重症监护中的ABCDEF集束化护理
The ABCDEF Bundle in Critical Care.
作者信息
Marra Annachiara, Ely E Wesley, Pandharipande Pratik P, Patel Mayur B
机构信息
Center for Health Services Research, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, University of Naples Federico II, 1215 21st Avenue South, Medical Center East, Suite 6100, Nashville, TN 37232-8300, USA.
VA GRECC, Center for Health Services Research, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, Suite 6109, Nashville, TN 37232-8300, USA.
出版信息
Crit Care Clin. 2017 Apr;33(2):225-243. doi: 10.1016/j.ccc.2016.12.005.
Abstract
The ABCDEF bundle represents an evidence-based guide for clinicians to approach the organizational changes needed for optimizing intensive care unit patient recovery and outcomes. This article reviews the core evidence and features behind the ABCDEF bundle. The bundle has individual components that are clearly defined, flexible to implement, and help empower multidisciplinary clinicians and families in the shared care of the critically ill. The ABCDEF bundle helps guide well-rounded patient care and optimal resource utilization resulting in more interactive intensive care unit patients with better controlled pain, who can safely participate in higher-order physical and cognitive activities at the earliest point in their critical illness.
摘要
ABCDEF集束化治疗方案是为临床医生提供的循证指南，以指导实现优化重症监护病房患者康复及改善预后所需的组织变革。本文回顾了ABCDEF集束化治疗方案背后的核心证据及特点。该集束化治疗方案的各个组成部分定义明确、易于实施，有助于增强多学科临床医生及家属在危重症患者共同照护中的作用。ABCDEF集束化治疗方案有助于指导全面的患者护理及优化资源利用，从而使重症监护病房的患者更具互动性，疼痛得到更好控制，能够在危重症病程的最早阶段安全地参与更高层次的身体和认知活动。
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