公众对ICU中血管压缩剂治疗的观点.
- 了解血管压缩剂使用的感知好处,风险和影响因素.
主要方法:
- 使用采访和重点小组进行的定性研究,共25名参与者 (前ICU患者,家庭成员,公众).
- 在讨论之前,参与者接受了关于低血压和血管压缩剂使用的教育.
- 诱导性内容分析用于分析有关意愿,感知风险/收益和优先结果的数据.
主要成果:
- 关键影响因素包括意识水平,先前存在的疾病和生命阶段.
- 接受血管抑制剂的意愿与生存焦点,感知低风险和对临床医生的信任有关.
- 人们对治疗后的社会,身体和精神健康表示担忧.
结论:
- 血管压缩剂通常被认为是拯救生命的药物,但与长期结果的结合至关重要.
- 研究结果强调需要改善沟通和以患者为中心的讨论,讨论ICU治疗和生存情况.
- 主题与一般的ICU生存问题重叠,强调整体护理.
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