摘要
目的系统评价ICU护士关于浅镇静患者的照顾体验,为后续镇静护理提供参考。方法计算机检索TheCochraneLibrary、JBI循证卫生保健国际合作中心图书馆、PubMed、EMbase、Ovid、ELSEVIER、CMB、CNKI和万方数据库,搜集关于ICU护士对于浅镇静患者照顾体验的质性研究,检索时限均为从建库至2018年5月。采用“澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准”评价,采用汇集性整合方法对结果进行整合。结果共纳入7项研究,提炼35个完好明确的研究结果,将相似结果归纳组合形成6个新的类别,并综合成2个整合结果:一是虽然护理浅镇静的患者充满了许多困难和未知,但护士逐渐接受并采取各种应对措施来适应,获得了愉快的经历;二是浅镇静的实施存在许多障碍,需要多方协作。结论浅镇静理念应该得到医疗卫生机构的高度重视,管理者应给予实施浅镇静的ICU护士支持、指导和鼓励。
Objective To systematically review ICU-nurse lightly sedated patients,in order to provide evidence for sedation.Methods Databases were searched including The Cochrane Library, Joanna Briggs Institute Library,PubMed,EMbase,Ovid,ELSEVIER CMB,CNKI and WANFAN from inception to May 2018,to collect qualitative studies in the experience of ICU nurses lightly sedated patients.The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia.The results were integrated by integrating methods.Results A total of seven studies were included.Thirty-five complete findings were grouped according to their similarities to form six categories.These categories resulted in two synthesized findings:Despite the complexity and unknowns of care,critical care nurses were slowly accepting the fact and try to cope with;there were some barriers on the implementation of sedation,there should have a multi-party collaboration.Conclusions the heath management system should pay more attention to implementing light sedation strategies,ICU- nurses should be given support,guidance and encouragement.
作者
王玲玲
张雪梅
赵文婷
龙王群
Wang Lingling;Zhang Xuemei;Zhao Wentiag;Long Yuqun(The Center of Gerontology and Geriatrics,West China Hospital,Sichuan University,,Chengdu 610041,China)
出处
《中国实用护理杂志》
2018年第35期2784-2791,共8页
Chinese Journal of Practical Nursing
关键词
护士
浅镇静
机械通气
照护体验
质性研究
系统评价
Meta整合
Nurses
Light sedation
Mechanically ventilated
Caring experience
Qualitative research
Systematic review
Meta synthesis
