Titler M G
Critical Care Nursing Division, University of Iowa Hospitals and Clinics, Iowa City 52242.
Nurs Clin North Am. 1993 Jun;28(2):459-73.
Research on iatrogenic injuries and technology dependency is sparse in light of the expansive use of technology in health care today. Many of the publications are single case reports of an iatrogenic injury related to a specific type of device. Little has been done to analyze these reports in a collective fashion. Nursing research is especially limited, and most studies were located in the medical literature. The majority of research has been done in pediatric populations with major emphasis on respiratory and nutritional technology. In contrast, little research has been done with adults who are ventilator dependent. Perhaps the paucity of research in this area is related to the Food and Drug Administration (FDA) requirements for technology safety before placement of a device on the health care market with the subsequent assumption by health care personnel that the technology is safe and effective. The challenge for the future is to build programs of nursing research that (1) describe the incidence and nature of iatrogenic injuries associated with technologies that are of high volume and for which many patients are dependent and (2) to tests ways to prevent iatrogenic injuries associated with technologies often used in nursing practice.
鉴于如今医疗保健领域对技术的广泛应用，关于医源性损伤和技术依赖的研究并不多。许多出版物都是关于与特定类型设备相关的医源性损伤的单病例报告。很少有人以集体方式对这些报告进行分析。护理研究尤其有限，大多数研究都发表在医学文献中。大多数研究是在儿科人群中进行的，主要侧重于呼吸和营养技术。相比之下，对于依赖呼吸机的成年人的研究则很少。也许该领域研究匮乏与美国食品药品监督管理局（FDA）对医疗设备投放市场前的技术安全性要求有关，随后医护人员便认为该技术是安全有效的。未来的挑战是建立护理研究项目，（1）描述与大量使用且许多患者依赖的技术相关的医源性损伤的发生率和性质，（2）测试预防护理实践中常用技术相关医源性损伤的方法。
