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印度一家三级护理医院重症监护护理人员对脑电双频指数监测系统的认知情况。

Awareness of bispectral index monitoring system among the critical care nursing personnel in a tertiary care hospital of India.

作者信息

Thakur Shikha, Kaur Tarandeep, Kaur Sukhpal, Bhagat Hemant, Narayanan Sandhya, Bhardwaj Neerja, Wig Jyotsna

机构信息

Department of Nursing, National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, India.

出版信息

Indian J Anaesth. 2011 Nov;55(6):563-6. doi: 10.4103/0019-5049.90609.

DOI:10.4103/0019-5049.90609
PMID:22223898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3249861/
Abstract

BACKGROUND

Bispectral index monitoring system (BIS) is one of the several systems used to measure the effects of anaesthetic and sedative drugs on the brain and to track changes in the patient's level of sedation and hypnosis. BIS monitoring provides information clinically relevant to the adjustment of dosages of sedating medication. It can help the nursing personnel in preventing under- and over sedation among intensive care unit (ICU) patients.

OBJECTIVE

The present study was conducted to assess the knowledge of nursing personnel working in the ICU regarding BIS.

METHODS

Fifty-four subjects participated in the study. A structured questionnaire was developed to assess the knowledge of the nursing personnel regarding BIS. Focus group discussions were held among the nursing personnel to know their views regarding BIS.

RESULTS

Mean age (years) of the subjects was 30.7±7.19 (21-47) years, with a female preponderance. Although the use of BIS in ICU is not common, majority (94.44%) were aware of BIS and its purpose. 79.62% of the subjects knew about its implication in patient care. The mean knowledge score of the subjects was 11.87±2.43 (maximum score being 15).

CONCLUSION

There exists an awareness among the critical care nursing staff in our institution regarding BIS and its clinical implications. Its use in the critical care setting may benefit the patients in terms of providing optimal sedation.

摘要

背景

脑电双频指数监测系统(BIS)是用于测量麻醉和镇静药物对大脑的作用以及追踪患者镇静和催眠水平变化的几种系统之一。BIS监测提供与调整镇静药物剂量临床相关的信息。它可以帮助护理人员预防重症监护病房(ICU)患者的镇静不足和过度镇静。

目的

本研究旨在评估ICU护理人员对BIS的了解情况。

方法

54名受试者参与了本研究。设计了一份结构化问卷来评估护理人员对BIS的了解情况。在护理人员中进行了焦点小组讨论,以了解他们对BIS的看法。

结果

受试者的平均年龄为30.7±7.19(21 - 47)岁,女性占多数。虽然BIS在ICU的使用并不普遍,但大多数(94.44%)了解BIS及其用途。79.62%的受试者知道其在患者护理中的意义。受试者的平均知识得分为11.87±2.43(满分15分)。

结论

我们机构的重症护理人员对BIS及其临床意义存在一定认识。在重症护理环境中使用BIS可能在提供最佳镇静方面使患者受益。

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本文引用的文献

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Use of bispectral index system (BIS) to Monitor Enteral Conscious (moderate) sedation during general dental procedures.使用脑电双频指数系统(BIS)监测一般牙科手术期间的肠内清醒(中度)镇静。
J Can Dent Assoc. 2009 Dec;75(10):709.
2
Potential benefits of bispectral index monitoring in critical care. A case study.双谱指数监测在重症监护中的潜在益处。一项案例研究。
Crit Care Nurse. 2003 Aug;23(4):45-52.
3
Sedation in the intensive care unit: a systematic review.重症监护病房中的镇静:一项系统综述。
JAMA. 2000 Mar 15;283(11):1451-9. doi: 10.1001/jama.283.11.1451.
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Survivors, beware of posttraumatic stress disorder: What shall we tell the Men in Black?幸存者们,谨防创伤后应激障碍:我们该如何告知黑衣特工?
Crit Care Med. 1998 Apr;26(4):634-5. doi: 10.1097/00003246-199804000-00004.
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Clinical usefulness of the bispectral index for titrating propofol target effect-site concentration.
Anaesthesia. 1998 Jan;53(1):4-12. doi: 10.1111/j.1365-2044.1998.00279.x.