低价值护理“去实施化”在危重症领域的研究进展

doi:10.3761/j.issn.2096-7446.2025.01.009

摘要/Abstract

摘要：

低价值护理（low-value care，LVC）“去实施化”指通过移除、替换、减少或限制等方式摒弃无效或低效的护理服务。ICU患者病情危重，因此实施高效安全的治疗和护理尤为重要。LVC“去实施化”有利于促进ICU护理管理和质量改进，节约经济成本和减轻工作负担。该研究通过综述LVC“去实施化”科学的概念、危重症领域的“明智选择”运动及相关研究、ICU变革策略及对LVC“去实施化”的思考等，旨在为中国ICU质量改进和护理管理提供参考，未来应在制订符合中国ICU低价值服务清单及研发评估ICU低价值服务的决策工具等方面做进一步研究。

关键词: 低价值护理, 去实施化, 危重病护理, 综述文献（主题）

Abstract:

The de-implementation of low-value care（LVC） refers to the elimination of ineffective or inefficient care services by removing，replacing，reducing，or limiting. ICU patients are critically ill，so it is important to implement efficient and safe treatment and care. The de-implementation of LVC is conducive to promoting ICU management and quality improvement，saving economic costs and reducing work burden. This article aims to provide a reference for ICU quality improvement and nursing management in China by reviewing the concept of LVC de-implementation science，the “Choosing Wisely” in the field of critical care and related research，the ICU reform strategy，and the thinking on LVC de-implementation.In the future，further research should be conducted in formulating a list of LVC services in ICUs suitable for China and developing decision-making tools for evaluating LVC services in ICUs.

Key words: Low-value Care, De-Implementation, Critical Care Nursing, Review Literature as Topic

宋亚奇, 钟娟平, 程斐然, 任李媛, 左倩倩, 魏政勇, 豆欣蔓. 低价值护理“去实施化”在危重症领域的研究进展[J]. 中华急危重症护理杂志, 2025, 6(1): 65-69.

SONG Yaqi, ZHONG Juanping, CHENG Feiran, REN Liyuan, ZUO Qianqian, WEI Zhengyong, DOU Xinman. Research progress in the field of de-implementation of low-value care in the field of critical care[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 65-69.

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