کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2653185 1563947 2016 6 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Quiet time for mechanically ventilated patients in the medical intensive care unit
ترجمه فارسی عنوان
زمان آرام برای بیماران با تهویه مکانیکی در بخش مراقبت های ویژه پزشکی
کلمات کلیدی
مراقبت‌های ویژه؛ هذیان؛ سر و صدا بیمارستان؛ زمان آرام؛ خواب
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryObjectiveSleep disruption occurs frequently in critically ill patients. The primary aim of this study was to examine the effect of quiet time (QT) on patient sedation frequency, sedation and delirium scores; and to determine if consecutive QTs influenced physiologic measures (heart rate, mean arterial blood pressure and respiratory rate).MethodA prospective study of a quiet time protocol was conducted with 72 adult patients on mechanical ventilation.SettingA Medical Intensive Care Unit (MICU) in the Midwest region of the United States.ResultsSedation was given less frequently after QT (p = 0.045). Those who were agitated prior to QT were more likely to be at goal sedation after QT (p < 0.001). Although not statistically significant, the majority of patients who were negative on the Confusion Assessment Method (CAM-ICU) prior to QT remained delirium free after QT. Repeated measures analysis of variance (ANOVA) for three consecutive QTs showed a significant difference for respiratory rate (p = 0.035).ConclusionQT may influence sedation administration and promote patient rest. Future studies are required to further understand the influence of QT on mechanically ventilated patients in the intensive care unit.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 35, August 2016, Pages 22–27
نویسندگان
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