Guest Mags
University of Hull, Hull, England.
Nurs Stand. 2017 Nov 1;32(10):45-51. doi: 10.7748/ns.2017.e10670.
The transfer of patients from the intensive care unit (ICU) to a general ward can present several challenges for nurses. Such patients are at high risk of adverse outcomes, including readmission to the ICU, and increased nosocomial infections and mortality, with a resultant increase in hospital costs. This article explores the challenges of transferring patients from the ICU and uses evidence to examine ways to address them to ensure optimal care for a complex patient group. Transfer time, factors affecting general ward care, handover processes, recognition of deterioration and education, intensive care outreach, and the psychological factors affecting these patients are examined.
将患者从重症监护病房（ICU）转至普通病房对护士而言可能会带来诸多挑战。这类患者出现不良后果的风险很高，包括再次入住ICU、医院感染增加以及死亡率上升，进而导致医院成本增加。本文探讨了将患者转出ICU的挑战，并运用证据研究应对这些挑战的方法，以确保为这一复杂患者群体提供最佳护理。文中考察了转院时间、影响普通病房护理的因素、交接流程、病情恶化的识别与教育、重症监护延伸服务以及影响这些患者的心理因素。
