Critical care ultrasonography: the development and clinical practise in ICU nursing / 中国实用护理杂志

Objective@#To establish a practical framework for critical ultrasonography to provide a basis for clinical practice.@*Methods@#With reference to domestic and foreign literature, expert interviews and research groups developed a preliminary draft of the practice framework for critical ultrasonography, and conducted two rounds of consultation using the Delphi method.@*Results@#A practical framework for critical ultrasonography was developed, including 5 primary indicators and 20 secondary indicators. In the two rounds of expert consultation, the expert′s positive coefficient was 100% and the authoritative coefficient was 0.836.@*Conclusions@#Expert opinion has good coordination and high authority, which can provide clinical basis for ICU nurses to carry out ultrasound examination.

The negative effects of atomization inhalation in mechanical ventilation patients:a retrospective study / 中国实用护理杂志

Objective To analyze and discuss the negative effects of atomization inhalation in mechanical ventilation patients in intensive care unit. Methods A retrospective study of all the mechanical ventilation patients in the general ICU of our hospital was carried out from Aprilto December 2015. The risk of multidrug-resistant organisms(MDROs)colonizationin the lower respiratory tract and ventilation associated pneumonia(VAP)in mechanical ventilation patients were analyzed. Results A total of 922 patients were monitored, 160 of whom had atomization inhalation, 92 for MDROs colonizationin the lower respiratory tract and 18 for VAP. The rates ofatomization inhalation in patients with and without MDROs colonizationin the lower respiratory tract were 30.4%(28/92)and 15.9%(132/830)with statistical difference (χ2=12.193, P=0.000). And those in patients with and without VAP were 50.0%(9/18) and 16.7%(151/904), with statistical difference (χ2=11.420, P=0.000). Atomization inhalation was the independent risk factor both of MDROs colonizationin the lower respiratory tract(OR=1.917, 95%CI1.163-3.159, P=0.011) and VAP(OR=4.613, 95%CI 1.773-12.002, P=0.000) in mechanical ventilation patients. Conclusions Atomization inhalation may increase the risk of MDROs colonizationin the lower respiratory tract and VAP in mechanical ventilation patients. Thus unnecessary and too frequent operations of atomization inhalation should be decreased.

Principales aspectos clínicos en niños y adolescentes con insuficiencia renal aguda / Main clinical aspects in children and adolescents with acute renal failure

Se realizó un estudio descriptivo y transversal de 12 pacientes con insuficiencia renal aguda, egresados del Hospital Infantil Norte Docente "Dr. Juan de la Cruz Martínez Maceira" de Santiago de Cuba, desde julio del 2008 hasta igual mes del 2010, con vistas a caracterizar algunos aspectos clínicos en la casuística. Entre las variables analizadas figuraron: edad, sexo, causa de la enfermedad, estadía hospitalaria, tipo de tratamiento y acciones de enfermería. La información se procesó de manera automatizada mediante el sistema SPSS versión 11,0. Para la realización de los cálculos estadísticos se utilizaron como medidas de resumen, el número absoluto y los porcentajes. En la serie prevalecieron los afectados del sexo masculino (58,3 %) y menores de 1 año (41,7 %). Se demostró que la causa fundamental del fallo renal agudo fue la sepsis (25 %), lo cual estuvo relacionado con largas estadías hospitalarias.

A descriptive and cross-sectional study of 12 patients with acute renal failure, discharged from "Dr. Juan of the Cruz Martínez Maceira" Teaching Northern Hospital in Santiago de Cuba was carried out from July, 2008 to the same month of 2010, aimed at characterizing some clinical aspects in the case material. Age, sex, causes of the disease, hospital stay, treatment type and nursing procedures were among the analyzed variables. The information was processed through automated means with the system SPSS version 11.0. The absolute number and the percentages were used as summary measures for the statistical calculations. The affected patients of male sex (58.3%) and those younger than 1 year (41.7%) prevailed in the series. It was demonstrated that the fundamental cause of the acute renal failure was sepsis (25%), which was related with long hospital stays.

Resgatando o cuidado de enfermagem como prática de manutenção da vida: concepções de Collière / Rescatando el cuidado de enfermería como práctica de mantenimiento de la vida: concepciones de Collière / Restoring nursing care as the practice of maintaining life: Collière planning

Trata-se de um estudo descritivo, mediante revisão sistemática de comunicação cientifica, com o objetivo de identificar práticas de enfermagem que refletem o modelo de cuidado que se propõe a assegurar a manutenção da vida conforme proposto pela enfermeira Françoise Collière. As buscas ocorreram no mês de outubro de 2009, através de pesquisa avançada na Biblioteca Virtual de Saúde, quando foram identificados 14 artigos, sendo nove na base de dados LILACS e cinco na MEDLINE. A análise possibilitou a classificação dos resultados em duas categorias: Cuidados centrados no modelo biomédico, tecnicista e Cuidados que transcendem a técnica. Entender o cuidado em sua totalidade torna-se ainda mais difícil quando reduzido apenas à utilização de técnicas que visam somente cuidados biológicos, cuidados curativos através de procedimentos de enfermagem. Muitas vezes, a enfermeira, por estar inserida no modelo biomédico da assistência, acaba por negligenciar a arte do cuidado para o qual foi formada.

This descriptive study used systematic review of scientific communications to identify nursing practices reflecting the model of care that aims to ensure the maintenance of life, as proposed by the nurse Françoise Collière. Advanced search of Brazil’s Biblioteca Virtual de Saúde (virtual health library) in October 2009 identified 14 articles, 9 in LILACS and 5 in MEDLINE. Analysis enabled the results to be classified into two categories: health focused on the technicist biomedical model, and care that goes beyond technique. It becomes even more difficult to understanding care as a whole when restricted to the use of techniques directed only to biological, curative care through nursing procedures. Often, nurses immersed in the biomedical model of care come to neglect the art of care for which they were trained.

Este es un estudio descriptivo, mediante revisión sistemática de la comunicación científica, a fin de identificar las prácticas de enfermería que reflejan el modelo de cuidado que tiene por objeto garantizar el mantenimiento de la vida en la forma propuesta por la enfermera Françoise Collière. Las búsquedas se llevaron a cabo en octubre de 2009, por medio de investigación avanzada en la Biblioteca Virtual de Salud, cuando fueron identificados 14 artículos, siendo nueve en LILACS y cinco en MEDLINE. El análisis permitió la clasificación de los resultados en dos categorías: cuidados centrados en el modelo biomédico, tecnicista y cuidados que van más allá de la técnica. Entender el cuidado en su totalidad se vuelve aún más difícil cuando sólo se limita a la utilización de técnicas destinadas a cuidados biológicos, cuidados curativos a través de procedimientos de enfermería. A menudo, la enfermera, por estar inserta en el modelo biomédico de asistencia, pasa por alto el arte del cuidado para lo cual fue formada.