Johnny Isenberger, Dawn Carpenter, Alexander Menard, Gregg A. Stevens, Danielle Hebert
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引用次数: 0
摘要
目的对重症监护病房（ICU）幸存者回归社区的评估和干预措施相关证据进行系统回顾。数据来源检索Medline、CINAHL、Scopus、Cochrane Central Register of Controlled Trials和Cochrane Reviews，检索关于重症监护后综合征（PICS）、监护过渡和重症监护幸存者的出版物。结果共纳入17191条文献65条。共病管理、用药管理、PICS评估、充分沟通等四个主题出现。结论明确沟通、管理合并症和PICS、药物管理有助于转变。研究标准化的护理途径、沟通工具、ICU药物管理方案和PICS干预措施。
A Systematic Review of Transitional Care Visits After Critical Illness
Objective
To conduct a systematic review of the evidence regarding assessment and interventions to assist intensive care unit (ICU) survivors’ transition back into the community.
Data Sources
Ovid Medline, CINAHL, Scopus, Cochrane Central Register of Controlled Trials, and Cochrane Reviews were searched for publications about post–intensive care syndrome (PICS), transition of care, and intensive care survivors.
Results
Of the 17,191 articles 65 were included. Four themes emerged: comorbidity management, medication management, PICS assessment, and adequate communication
Conclusions
Clear communication, managing comorbidities and PICS, and medication management can help the transition.
Implications
A standardized care pathway, communication tool, ICU medication stewardship programs, and PICS interventions should be studied.
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