持续性植物状态患者护理的研究进展

Research progress on nursing care of patients in a persistent vegetative state

持续性植物状态是患者脑严重损害后出现的一种没有感知的特殊意识状态,由于缺乏有效的治疗手段,给家庭、社会造成的负担极重。患者的照护主要依赖护理,难度大且问题繁杂,但是在临床实践中却缺乏相关指导,使得照护质量无法得到保证。该文从促醒护理、营养支持、并发症防治、家庭照顾者心理支持与健康教育方面综述了研究进展,为提高护理人员认知、构建临床护理规范和路径提供依据或参考。

Persistent vegetative state(PVS)is a special state of unconsciousness after severe brain damage.Due to a lack of effective treatment methods,it imposes heavy burdens on both individuals and society.The care of PVS patients mainly relies on nursing care,which is difficult and complicated.However,there has been no clinical guideline to ensure the quality of care.The purpose of this article is to review the literature concerning nursing care on consciousness recovery,nutritional support,prevention of complications,psychological support and education for family caregivers of PVS patients.It was anticipated that this review will provide references to improve nurses’knowledge on the care of PVS patients and to construct clinical guidelines and pathway on nursing care.