护士参与重症患者脑电图监测的范围综述

doi:10.3761/j.issn.2096-7446.2026.01.019

摘要/Abstract

摘要：

目的对护士参与重症患者脑电图监测的相关研究进行范围审查，归纳和总结ICU护士在脑电图监测中参与的角色、影响因素及培训现状，并针对现状提出了相应的改善策略，为未来脑电图更好地应用于重症护理领域提供参考。方法以范围综述方法学为指导，系统检索Embase、PubMed、Scopus、Web of Science、Cochrane Library、EBSCO、ScienceDirect、中国知网、维普数据库、万方数据库、中国生物医学文献库中的相关研究，检索时限为建库至2025年8月28日，对纳入文献进行了汇总和分析。结果共纳入21篇文献，发表时间为2012年—2025年。将护士参与下脑电图用于重症患者监测的影响因素分为促进因素及障碍因素，主要从个人因素、环境因素、管理因素3个方面进行分析，阐述了脑电图用于重症护理领域培训碎片化、缺乏培训后考核机制的现状。结论护士参与下脑电图用于重症患者监测对提供高质量的医疗护理服务至关重要，未来需要更多研究聚焦不同护士角色，如高级实践护士、专科护士等在脑电图监测中的差异化职能，构建培训教育体系，提高脑电图监测护士核心能力；同时关注外部组织环境，不断推动脑电图在重症护理中的规范化与精准化应用。

关键词: 护士, 脑电描记术, 重症监护病房, 护理, 范围综述

Abstract:

Objective To conduct a scoping review on the research on nurses’ participation in electroencephalo-gram（EEG） monitoring of critically ill patients，summarizing the roles，influencing factors，and training status of ICU nurses in EEG monitoring. Corresponding improvement strategies were proposed based on the current situation，providing reference for the better application of EEG in the field of critical care in the future. Methods This study was conducted based on methodological framework for scoping reviews. A systematic search was performed across multiple databases，including Embase，PubMed，Scopus，Web of Science，Cochrane Library，EBSCO，ScienceDirect，CNKI，VIP，Wanfang，and Sinomed，for relevant studies from their inception to August 2025. The included studies were then summarized and analyzed. Results A total of 21 articles published from 2012 to 2025 were included. The study categorized the influencing factors of EEG monitoring in critically ill patients into promoting and hindering factors，analyzing personal，environmental，and management aspects. The current situation of fragmented training and lack of post training assessment mechanism for EEG in the field of critical care nursing was elaborated. Conclusion EEG for critical care patient monitoring with nurse participation is essential for providing high-quality health care services. More research is needed in the future to focus on the differentiated functions of different nurse roles，such as senior practice nurses，specialist nurses，etc.，to build a training and education system，to improve the core competencies of EEG monitoring nurses，and to pay attention to the external organizational environment，in order to continually promote the standardized and precise application of EEG in critical care.

Key words: Nurses, Electroencephalography, Intensive Care Units, Nursing Care, Scoping Review

胡鑫源, 石渝, 聂琳文, 甘秀妮. 护士参与重症患者脑电图监测的范围综述[J]. 中华急危重症护理杂志, 2026, 7(1): 116-122.

HU Xinyuan, SHI Yu, NIE Linwen, GAN Xiuni. Nursing involvement in electroencephalogram monitoring of ICU patients：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 116-122.

