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.
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.
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。
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