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儿童家庭机械通气照护指导手册
$42.45
本手册是国内少数关注呼吸机依赖儿童过渡为家庭机械通气遇到的实际问题的书籍,由国内相关领域的专家编写,全面阐述了家庭机械通气患儿居家照护所需的各项技能,从基础的吸痰操作流程、气管造口护理,到心肺复苏的理论与实践以及医疗设备的使用,家庭紧急事件处理等。手册语言简练,通俗易懂,图文并茂。
随着医疗技术进步,很多危重症儿童救治成功率得到提高,同时部分设备依赖儿童长期存活给医疗、社会及家庭带来了极大地挑战。
胡 静复旦大学附属儿科医院护理部副主任,曾赴瑞典卡洛琳斯卡皇家儿童医院、美国匹兹堡护理学院进修学习。长期从事儿童危重症护理及管理工作。社会任职包括中国医师协会儿童重症医师分会医护协作组副主任委员、中国医师协会全国重症血液净化护理学组委员、上海重症专委会委员、《军事护理杂志》审稿专家、美国心脏协会基础生命支持导师等;主持或参与多项省市级科研项目和复旦大学校级科研项目。陈伟明复旦大学附属儿科医院重症监护室主任。国内较早开展儿童血液净化及体外膜肺临床应用及流行病学研究,主要聚焦于儿童呼吸衰竭及呼吸机依赖临床诊治及研究。主持或参与上海市申康、市科委重点项目、十二五科技部国家重大科技支撑项目等多项课题,社会任职包括中国医师协会内镜医师分会儿科呼吸内镜专业委员会委员、上海市急诊学分会儿科学组委员兼秘书、美国心脏协会儿童高级生命支持主任导师等。
章 儿童气管切开术后居家护理 6节 居家环境要求第二节 儿童气管切开术 6第三节 气管切开后家庭护理 10第四节 气切术后不良事件和并发症观察 16第二章 营养及喂养 19节 家庭机械通气儿童营养概念 19第二节 喂养及实施 20第三节 家庭营养素制作 25第四节 喂养不耐受及处理 27第三章 家庭机械通气管理 29节 家庭机械通气概念 29第二节 常用家用呼吸机的工作原理及型号 31第三节 呼吸机居家管理及基本参数设置 40第四节 常见问题及报警处理 43第五节 家用呼吸机如何保养和维护 44第四章 家庭气道护理及管理 46节 气道护理及管理的生理基础 46第二节 气道廓清技术及实施方法 48第三节 吸痰操作 52第四节 加温湿化 54第五节 雾化技术 56第五章 家庭内监护及紧急事件处理 60节 HMV监护评估内容 60第二节 监护、急救物品及使用方法 63第三节 紧急事件识别、处理与预防 66第六章 长期机械通气(PMV)患儿的家庭康复 69节 运动康复 69第二节 呼吸康复 76第三节 口腔康复 79第四节 语言康复 81第五节 门诊康复和随访评估 84第七章 家庭机械通气儿童及家庭社会心理支持 86节 不同年龄段儿童的发展特征 86第二节 家庭机械通气儿童心理社会问题及应对策略 87第三节 家庭机械通气儿童的社会支持 91
随着医疗技术水平的不断提高,越来越多的危重症患儿得以存活。其中仍有部分患儿需要长期依赖有创或无创呼吸机,虽然这部分患儿在机械通气人群中所占的比例不到10%,但占用了>40%的住院日,消耗大量的医疗资源。同时,这部分患儿还面临着院内感染、康复、心理情感及昂贵医疗费用等问题。从20世纪70年代末开始,随着家用呼吸机的诞生,长期依赖呼吸机的患儿开始从住院过渡到院外护理。以家庭为中心的照护模式不仅使这部分患儿长期存活,而且获得了更好的生活质量。近几年,国内需要家庭机械通气的患儿逐渐增多,患儿回归家庭,家庭成员或照护者需要承担医疗护理,需要制定一套标准化的居家照护方案,为照护者提供正确的居家照护知识,确保长期机械通气患儿获得积极正确的照护支持,进一步改善患儿的生活质量。《儿童家庭机械通气照护指导手册》汇总了长期机械通气患儿居家照护相关知识,包括气管切开患儿家庭护理、营养及喂养、家用呼吸机及家庭通气管理、家庭气道护理及管理、家庭内监护及紧急事件处理、家庭康复、家庭及社会心理支持等。该手册由专业的医疗护理人员撰写,通过专业理论知识、临床实践经验总结等对长期机械通气患儿居家照护进行了详细讲解,为长期机械通气患儿的家长提供了全面的照护知识,对改善长期机械通气患儿远期预后、提高生活质量、促进身心健康等具有重要意义。该手册既可作为长期机械通气患儿家长家庭照护的指导用书,亦可作为新进医疗及护理员工的培训讲义,是一本非常实用的工具性手册。感谢复旦大学附属儿科医院重症医学科在百忙之中组织人员撰写此书,同时也希望各位读者在使用过程中提出宝贵意见,使本书得以不断完善、充实、修订和更新,从而使长期机械通气患儿得到更优质、更妥当的照护。
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