家属参与式人文护理对预防重症患者ICU后综合征的研究进展

doi:10.3761/j.issn.2096-7446.2023.10.018

摘要/Abstract

摘要： 家属参与式人文护理是指家属参与重症患者疾病治疗与康复过程中的新型护理干预模式,以预防ICU后综合征。该文从家属参与式人文护理的内涵、应用方式及应用效果等方面进行综述,以期为国内重症领域进一步优化家属参与式人文护理相关实践提供参考,切实减少ICU后综合征发生,改善患者结局。

关键词: 家属参与, 人文护理, ICU后综合征, 危重病护理, 综述文献（主题）

Abstract: Family participatory humanistic nursing refers to a new nursing intervention mode in which family members participate in the treatment and rehabilitation process of critically ill patients in order to prevent post-ICU syndrome. This article reviews the connotation,application mode and application effects of family participatory humanistic nursing in order to provide reference for further optimizing the practice of family participatory humanistic nursing in the field of critical illness in China,and to effectively reduce the occurrence of post-ICU syndrome and improve the outcome of patients.

Key words: Family Participation, Humanistic Care, Post-Intensive Care Syndrome, Critical Care Nursing, Review Literature as Topic

谷瑞媛, 胡乔书, 靳珂, 谷瑞梦, 陈嘉. 家属参与式人文护理对预防重症患者ICU后综合征的研究进展[J]. 中华急危重症护理杂志, 2023, 4(10): 956-960.

GU Ruiyuan, HU Qiaoshu, JIN Ke, GU Ruimeng, CHEN Jia. Research progress of family participatory humanistic nursing care in preventing post-ICU syndrome in critically ill patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(10): 956-960.

