• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Resuscitation. >A pilot study of key nursing aspects with different cooling methods and devices in the ICU.
【24h】

A pilot study of key nursing aspects with different cooling methods and devices in the ICU.

机译：对ICU中采用不同冷却方法和设备的关键护理方面进行了初步研究。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

INTRODUCTION: Therapeutic hypothermia (TH) has become an integrated part of neurointensive care. Still, little data exists on the actual experience with cooling patients in the ICU from the intensive care nurse (ICN) perspective. The purpose of this survey was to evaluate important nursing aspects with different cooling methods and devices in ICU use. MATERIALS AND METHODS: The ICNs used a four-point rating scale (1=worst, 4=best possible) to evaluate (a) ease of application, (b) visual patient monitoring, (c) work load, (d) hygiene and (e) noise level with four cooling methods used in our ICU. Our simple, initial method of towels soaked in iced water spread over the torso was compared to three commercial cooling methods used; (1) Coolgard 3000 (Alsius, Irvine, USA), (2) Thermowrap (MTRE, Yavne, Israel) and (3) Artic Sun (Medivance, Louisville, USA). RESULT: There were significant differences in how the ICNs rated the nursing aspects of the different cooling methods. Ice-water soaked towels over the torso scored high with respect to ease of application and noise level. For work-load, all the three commercial devices scored significantly better than ice-water soaked towels (P<0.05). Only the Coolgard 3000 system scored significantly better than ice-water soaked towels for visual patient monitoring (P<0.001). For hygienic aspects, Artic Sun and Coolgard scored significantly higher than the others (P<0.05). Overall, the ICNs involved felt they had a general good understanding of TH but were only partly prepared in terms of training and knowledge of protocols and complications when TH was introduced in our ICU. The majority felt the new cooling protocol was acceptable. CONCLUSION: We identified significant differences in the rating of key nursing aspects of the different cooling methods. More studies on implementation of new cooling methods and devices seem warranted.
机译：简介：低温治疗（TH）已成为神经重症监护的重要组成部分。但是，从重症监护护士（ICN）的角度来看，有关冷却ICU患者的实际经验的数据很少。这项调查的目的是评估重症监护病房使用不同冷却方法和设备的重要护理方面。材料与方法：ICN使用四点评分量表（1 =最差，4 =最佳）来评估（a）易于应用，（b）目视病人监护，（c）工作量，（d）卫生和（e）ICU使用的四种冷却方法的噪音水平。我们将简单的初始毛巾浸入在躯干中的冰水中浸泡的方法与使用的三种商用冷却方法进行了比较。 （1）Coolgard 3000（美国尔湾的Alsius，美国），（2）Therwwrap（以色列的Yavne的MTRE）和（3）Artic Sun（美国的路易斯维尔的Medivance）。结果：ICN如何评估不同冷却方法的护理方面存在显着差异。就易于使用和噪音水平而言，在躯干上方用冰水浸泡的毛巾得分很高。就工作量而言，所有三种商用设备的得分均明显优于冰水浸泡的毛巾（P <0.05）。在视觉患者监控方面，只有Coolgard 3000系统的得分明显优于冰水浸湿的毛巾（P <0.001）。在卫生方面，Sun Art和Coolgard的得分明显高于其他得分（P <0.05）。总体而言，所涉及的ICN认为他们对TH有大致的了解，但在我们的ICU中引入TH时，只是在培训以及对规程和并发症的了解方面仅作了部分准备。大多数人认为新的冷却方案是可以接受的。结论：我们发现不同的降温方法在关键护理方面的评分存在显着差异。似乎有必要对新的冷却方法和设备的实施进行更多研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号