图/表 2

参考文献 33

[1]	Bitar R, Khan UM, Rosenthal ES. Utility and rationale for conti-nuous EEG monitoring:a primer for the general intensivist[J]. Crit Care, 2024, 28(1):244. doi: 10.1186/s13054-024-04986-0
[2]	Wang XW, Borovac A, van den Hoogen A, et al. Nurses’ expe-riences and perspectives on aEEG monitoring in neonatal care:a qualitative study[J]. J Neonatal Nurs, 2024, 30(2):165-170. doi: 10.1016/j.jnn.2023.08.003
[3]	Kaleem S, Kang JH, Sahgal A, et al. Electrographic seizure de-tection by neuroscience intensive care unit nurses via bedside real-time quantitative EEG[J]. Neurol Clin Pract, 2021, 11(5):420-428. doi: 10.1212/CPJ.0000000000001107 pmid: 34840869
[4]	中国抗癫痫协会脑电图和神经电生理分会. 危重症持续脑电图监测技术标准[J]. 癫痫杂志, 2022, 8(1):29-32.
	Electroencephalogram and Neurophysiology Branch of China Association Against Epllepsy. Technical standard for continuous electroencephalogram monitoring of critically ill patients[J]. J Epilepsy, 2022, 8(1):29-32. doi: 10.1016/0896-6974(94)00005-K
[5]	Dudley L, Mamdoo P, Naidoo S, et al. Towards a harmonised framework for developing quality of care indicators for global health:a scoping review of existing conceptual and methodo-logical practices[J]. BMJ Health Care Inform, 2022, 29(1):e100469. doi: 10.1136/bmjhci-2021-100469
[6]	Joanna Briggs Institute. JBI critical appraisal tools[EB/OL].[2025-09-10]. https://jbi.global/critical-appraisal-tools.
[7]	Kong WY, Nascimento FA, Struck A, et al. Evaluating crowd-sourcing for ICU EEG annotation:a comparison with expert performance[J]. Epilepsia, 2025, 66(11):4366-4380. doi: 10.1111/epi.v66.11
[8]	Prendergast E, Mills MG, Kurz J, et al. Implementing quanti-tative electroencephalogram monitoring by nurses in a pedia-tric intensive care unit[J]. Crit Care Nurse, 2022, 42(2):32-40. doi: 10.4037/ccn2022680 pmid: 35362080
[9]	Picinich C, Kennedy J, Thind H, et al. Continuous electroence-phalographic training for neuroscience intensive care unit nurses:a feasibility study[J]. J Neurosci Nurs, 2020, 52(5):245-250. doi: 10.1097/JNN.0000000000000535
[10]	Kang JH, Clay Sherill G, Sinha SR, et al. A trial of real-time electrographic seizure detection by neuro-ICU nurses using a panel of quantitative EEG trends[J]. Neurocrit Care, 2019, 31(2):312-320. doi: 10.1007/s12028-019-00673-z pmid: 30788707
[11]	Amorim E, Williamson CA, Moura LMVR, et al. Performance of spectrogram-based seizure identification of adult EEGs by critical care nurses and neurophysiologists[J]. J Clin Neuro-physiol, 2017, 34(4):359-364.
[12]	Pont-Thibodeau GD, Sanchez SM, Jawad AF, et al. Seizure de-tection by critical care providers using amplitude-integrated electroencephalography and color density spectral array in pediatric cardiac arrest patients[J]. Pediatr Crit Care Med, 2017, 18(4):363-369. doi: 10.1097/PCC.0000000000001099
[13]	Topjian AA, Fry M, Jawad AF, et al. Detection of electrogra-phic seizures by critical care providers using color density spectral array after cardiac arrest is feasible[J]. Pediatr Crit Care Med, 2015, 16(5):461-467. doi: 10.1097/PCC.0000000000000352
[14]	Swisher CB, White CR, Mace BE, et al. Diagnostic accuracy of electrographic seizure detection by neurophysiologists and non-neurophysiologists in the adult ICU using a panel of quantitative EEG trends[J]. J Clin Neurophysiol, 2015, 32(4):324-330. doi: 10.1097/WNP.0000000000000144 pmid: 26241242
[15]	Seiler L, Fields J, Peach E, et al. The effectiveness of a staff education program on the use of continuous EEG with patients in neuroscience intensive care units[J]. J Neurosci Nurs, 2012, 44(2):E1-E5.
[16]	Herta J, Koren J, Fürbass F, et al. Applicability of NeuroTrend as a bedside monitor in the neuro ICU[J]. Clin Neuro-phy-siol, 2017, 128(6):1000-1007.
[17]	Poon WB, Tagamolila V, Toh YP, et al. Integrated approach to e-learning enhanced both subjective and objective knowledge of aEEG in a neonatal intensive care unit[J]. Singapore Med J, 2015, 56(3):150-156. doi: 10.11622/smedj.2015041
[18]	Swarnalingam ES, RamachandranNair R, Choong KLM, et al. Non-neurophysiologist physicians and nurses can detect subclinical seizures in children using a panel of quantitative EEG trends and a seizure detection algorithm[J]. J Clin Neu-rophysiol, 2022, 39(6):453-458.
