摘要
重症监护病房(ICU)获得性谵妄是危重症患者常见的并发症,与患者多种不良结局有关,给其家庭及社会带来沉重负担。以患者为中心的舒适化浅镇静策略(eCASH理念)能够减轻患者疼痛,有助于控制躁动和谵妄,因而常用在ICU患者获得性谵妄的预防中。该文分别从eCASH理念的内涵、实施方法及其在预防ICU获得性谵妄中的效果3个方面进行综述,同时分析该策略实施中存在的问题并提出相关建议,以期为我国开展相关实践提供参考。
Acquired delirium in ICU is a common complication of critically ill patients, which is associated with various adverse outcomes and brings the heavy burden to their families and society.The patient-centered comfort shallow sedation strategies(eCASH concept) can alleviate the patient′s pain, is conducive to control the agitation and delirium, therefore which is usually used in the prevention of acquired delirium in ICU patients.This paper reviews the three aspects of the connotation of eCASH concept, implementation method and effect for preventing acquired delirium in ICU,meanwhile analyzes the existing problems in the implementation of this strategy and proposes the related suggestion in order to provide reference for carrying out the related practice in our country.
作者
冯华丽(综述)
项芹
仲宇
王莎(审校)
FENG Huali;XIANG Qin;ZHONG Yu;WANG Sha(School of Nursing,Huzhou University,Huzhou,Zhejiang 313000,China)
出处
《现代医药卫生》
2023年第1期128-131,136,共5页
Journal of Modern Medicine & Health
关键词
以患者为中心
浅镇静
重症监护病房
谵妄
综述
Patient-oriented
Light sedation
Intensive care unit
Delirium
Review
