ICU医疗设备警报管理策略及应用成效的范围综述

doi:10.3761/j.issn.2096-7446.2024.12.013

摘要/Abstract

摘要： 目的对ICU医疗设备警报管理策略及其应用成效进行范围综述,为优化临床警报管理实践提供参考。方法采用Arksey和O`Malley的范围综述方法为框架,检索中国知网、万方数据库、维普数据库、PubMed、Web of Science核心合集、Embase、EBSCO数据库中ICU医疗设备警报管理相关研究,检索时限为建库至2024年6月30日。对纳入文献进行筛选,并对警报管理策略进行归纳。结果纳入30篇文献,干预策略主要为护士主导的多学科协作、集束化警报管理策略、护士培训教育、警报管理制度流程优化,干预后总警报数量降低11.2%~88.5%、警报持续时间缩短、护士警报管理知识和能力得到提升,护士警报疲劳程度改善存在差异。结论警报管理能显著提升ICU警报管理质量,优化警报管理的关键重在提升ICU护士的主导能力,以及团队合作的规范化管理;而管理的目的仍以患者安全为首,兼顾护理人员的警报疲劳。

关键词: 重症监护病房, 临床警报, 警报管理, 危重病护理, 范围综述

Abstract: Objective To conduct a scoping review of ICU medical equipment alarm management strategies and their effectiveness to provide reference for optimize medical equipment alarm management. Methods Using the Arksey and O‘Malley framework,studies related to ICU alarm management were retrieved from databases including CNKI,VIP,WanFang,PubMed,Web of Science,Embase and EBSCO. The search period covered the database establishment up to June 30,2024. The included literature was screened,and the alarm management strategies were categorized. Results 30 studies were included,the intervention strategies focused on nurse-led multidisciplinary collaboration,alarm management bundle,nurse training and education,and optimization of alarm management procedures. After the intervention,the number of alarms decreased by 11.2% to 88.5%,alarms duration was shortened,nurses‘ knowledge and skills in alarm management improved,and nurse alarm fatigue outcome varied. Conclusion Effective alarm management can greatly improve ICU alarm quality. Optimizing it requires strengthening ICU nurses‘ leadership and standardizing team collaboration. The main goal remains patient safety,with consideration for reducing alarm fatigue among nurses.

Key words: Intensive Care Unit, Clinical Alarms, Alarm Management, Critical Care Nursing, Scoping Review

郭芝廷, 唐佳迎, 张玉萍, GyuminHan, ChitchanokBenjasirisan, AtembeshuMirandaFondem, AlineAparecidaMonroe, 金静芬. ICU医疗设备警报管理策略及应用成效的范围综述[J]. 中华急危重症护理杂志, 2024, 5(12): 1130-1137.

GUO Zhiting, TANG Jiaying, ZHANG Yuping, Gyumin Han, Chitchanok Benjasirisan, Atembeshu Miranda Fondem, Aline Aparecida Monroe, JIN Jingfen. A scoping review of ICU medical equipment alarm management strategies and effectiveness[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(12): 1130-1137.

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