[19]	Goswami I, Bello-Espinosa L, Buchhalter J, et al. Introduction of continuous video EEG monitoring into 2 different NICU models by training neonatal nurses[J]. Adv Neonatal Care, 2018, 18(4):250-259. doi: 10.1097/ANC.0000000000000523 pmid: 29889725
[20]	Lalgudi Ganesan S, Stewart CP, Atenafu EG, et al. Seizure iden-tification by critical care providers using quantitative electro-encephalography[J]. Crit Care Med, 2018, 46(12):e1105-e1111. doi: 10.1097/CCM.0000000000003385
[21]	Abou Khaled KJ, Bou Nasif M, Freiji C, et al. Rapid response EEG with needle electrodes in an intensive care unit with limited resources[J]. Clin Neurophysiol Pract, 2023, 8:44-48. doi: 10.1016/j.cnp.2023.02.002 pmid: 36949936
[22]	Legriel S, Jacq G, Lalloz A, et al. Teaching important basic EEG patterns of bedside electroencephalography to critical care staffs:a prospective multicenter study[J]. Neurocrit Care, 2020, 34(1):144-153. doi: 10.1007/s12028-020-01010-5
[23]	Bourgoin P, Barrault V, Loron G, et al. Interrater agreement between critical care providers for background classification and seizure detection after implementation of amplitude-inte-grated electroencephalography in neonates,infants,and children[J]. J Clin Neurophysiol, 2019, 37(3):259-262. doi: 10.1097/WNP.0000000000000634
[24]	Dericioglu N, Yetim E, Bas DF, et al. Non-expert use of quan-titative EEG displays for seizure identification in the adult neuro-intensive care unit[J]. Epilepsy Res, 2014, 109:48-56. doi: 10.1016/j.eplepsyres.2014.10.013
[25]	管巧, 李珊, 李星, 等. 儿科重症监护病房医护人员应用振幅整合脑电图识别癫痫发作的可行性[J]. 中华儿科杂志, 2016, 54(11):823-828.
	Guan Q, Li S, Li X, et al. Feasibility of using amplitude-inte-grated electroencephalogram to identify epileptic seizures by pediatric intensive care unit medical staff independently[J]. Chin J Pediatr, 2016, 54(11):823-828. doi: 10.3760/cma.j.issn.0578-1310.2016.11.007 pmid: 27806789
[26]	López JR, Ahn-Ewing J, Emerson R, et al. Guidelines for qua-lifications of neurodiagnostic personnel:a joint position state-ment of the American clinical neurophysiology society,the American association of neuromuscular & electrodiagnostic medicine,the American society of neurophysiological monitor-ing,and ASET-the neurodiagnostic society[J]. J Clin Neurophy-siol, 2023, 40(4):271-285.
[27]	Mazzio EL, Topjian AA, Reeder RW, et al. Association of EEG characteristics with outcomes following pediatric ICU cardiac arrest:a secondary analysis of the ICU-RESUScitation trial[J]. Resuscitation, 2024, 201:110271. doi: 10.1016/j.resuscitation.2024.110271
[28]	郭玉洁, 陈小利, 金虹, 等. 癫痫患者立体定向脑电图电极植入术围术期改良精细化护理管理方案的构建及应用[J]. 癫痫与神经电生理学杂志, 2025, 34(3):160-166.
	Guo YJ, Chen XL, Jin H, et al. Construction of a modified refined nursing management protocol for the perioperative period of stereoelectroencephalography(SEEG) electrode im-plantation and its application[J]. J Epileptol Electroneurophy-siology, 2025, 34(3):160-166.
[29]	安丽巧, 陈玉科, 李东明, 等. 多学科协作干预对癫痫青少年过渡期准备水平的影响[J]. 中国护理管理, 2025, 25(2):277-282.
	An LQ, Chen YK, Li DM, et al. Effects of multidisciplinary collaborative intervention on readiness level of adolescents with epilepsy for the transition to adulthood[J]. Chin Nurs Manag, 2025, 25(2):277-282.
[30]	朱宣静, 黄卓凡, 林阳, 等. 福建省重症专科护士培训迁移现状及影响因素的质性研究[J]. 中华急危重症护理杂志, 2025, 6(3):297-302. doi: 10.3761/j.issn.2096-7446.2025.03.006
	Zhu XJ, Huang ZF, Lin Y, et al. A qualitative study on the current situation and influencing factors of training migration of critical care specialist nurses in Fujian Province[J]. Chin J Emerg Crit Care Nurs, 2025, 6(3):297-302.
[31]	李豪, 徐榆林, 林红振, 等. ICU内营养支持专科护士岗位设立及其对重症患者营养管理的效果研究[J]. 中华护理教育, 2025, 22(6):712-718.
	Li H, Xu YL, Lin HZ, et al. Establishment of a nutrition support specialty nurse position in the ICU and its impact on nutritional management of critically ill patients[J]. Chin J Nurs Educ, 2025, 22(6):712-718.
[32]	岳雯静, 王子涵, 江莹, 等. 重症专科护士实施床旁即时肺部超声影响因素的质性研究[J]. 中华急危重症护理杂志, 2024, 5(5):389-394.
	Yue WJ, Wang ZH, Jiang Y, et al. Influencing factors of point-of-care lung ultrasound conducted by intensive care nurses:a qualitative study[J]. Chin J Emerg Crit Care Nurs, 2024, 5(5):389-394.
[33]	靳玉萍, 庄红霞, 陈霞, 等. 神经重症专科护士核心能力评价指标体系的构建[J]. 护理学报, 2022, 29(15):28-32. doi: 10.16460/j.issn1008-9969.2022.15.028
	Jin YP, Zhuang HX, Chen X, et al. Construction of evaluation index system of core competence of neurocritical care nurses[J]. J Nurs China, 2022, 29(15):28-32.