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[梗死相关心源性休克患者的重症监护:S1指南节略版]

[Intensive care of patients with [infarct-related] cardiogenic shock : Abridged version of the S1 guideline].

作者信息

Hermes C, Ochmann T, Keienburg C, Kegel M, Schindele D, Klausmeier J, Adrigan E

机构信息

Hochschule für Angewandte Wissenschaften Hamburg (HAW Hamburg), Alexanderstraße 1, 20099, Hamburg, Deutschland.

Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, kath. Marienkrankenhaus Hamburg, Hamburg, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2022 Sep;117(Suppl 2):25-36. doi: 10.1007/s00063-022-00945-1.

Abstract

BACKGROUND

Cardiovascular diseases and (infarct-related) cardiogenic shock are among the most frequent causes of death in Germany. Adequate clinical care often poses great challenges for hospitals. The complex care of patients in a multi-professional team places high demands on all those involved in the care process. Since nurses in particular are in close contact with patients and play a decisive role in shaping and controlling therapy, a national (intensive) care guideline is urgently needed.

METHODS

Within the framework of the guideline programme of the Association of the Scientific Medical Societies in Germany (AWMF), an S1 guideline was developed with the participation of six professional societies and published in May 2022. The guideline group defined relevant topics, which were processed through a systematic literature search in peer-reviewed journals. Based on the S1 classification, no separate evidence review was conducted. A formal consensus-building process was used to classify the recommendations.

RESULTS

The guideline contains 36 recommendations ranging from nursing care in the central emergency department to the cardiac catheterisation laboratory, intensive care unit and follow-up care. In addition, recommendations are made on the necessary qualifications and structural requirements in the respective areas in order to ensure a high-quality (nursing) care process.

CONCLUSION

This is the first national intensive care guideline. It is aimed at nurses involved in the care of patients with (infarct-related) cardiogenic shock. The guideline is valid until 30.12.2026.

摘要

背景

心血管疾病和(与梗死相关的)心源性休克是德国最常见的死亡原因之一。充分的临床护理对医院来说往往是巨大的挑战。在多专业团队中对患者进行复杂护理对护理过程中的所有相关人员都提出了很高的要求。特别是护士与患者密切接触,在塑造和控制治疗方面起着决定性作用,因此迫切需要一项全国性(重症)护理指南。

方法

在德国科学医学协会联合会(AWMF)的指南计划框架内,由六个专业协会参与制定了一项S1指南,并于2022年5月发布。指南小组确定了相关主题,并通过在同行评审期刊上进行系统的文献检索来处理这些主题。根据S1分类,未进行单独的证据审查。采用正式的共识建立过程对建议进行分类。

结果

该指南包含36项建议,范围从中央急诊科的护理到心脏导管实验室、重症监护病房和后续护理。此外,还针对各个领域的必要资质和结构要求提出了建议,以确保高质量的(护理)护理过程。

结论

这是第一项全国性重症护理指南。它针对参与(与梗死相关的)心源性休克患者护理的护士。该指南有效期至2026年12月30日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6110/9468128/acd84cf3f1d8/63_2022_945_Fig1_HTML.jpg

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