Coyer Fiona M, Wheeler Margaret K, Wetzig Sharon M, Couchman Bronwyn A
Queensland University of Technology, Victoria Park Rd., Brisbane, Queensland 4059, Australia.
Intensive Crit Care Nurs. 2007 Apr;23(2):71-80. doi: 10.1016/j.iccn.2006.08.004. Epub 2006 Oct 30.
The care of the mechanically ventilated patient is a fundamental component of a nurse's clinical practice in the intensive care unit (ICU). Published work relating to the numerous nursing issues of the care of the mechanically ventilated patient in the ICU is growing significantly, yet is fragmentary by nature. The purpose of this paper is to provide a single comprehensive examination of the evidence related to the care of the mechanically ventilated patient. In part one of this two-part paper, the evidence on nursing care of the mechanically ventilated patient was explored with specific focus on patient safety: particularly patient and equipment assessment. This article, part two, examines the evidence related to the mechanically ventilated patient's comfort: patient position, hygiene, management of stressors (such as communication, sleep disturbance and isolation), pain management and sedation.
对机械通气患者的护理是重症监护病房（ICU）护士临床实践的基本组成部分。关于ICU中机械通气患者护理的众多护理问题的已发表研究显著增加，但本质上是零散的。本文的目的是对与机械通气患者护理相关的证据进行全面审查。在这篇分为两部分的论文的第一部分中，探讨了机械通气患者护理的证据，特别关注患者安全，尤其是患者和设备评估。本文第二部分将审视与机械通气患者舒适度相关的证据：患者体位、卫生、应激源管理（如沟通、睡眠障碍和隔离）、疼痛管理和镇静。
