使用体外膜氧化的环境管理和患者护理:一个范围审查
Camila Medeiros-Dos-Santos-de-Cerqueira1, Christiany Moçali-Gonzalez1, Marluci Andrade-Conceição-Stipp1
1Anna Nery School of Nursing/Federal University of Rio de Janeiro, Brazil.
Enfermeria intensiva
|February 24, 2026
概括
这次范围审查确定了在重症监护中管理体外膜氧化 (ECMO) 的成年患者的关键策略. 调查结果涵盖环境准备和全面的患者护理管理,以获得更好的结果.
科学领域:
- 关键护理医学 关键护理医学
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 身体外膜氧化 (ECMO) 需要专门的策略来照顾在重症监护室 (ICU) 的成年患者.
- 有效的环境和护理规划增强了ECMO患者多学科团队的协助.
- 优化患者管理对于改善复杂重症监护场景的结果至关重要.
研究的目的:
- 系统地绘制现有策略,用于规划在重症监护机构接受ECMO的成年患者的环境和护理.
- 提供当前实践的全面概述,并识别文献中的差距.
- 为ECMO患者管理制定基于证据的指导方针提供信息.
主要方法:
- 采用了基于Joanna Briggs Institute (JBI) 准则的范围审查方法.
- 该审查遵循PRISMA-ScR系统审查的扩展,没有时间或语言限制.
- 数据被系统地搜索,选择,提取和分析,由两个独立的研究人员使用Rayyan软件在十个数据库和灰色文献中进行了系统的搜索,选择,提取和分析.
主要成果:
- 总共有6,996个来源最初被确定,其中39项研究被纳入最终分析.
- 确定的策略包括环境管理 (例如,家庭/团队准备,道德考虑,资源分配).
- 护理管理策略包括监测,护理系统化,营养支持和早期动员.
结论:
- ECMO管理是复杂的,需要适当的基础设施和熟练的多学科团队.
- 需要进一步的强有力的研究,特别是在发展中国家,以提高实际应用和临床结果.
- 这些发现强调了结构化规划对于ECMO的护理环境和患者管理的重要性.
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