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Anticholinergic Medication Burden in Pediatric Prolonged Critical Illness: A Potentially Modifiable Risk Factor for Delirium.抗胆碱能药物负担与儿科延长性危重病：谵妄的一个潜在可改变风险因素。
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3
Prolonged Dexmedetomidine Infusion and Drug Withdrawal In Critically Ill Children.危重症儿童中右美托咪定的长时间输注及撤药
J Pediatr Pharmacol Ther. 2017 Nov-Dec;22(6):453-460. doi: 10.5863/1551-6776-22.6.453.
4
Association of the nurse work environment with nurse incivility in hospitals.护士工作环境与医院护士不文明行为的关联。
J Nurs Manag. 2018 Mar;26(2):219-226. doi: 10.1111/jonm.12537. Epub 2017 Oct 9.
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Iatrogenic Opioid Withdrawal in Critically Ill Patients: A Review of Assessment Tools and Management.重症患者的医源性阿片类药物戒断：评估工具与管理综述
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6
We Can Not Compartmentalize Our Patients! Overlapping Symptoms of Iatrogenic Withdrawal Syndrome, Pediatric Delirium, and Anticholinergic Toxidrome.
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7
Withdrawal Assessment Tool-1 Monitoring in PICU: A Multicenter Study on Iatrogenic Withdrawal Syndrome.儿科重症监护病房中戒断评估工具-1监测：医源性戒断综合征的多中心研究
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8
The effect of structural empowerment of nurses on quality outcomes in hospitals: a scoping review.护士的结构赋权对医院质量结果的影响：一项范围综述。
J Nurs Manag. 2017 Apr;25(3):194-206. doi: 10.1111/jonm.12455. Epub 2017 Jan 11.
9
Adult Patients' Experiences of Nursing Care Dependence.
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10
To do good might hurt bad: exploring nurses' understanding and approach to suffering in forensic psychiatric settings.行善可能伤害恶人：探索护士对法医精神病学环境中痛苦的理解与应对方式。
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儿科重症监护病房中患有物质戒断综合征儿童的护理挑战

Challenges in Nursing Care of Children With Substance Withdrawal Syndrome in the PICU.

作者信息

Mattsson Janet, Meijers Johannes, Björling Gunilla

机构信息

Department of Learning, Informatics, Management and Ethics, LIME, Karolinska Institutet, Stockholm, Sweden.

Children's Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.

出版信息

SAGE Open Nurs. 2022 Aug 5;8:23779608221117382. doi: 10.1177/23779608221117382. eCollection 2022 Jan-Dec.

DOI:10.1177/23779608221117382
PMID:35959413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9358588/
Abstract

INTRODUCTION

Substance withdrawal is one of the most common advert events in the Pediatric Intensive Care Unit (PICU), as the administration of potent opiates and sedative drugs is frequently performed several times each day.

OBJECTIVES

The present study explored the challenges in nursing care of children with substance withdrawal syndrome in the PICU.

METHOD

The study has an explorative and descriptive semi-structured qualitative interview design, with a strategic selection of informants. It was conducted at one out of three pediatric intensive care units in Sweden.

RESULTS

Three different main themes were identified describing the different challenges regarding withdrawal symptoms: , , and .

CONCLUSIONS

There is a discrepancy between the medical perspective and the nursing care perspective regarding children in PICU suffering from withdrawal syndrome. The lack of joint guidelines, language, and nursing diagnoses may lead to subjective evaluations and increase suffering for these children.

摘要

引言

物质戒断是儿科重症监护病房（PICU）最常见的不良事件之一，因为强效阿片类药物和镇静药物每天经常要使用好几次。

目的

本研究探讨了PICU中患有物质戒断综合征儿童的护理挑战。

方法

该研究采用探索性和描述性的半结构化定性访谈设计，并对信息提供者进行策略性选择。研究在瑞典三家儿科重症监护病房中的一家进行。

结果

确定了三个不同的主要主题，描述了戒断症状方面的不同挑战： ， ，和 。

结论

在PICU中患有戒断综合征的儿童方面，医学观点和护理观点之间存在差异。缺乏联合指南、沟通语言和护理诊断可能导致主观评估，并增加这些儿童的痛苦。