Nippers Ingrid, Sutton Andrew
Staff Nurse, Spire Methley Park, Spire Healthcare.
Senior Lecturer, University of Huddersfield.
Br J Nurs. 2014;23(7):382-6. doi: 10.12968/bjon.2014.23.7.382.
One of the major causes of critical illness in the UK is the deterioration of respiratory function (British Thoracic Society (BTS), 2008). The administration of supplemental oxygen therapy, although often lifesaving, can also have serious consequences if performed inappropriately. A literature review was carried out to establish whether oxygen therapy was prescribed and administered in acute care in accordance with both national guidelines and local policy. Four common themes were identified from the literature: prescribing, monitoring, administration and equipment. The review suggests that an educational programme ranging from pre-registration curriculum content to the practical experiences of junior doctors with regard to oxygen management would be appropriate. The authors suggest that the current practice of healthcare practitioners should undergo a planned timetable of audit to improve the prescription, administration and monitoring of supplemental oxygen therapy for the benefit of patient outcomes.
在英国，危重病的主要原因之一是呼吸功能恶化（英国胸科学会（BTS），2008年）。补充氧气疗法的实施虽然常常能挽救生命，但如果操作不当也会产生严重后果。开展了一项文献综述，以确定急性护理中氧气疗法的处方和实施是否符合国家指南和当地政策。从文献中确定了四个共同主题：处方、监测、实施和设备。该综述表明，制定一个从预注册课程内容到初级医生氧气管理实践经验的教育计划是合适的。作者建议，医疗从业者的当前做法应按照计划的审核时间表进行，以改善补充氧气疗法的处方、实施和监测，从而改善患者预后。
