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医院到社区过渡阶段患者及家属正确使用无创通气培训的护理干预:一项范围综述

Nursing Interventions for Client and Family Training in the Proper Use of Noninvasive Ventilation in the Transition from Hospital to Community: A Scoping Review.

作者信息

Fernando Jéssica Moura Gabirro, Marçal Margarida Maria Gaio, Ferreira Óscar Ramos, Oliveira Cleoneide, Pedreira Larissa, Baixinho Cristina Lavareda

机构信息

Hospital Vila Franca de Xira, 2600-009 Vila Franca de Xira, Portugal.

Department of Fundamentals of Nursing, Escola Superior de Enfermagem de Lisboa, Nursing School of Lisbon, 1600-190 Lisbon, Portugal.

出版信息

Healthcare (Basel). 2024 Feb 25;12(5):545. doi: 10.3390/healthcare12050545.

DOI:10.3390/healthcare12050545
PMID:38470656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10930648/
Abstract

Noninvasive ventilation is an increasingly disseminated therapeutic option, which is explained by increases in the prevalence of chronic respiratory diseases, life expectancy, and the effectiveness of this type of respiratory support. This literature review observes that upon returning home after hospital discharge, there are difficulties in adhering to and maintaining this therapy. The aim of this study is to identify nursing interventions for client and family training in the proper use of noninvasive ventilation in the transition from hospital to community. A scoping review was carried out by searching MEDLINE, CINAHL, Scopus, and Web of Science. The articles were selected by two independent reviewers by applying the predefined eligibility criteria. Regarding transitional care, the authors opted to include studies about interventions to train clients and families during hospital stay, hospital discharge, transition from hospital to home, and the first 30 days after returning home. The eight included publications allowed for identification of interventions related to masks or interfaces, prevention of complications associated with noninvasive ventilation, leakage control, maintenance and cleaning of ventilators and accessories, respiratory training, ventilator monitoring, communication, and behavioral strategies as transitional care priority interventions to guarantee proper training in the transition from hospital to community.

摘要

无创通气是一种日益普及的治疗选择,这可以通过慢性呼吸道疾病患病率的上升、预期寿命的延长以及这种呼吸支持方式的有效性来解释。这篇文献综述指出,出院回家后,坚持和维持这种治疗存在困难。本研究的目的是确定在从医院到社区的过渡阶段,针对患者及其家属进行正确使用无创通气培训的护理干预措施。通过检索MEDLINE、CINAHL、Scopus和科学网进行了一项范围综述。文章由两名独立评审员根据预先确定的纳入标准进行选择。关于过渡性护理,作者选择纳入有关在住院期间、出院时、从医院到家中的过渡以及回家后前30天对患者及其家属进行培训的干预措施的研究。纳入的八篇出版物使得能够确定与面罩或接口、预防无创通气相关并发症、漏气控制、呼吸机及配件的维护和清洁、呼吸训练、呼吸机监测、沟通以及行为策略等相关的干预措施,作为过渡性护理的优先干预措施,以确保在从医院到社区的过渡阶段进行适当培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/10930648/e532dfc946af/healthcare-12-00545-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/10930648/e532dfc946af/healthcare-12-00545-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/10930648/e532dfc946af/healthcare-12-00545-g001.jpg

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Int J Environ Res Public Health. 2023 Mar 8;20(6):4758. doi: 10.3390/ijerph20064758.
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The right interface for the right patient in noninvasive ventilation: a systematic review.无创通气中适合合适患者的接口:系统评价。
Expert Rev Respir Med. 2022 Aug;16(8):931-944. doi: 10.1080/17476348.2022.2121706. Epub 2022 Sep 23.
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Comparing the quality of care for long-term ventilated individuals at home versus in shared living communities: a convergent parallel mixed-methods study.
比较在家中与共享生活社区中对长期使用呼吸机个体的护理质量:一项收敛平行混合方法研究。
BMC Nurs. 2022 Aug 11;21(1):224. doi: 10.1186/s12912-022-00986-z.
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Internet of things-based home noninvasive ventilation in COPD patients with hypercapnic chronic respiratory failure: study protocol for a randomized controlled trial.基于物联网的 COPD 并高碳酸血症性慢性呼吸衰竭患者家庭无创通气:一项随机对照试验的研究方案。
Trials. 2022 May 12;23(1):393. doi: 10.1186/s13063-022-06372-z.
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Patient Perspectives on Care Transitions From Hospital to Home.患者对从医院到家庭的护理过渡的看法。
JAMA Netw Open. 2022 May 2;5(5):e2210774. doi: 10.1001/jamanetworkopen.2022.10774.
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