参考文献

[1] 田漫漫,晁彦公. ICU的紧迫课题:人文关怀[J]. 医学与哲学,2019,40(20):46-48.
Tian MM,Chao YG.The urgent topic of intensive care unit:humanistic care[J]. Med Philos,2019,40(20):46-48.
[2] Needham DM,Davidson J,Cohen H,et al.Improving long-term outcomes after discharge from intensive care unit:report from a stakeholders' conference[J]. Crit Care Med,2012,40(2):502-509.
[3] Desai SV,Law TJ,Needham DM.Long-term complications of critical care[J]. Crit Care Med,2011,39(2):371-379.
[4] 米洁,张川林,赵庆华. 家属参与式人文护理在ICU患者中的应用研究[J]. 中国护理管理,2021,21(3):321-324.
Mi J,Zhang CL,Zhao QH.Humanistic care with family participation for ICU patients[J]. Chin Nurs Manag,2021,21(3):321-324.
[5] 许娟,莫蓓蓉,胡玉娜,等. 重症监护病房成人患者护理人文关怀专家共识[J]. 护理学杂志,2022,37(18):1-4.
Xu J,Mo BR,Hu YN,et al.Expert consensus on nursing human caring for ICU adult patients[J]. J Nurs Sci,2022,37(18):1-4.
[6] Zhang YC,Zhao L,Zhang M,et al.Framework of humanistic care for patients in the ICU:a preliminary study[J]. Nurs Crit Care,2022:1-9.
[7] Schwartz AC,Dunn SE,Simon HFM,et al.Making family-cen-tered care for adults in the ICU a reality[J]. Front Psychiatry,2022,13:837708.
[8] Ahmad MH,Teo SP.Post-intensive care syndrome[J]. Ann Ge-riatr Med Res,2021,25(2):72-78.
[9] Vincent JL,Shehabi Y,Walsh TS,et al.Comfort and patient-centred care without excessive sedation:the eCASH concept[J]. Intensive Care Med,2016,42(6):962-971.
[10] 李莉. 基于eCASH理念的镇静、镇痛护理在ICU机械通气病人中的应用[J]. 护理研究,2021,35(16):2895-2899.
Li L.Application of sedation and analgesia nursing based on the eCASH concept for mechanically ventilated ICU patients[J]. Chin Nurs Res,2021,35(16):2895-2899.
[11] Donovan AL,Aldrich JM,Gross AK,et al.Interprofessional care and teamwork in the ICU[J]. Crit Care Med,2018,46(6):980-990.
[12] JOHNSON BHAM.Partnering with patients,residents,and fa-milies;a resource for leaders of hospitals,ambulatory care settings,and long-term care communities[EB/OL]. https://www.ipfcc.org/about/pfcc.html.
[13] Piscitello GM,Fukushima CM,Saulitis AK,et al.Family meet-ings in the intensive care unit during the coronavirus disease 2019 pandemic[J]. Am J Hosp Palliat Care,2021,38(3):305-312.
[14] Loeslie V,Abcejo MS,Anderson C,et al.Implementing family meetings into a respiratory care unit:a care and communi-cation quality improvement project[J]. Dimens Crit Care Nurs,2017,36(3):157-163.
[15] Glajchen M,Goehring A,Johns H,et al.Family meetings in palliative care:benefits and barriers[J]. Curr Treat Options Oncol,2022,23(5):658-667.
[16] 江薇,郑叶平. 多元化阶段式宣教模式对ICU患者家属疾病不确定感的影响[J]. 解放军护理杂志,2016,33(4):73-76.
Jiang W,Zheng YP.Influence of diversified stage of edu-cation mode on the uncertainty of family members of ICU patients[J]. Nurs J Chin People's Liberation Army,2016,33(4):73-76.
[17] 王红,毛雪娟. 多元化健康教育联合情感支持对ICU清醒患者的影响[J]. 中国医药导报,2021,18(4):172-175.
Wang H,Mao XJ.Effect of diversified health education and emotional support on conscious patients in ICU[J]. China Med Her,2021,18(4):172-175.
[18] 台瑞,方芳,杨富,等. 综合重症监护室患者过渡期护理方案的构建与应用[J]. 解放军护理杂志,2021,38(3):10-13.
Tai R,Fang F,Fu Y,et al.Design and implementation of a transitional care plan in comprehensive intensive care unit[J]. Nurs J Chin PLA,2021,38(3):10-13.
[19] Zhan YX,Yu JH,Chen Y,et al.Family caregivers' experie-nces and needs of transitional care during the transfer from intensive care unit to a general ward:a qualitative study[J]. J Nurs Manag,2022,30(2):592-599.
[20] 邓小春,蒋运兰,马群华,等. 全程个性化信息支持护理在患者ICU后综合征预防中的应用[J]. 中国中医药现代远程教育,2022,20(18):135-139.
Deng XC,Jiang YL,Ma QH,et al.The application of whole-process personalized information support nursing in the prevention of post-intensive care syndrome[J]. Chin Med Mod Distance Educ China,2022,20(18):135-139.
[21] 万娜,常鑫儿,张春艳,等. ICU后门诊的建立与运行实践[J].中国护理管理,2021,21(4):566-569.
Wan N,Chang XE,Zhang CY,et al.Practice of establishment and operation of post-ICU clinic[J]. Chin Nurs Manag,2021, 21(4):566-569.
[22] 梁诗雨,张宇翔,邵乐文,等. 基于多学科团队的ICU后门诊的研究进展[J]. 护理研究,2023,37(7):1222-1227.
Liang SY,Zhang YX,Shao LW,et al.Research progress on post-ICU clinics based on multi-disciplinary team[J]. Chin Nurs Res,2023,37(7):1222-1227.
[23] 潘众喜. 家属参与式护理模式在ICU清醒患者护理中的应用研究[D]. 石家庄:河北医科大学,2020.
Pan ZX.Study on the application of family participatory nursing model in ICU awake patient care[D]. Shijiazhuang:Hebei Medical University,2020.
[24] 韩汝宁,李秀川,彭雅琴. 家属参与危重症患者早期运动的效果研究[J]. 牡丹江医学院学报,2021,42(2):83-87,119.
Han RN,Li XC,Peng YQ.Study on the effect of family members participating in early exercise of critically ill patients[J]. J Mudanjiang Med Univ,2021,42(2):83-87,119.
[25] Gazzato A,Scquizzato T,Imbriaco G,et al.The effect of inte-nsive care unit diaries on posttraumatic stress disorder,anxiety,and depression:a systematic review and meta-analysis of randomized controlled trials[J]. Dimens Crit Care Nurs,2022,41(5):256-263.
[26] Garrouste-Orgeas M,Flahault C,Vinatier I,et al.Effect of an ICU diary on posttraumatic stress disorder symptoms among patients receiving mechanical ventilation:a randomized clini-cal trial[J]. JAMA,2019,322(3):229-239.
[27] Lee M,Kang J,Jeong YJ.Risk factors for post-intensive care syndrome:a systematic review and meta-analysis[J]. Aust Crit Care,2020, 33(3):287-294.
[28] 卞红,刘海英,俞萍,等. 基于eCASH理念的最小化镇静策略联合早期目标导向活动在ICU机械通气患者中的应用[J]. 中国护理管理,2022,22(1):124-128.
Bian H,Liu HY,Yu P,et al.Implementation of the minimal sedation strategy combined with early goal-oriented mobiliza-tion based on the eCASH principle in ICU patients under-going mechanical ventilation[J]. Chin Nurs Manag,2022,22(1):124-128.
[29] Deng LX,Cao L,Zhang LN,et al.Non-pharmacological inter-ventions to reduce the incidence and duration of delirium in critically ill patients:a systematic review and network meta-analysis[J]. J Crit Care,2020,60:241-248.