Wiener Barry, Chacko Soosan, Cron Stanley G, Cohen Marlene Z
Lyndon B. Johnson General Hospital, Houston, Texas 77026, USA.
Dimens Crit Care Nurs. 2007 Nov-Dec;26(6):263-8. doi: 10.1097/01.DCC.0000297403.44984.a6.
A consistent pulmonary artery wedge pressure measurement is vital to insure that patients have the proper fluid balance and that the healthcare team obtain accurate information on the patients' ventricular function. This article discusses how guidelines for pulmonary artery wedge pressure measurement were developed and implemented at one facility. To implement and ensure that the guidelines were effective, nurses received a copy of guidelines for pulmonary artery wedge pressure measurement and they were posted in the intensive care unit. A pretest was completed before nurses were given the guidelines, and a posttest was completed after nurses reviewed the guidelines. This fast and simple method of education was found to increase nurses' knowledge of how to measure pulmonary artery wedge pressure. These results are encouraging and warrant extending the teaching techniques to other nurses caring for critically ill patients.
持续的肺动脉楔压测量对于确保患者有适当的液体平衡以及医疗团队获取有关患者心室功能的准确信息至关重要。本文讨论了一家机构如何制定和实施肺动脉楔压测量指南。为了实施并确保指南有效，护士收到了一份肺动脉楔压测量指南副本，并将其张贴在重症监护病房。在给护士提供指南之前完成了一项预测试，在护士审查指南之后完成了一项后测试。结果发现，这种快速简单的教育方法提高了护士对如何测量肺动脉楔压的认识。这些结果令人鼓舞，值得将教学技术推广到其他护理重症患者的护士。
