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分析与 COVID-19 患者机械通气相关的 NOC 结局。

Content analysis of NOC outcomes related to mechanical ventilation in people with COVID-19.

机构信息

Universidade Federal de Goiás, Goiânia, GO, Brazil.

Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2024 Apr 5;58:e20230343. doi: 10.1590/1980-220X-REEUSP-2023-0343en. eCollection 2024.

DOI:10.1590/1980-220X-REEUSP-2023-0343en
PMID:38587402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11000577/
Abstract

OBJECTIVE

To analyze the evidence of content validity of the Nursing Outcomes "Mechanical Ventilation Response: Adult" and "Mechanical Ventilation Weaning Response: Adult", for patients with severe COVID-19.

METHOD

Methodological study developed in two stages: literature review to construct the definitions of the indicators and analysis of the evidence of content validity of the nursing outcomes by a focus group.

RESULTS

All the conceptual and operational definitions developed for the 56 indicators were considered clear and precise. However, 17 indicators were excluded because they were deemed not to be relevant. The definitions of the magnitudes for 17 indicators of the Nursing Outcome "Mechanical Ventilation Response: Adult" and 22 indicators "Mechanical Ventilation Weaning Response: Adult" were thus constructed.

CONCLUSION

The development of definitions and validation by experts makes the use of these outcomes and their indicators more understandable and precise, favoring their use in clinical practice and providing greater detail in assessment and recording.

摘要

目的

分析针对严重 COVID-19 患者的“成人机械通气反应”和“成人机械通气撤机反应”护理结局的内容效度证据。

方法

该方法学研究分两个阶段进行:文献回顾以构建指标定义,以及通过焦点小组分析护理结局的内容效度证据。

结果

为 56 个指标制定的所有概念和操作定义都被认为是清晰和准确的。然而,有 17 个指标被排除,因为它们被认为不相关。因此,构建了护理结局“成人机械通气反应”的 17 个指标和“成人机械通气撤机反应”的 22 个指标的量值定义。

结论

通过专家制定定义和验证,使这些结局及其指标的使用更加易懂和精确,有利于在临床实践中使用,并在评估和记录中提供更详细的信息。

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Facial Pressure Sores in COVID-19 Patients during Prone Positioning: A Case Series and Literature Review.新型冠状病毒肺炎患者俯卧位通气期间的面部压疮:病例系列及文献综述
Plast Reconstr Surg Glob Open. 2022 Oct 12;10(10):e4610. doi: 10.1097/GOX.0000000000004610. eCollection 2022 Oct.
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Factors influencing the length of stay in the moroccan intensive care unit in patients surviving critical COVID-19 infection.影响重症 COVID-19 感染存活患者在摩洛哥重症监护病房住院时间的因素。
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JCI Insight. 2022 Jun 22;7(12):e152629. doi: 10.1172/jci.insight.152629.
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Does COVID-19 infection increase the risk of pressure injury in critically ill patients?: A narrative review.新型冠状病毒肺炎感染是否会增加危重症患者发生压力性损伤的风险?:一项叙述性综述。
Medicine (Baltimore). 2022 Mar 18;101(11). doi: 10.1097/MD.0000000000029058.
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2021 KSCCM clinical practice guidelines for pain, agitation, delirium, immobility, and sleep disturbance in the intensive care unit.2021年美国危重病医学会重症监护病房疼痛、躁动、谵妄、活动受限及睡眠障碍临床实践指南。
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Endothelial Dysfunction in Covid-19 Infection.新型冠状病毒感染中的血管内皮功能障碍。
Am J Med Sci. 2022 Apr;363(4):281-287. doi: 10.1016/j.amjms.2021.12.010. Epub 2022 Jan 31.
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COVID-19 findings in chest computed tomography.COVID-19 在胸部计算机断层扫描中的表现。
Rev Assoc Med Bras (1992). 2021 Oct;67(10):1409-1414. doi: 10.1590/1806-9282.20210414.
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Predictive power of extubation failure diagnosed by cough strength: a systematic review and meta-analysis.咳嗽力量诊断拔管失败的预测能力:系统评价和荟萃分析。
Crit Care. 2021 Oct 12;25(1):357. doi: 10.1186/s13054-021-03781-5.
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Prevalence and clinical consequences of atelectasis in SARS-CoV-2 pneumonia: a computed tomography retrospective cohort study.严重急性呼吸综合征冠状病毒 2 型肺炎中肺不张的患病率及其临床后果:一项计算机断层扫描回顾性队列研究。
BMC Pulm Med. 2021 Aug 17;21(1):267. doi: 10.1186/s12890-021-01638-9.
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Eur Respir J. 2021 Mar 25;57(3). doi: 10.1183/13993003.00274-2021. Print 2021 Mar.