加護病房症候群之概念分析

A Concept Analysis of the Intensive Care Unit Syndrome

陳書琳(Shu-Lin Chen) ； 藍湘勻(Hsiang-Yun Lan) ； 潘雪幸(Hsueh-Hsing Pan)

《源遠護理》 18卷3期 (2024/11) Pp. 36-40

https://doi.org/10.6530/YYN.202411_18(3).0006

摘要

加護病房症候群用於描述加護病房中一些病人表現出的一系列心理異常、認知障礙，護理師通常無法識別病人的症狀，直到病人變得明顯躁動和混亂，至今仍缺乏對加護病房症候群有系統之概念分析。本文運用Walker & Avant（2019）所描述概念分析的方式，統整相關文獻，確立「加護病房症候群」之定義性特徵，並透過列舉典型案例、邊緣案例、相反案例及相關案例，以釐清概念、確認加護病房症候群發生之前置因子與後果、相關測量工具及臨床實務應用，期望能提供重症加護醫護人員在病人於加護病房停留期間及早啟動預防措施，提升重症加護照護品質。

關鍵字

加護病房症候群 ； 加護病房 ； 概念分析

並列摘要

The intensive care unit (ICU) syndrome includes a series of psychological abnormalities and cognitive impairments observed in some ICU patients. Nurses often fail to recognize a patient's symptoms until they become visibly agitated and confused. Till date, the ICU syndrome has not been conceptually analyzed. This article utilized the method of concept analysis described by Walker and Avant (2019). By integrating the relevant literature, we defined the critical attributes of the ICU syndrome and constructed the cases, including model, borderline, contrary, and related cases, to elucidate the concept. The antecedents and consequences of the ICU syndrome, measurement tools, and clinical practice applications were also substantiated. This analysis is expected to enhance the ICU nurses' ability to treat and prevent ICU syndromes among ICU patients and improve the quality of critical care.

並列關鍵字

ICU Syndrome ； concept analysis

參考文獻

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