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护理学报 ›› 2025, Vol. 32 ›› Issue (5): 65-70.doi: 10.16460/j.issn1008-9969.2025.05.065

• 循证护理 • 上一篇    下一篇

ICU患者躁动行为镇静管理的证据总结

焦雪萍1, 王志稳2, 韩舒羽2, 赵敏3, 刘瑞云3, 刘婷婷3   

  1. 1.中国医学科学院肿瘤医院山西医院/山西省肿瘤医院,山西 太原 030013;
    2.北京大学 护理学院,北京 100038;
    3.山西医科大学 护理学院,山西 太原 030001
  • 收稿日期:2024-10-07 出版日期:2025-03-10 发布日期:2025-04-10
  • 通讯作者: 王志稳(1976-),女,北京人,博士,教授,博士研究生导师,教研室主任,北京大学医学部循证护理研究中心主任。E-mail:wzwjing@bjmu.edu.cn
  • 作者简介:焦雪萍(1986-),女,山西太原人,硕士,主管护师。
  • 基金资助:
    山西省肿瘤医院院级管理及护理专项项目(H202402)

  • Received:2024-10-07 Online:2025-03-10 Published:2025-04-10

摘要: 目的 总结ICU患者躁动行为镇静管理的最佳证据,为规范和优化临床镇静安全提供依据。方法 全面检索中英文相关数据库及学科专业网站(2013年1月—2024年12月),对纳入文献采用相应质量评价工具进行质量评价,经过提取、翻译、整合和修订形成最终证据。结果 共纳入15篇文献。其中指南6篇,专家共识2篇,最佳实践2篇,临床决策2篇,系统评价3篇。从镇静的原则、目标、药物选择、评估和监测、调整和停止5个方面汇总了26条证据。结论 护士需严格掌握ICU患者躁动行为镇静管理相关证据,为实施最佳实践提供明确的循证建议,保证患者安全。

关键词: 重症监护室, 重症患者, 躁动, 镇静, 证据总结, 循证护理

中图分类号: 

  • R473
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