MetroHealth Medical Center, Cleveland, OH, USA.
J Neurosci Nurs. 2010 Apr;42(2):71-7; quiz 78-9. doi: 10.1097/jnn.0b013e3181ce5b8a.
Neuroscience intensive care unit (ICU) nurses deliver a number of interventions when caring for critically ill traumatic brain injury (TBI) patients. Yet, there is little research evidence documenting specific nursing interventions performed. As part of a larger study investigating ICU nurse judgments about secondary brain injury, ICU nurses were asked to identify interventions routinely performed when caring for TBI patients. Quantitative and qualitative analyses indicate that all nurses routinely monitored hemodynamic parameters such as oxygen saturation, blood pressure, and temperature. Nurses were responsible for monitoring intracranial pressure and cerebral perfusion pressure approximately 50% of the time. Qualitative analyses revealed that additional nursing interventions could be categorized as neurophysiological interventions, psychosocial interventions, injury prevention interventions, and interventions to maintain a therapeutic milieu. Findings from this study provide evidence of the multifaceted role of the neuroscience ICU nurse caring for TBI patients and can be used in future research investigating the impact of nursing interventions on patient outcomes.
神经科学重症监护病房（ICU）护士在护理危重症创伤性脑损伤（TBI）患者时会实施多项干预措施。然而，很少有研究证据记录具体的护理干预措施。作为一项调查 ICU 护士对继发性脑损伤判断的更大研究的一部分，要求 ICU 护士识别在护理 TBI 患者时常规进行的干预措施。定量和定性分析表明，所有护士都例行监测血氧饱和度、血压和体温等血流动力学参数。大约 50%的时间内，护士负责监测颅内压和脑灌注压。定性分析显示，其他护理干预措施可以归类为神经生理学干预、心理社会干预、损伤预防干预以及维持治疗环境的干预。这项研究的结果提供了证据，证明了神经科学 ICU 护士在护理 TBI 患者方面的多方面角色，并可用于未来研究中，调查护理干预对患者结局的影响。
