以家庭为中心的感觉刺激在重症监护室意识障碍患者中的应用研究进展

Research progress in application of family-centered sensory stimulation in treatment of patients with consciousness disorders in Intensive Care Unit

  • 摘要: 意识障碍患者长期处于缺乏刺激输入的重症监护室(ICU)会导致意识恢复缓慢,而有效的促醒技术是影响患者早期康复及远期生活质量的关键。本文对感觉刺激在ICU意识障碍患者促醒应用中的作用机制、实施程序、阻滞因素及保障策略进行综述,提出ICU实施以家庭为中心的感觉刺激需要注重安全评估,鼓励家属协同参与,规范家属培训支持,构建优化方案,以及健全保障机制。

     

    Abstract: Patients with consciousness disorders in Intensive Care Unit (ICU) without stimulation input for a long time will lead to slow recovery of consciousness, and the effective wake-promoting technology is the key to affect the early rehabilitation and long-term quality of life of patients. The paper reviewed the functional mechanism, implementation procedure, blocking factors and safeguard strategies of sensory stimulation in the wake-promoting technology of patients with consciousness disorders in ICU, and proposed that the implementation of family-centered sensory stimulation in ICU should pay attention to safety assessment, encouragement for family members' collaborative participation, standardization of family members' training support, construction of optimization schemes, and improvement of the safeguard mechanism.

     

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