急危重癥領(lǐng)域超聲?？谱o(hù)士培養(yǎng)的研究進(jìn)展

便捷及可重復(fù)等優(yōu)勢(shì)被廣泛用于臨床實(shí)踐[1]。床旁超聲是超聲成像的采細(xì)功能即可定位可疑病灶、快速排查與診斷[2],已成為急危重癥護(hù)理領(lǐng)域的應(yīng)對(duì)手段[5],之后隨著急危重癥醫(yī)學(xué)及超聲技術(shù)的不斷發(fā)展，超聲專科護(hù)士在提高急危重癥患者護(hù)理質(zhì)量和護(hù)理專業(yè)化發(fā)展中的作用逐漸凸顯[6],具體及實(shí)施精準(zhǔn)護(hù)理[7]。證書和護(hù)士執(zhí)業(yè)資格證。(2)完成美國(guó)急診醫(yī)師學(xué)會(huì)(AmericanCollegeof試(如超聲原理或儀器)和專業(yè)考試，成績(jī)合格后可獲得執(zhí)業(yè)證書[8]。(3)科護(hù)士的培養(yǎng)具有重要意義[10-11]。續(xù)時(shí)間從幾天至1年不等。培訓(xùn)內(nèi)容與評(píng)價(jià)方式如下。(1)知識(shí)培訓(xùn)：扎實(shí)的導(dǎo)師和培訓(xùn)對(duì)象通過佩戴現(xiàn)實(shí)增強(qiáng)眼鏡進(jìn)行講解和學(xué)習(xí)[14-16],提升了培訓(xùn)提。Corcoran等[19]研究顯示，經(jīng)過超聲培訓(xùn)的急危重癥護(hù)士為新型冠狀病困難患者方面具有較高的敏感性(95.3%)和特異性(88.2%),表明超聲?？谱o(hù)士在診斷急性呼吸困難方面具有較高的準(zhǔn)確性[20]。胃殘余量的監(jiān)測(cè)更加準(zhǔn)確[21]。Steinwandel等[22]報(bào)道，護(hù)士應(yīng)用超聲方重癥領(lǐng)域超聲?？谱o(hù)士在超聲引導(dǎo)下，動(dòng)靜脈置管的總體穿3],腸營(yíng)養(yǎng)管置管成功率提升至86.4%～92.5%,減輕了患者痛苦[24-25]。地操作床旁超聲提供參考[26]?？瓢l(fā)展已成為必然趨勢(shì)[27]。一方面，多學(xué)科培訓(xùn)對(duì)提升?？谱o(hù)士的批判性思由護(hù)理學(xué)會(huì)牽頭制訂較為完善的培養(yǎng)體系和考核標(biāo)準(zhǔn)[28]。[1]時(shí)雨，柏玲，鄔媛，等.床旁超聲在危重癥患者消化系統(tǒng)中的應(yīng)用與研究現(xiàn)狀[J].護(hù)士進(jìn)修雜志，2022,37(17):1577-1581.DOI:10.16821/ki.hsjx.2022.17.008.ShiY,Baiandresearchstatusofbedsideultrasoundincallyillpatients[J].JNursTrain,2022,37(17):1577-1581.023,39(2):234-236.DOI:10.3969/j.issn.1002-0101.2eJZ,ZhouXD.Developmenttrasound[J].ChineseJournalofUl[3]BrotfainE,ErblatA,LuftP,etal.Nurse-performeduundassessmentofgastricresidualvareNurs,2022,69(2):103183.DOI:10.1016/j.iccn.2021.103183.中華現(xiàn)代護(hù)理雜志，2023,29(16):2101-2112.DOI:10.3760/ardsofclinicalpracticeofcriticalcareultrasonography[J].ChinJModNurs,2023,29(16):2101-2112.[5]HendersonSO,AhernT,Williamsntultrasoundbynursepractitioners[J].JAmAcadNursePract10,22(7):352-355.DOI:1[6]梁紅梅，常健，周興梅，等.超聲?？谱o(hù)士崗位設(shè)立及工作實(shí)踐[J].護(hù)理學(xué)報(bào)，2022,29(2):17-19.DOI:10.16460/j.issn1008-9969.2022.practiceofultrasoundspecialistnurses[J].JNurs,[7]孫建華，張青，郭海凌，等.重癥超聲在ICU患者護(hù)理評(píng)估中的應(yīng)用現(xiàn)狀及展望[J].中華現(xiàn)代護(hù)理雜志，2018,24(28):3367-3370.DOI:10.3760/cma.j.issn.1674-2907.201etal.ApplicationandprospectofcriticalultrasonographyinnurgassessmentofICUpatients[J].ChinJModNurs,2018,24(28):3[8]YamadaT,EharaJ,FunakoshiH,etal.EffectiveforJapanesenursepractitioners[J].BMCDOI:10.1186/s12912-023-01183-2.[9]MulvaghSL,RakofUltrasonicContrastAgentsinEchocardiocardiogr,2008,21(11):1179-1201;quiz12[10]曹嵐，張麗娜，王小亭，等.重癥護(hù)理超聲專家共識(shí)[J].中華現(xiàn)代護(hù)理志，2020,26(33):4577-4590.DOI:10.3760/115682-20200416-02787.CaoL實(shí)踐[J].中國(guó)實(shí)用護(hù)理雜志，2020,36(3):230-233.DOI:10.3760/cma.j.issn.1672-7088.2020.03.014.SunJH,LiZZ,LiQ,etaalcareultrasonography:thedevelopmentandnursing[J].ChinJPracNurs,2020,36(3):230-233.[12]JamalAN,RuseN,WellingsT,etal.OutcomesofnsiveUltrasoundGuidedPeripheralIVInsertionrograminapediatricemergencydepartment49(6):870-880.DOI:10.1016/j.jen.2023.05.007.eneonatalmediastinum.Atraij.pedn.2022.06.016.und(POCUS)ProgramforCriticnseTeam[J].J[15]GillonJT,Liuonversusvirtualultra[16]徐海莉，徐艷華，金歌，等.三維立體虛擬解剖模型在重癥醫(yī)學(xué)部護(hù)士肺部超聲培訓(xùn)中的應(yīng)用研究[J].中華護(hù)理教育，2022,19(10):902G,etal.Theapplicationofathreedimensionalvirtualanatomiartment[J].ChinJNursEduc,2022,19(10[17]VarndellW,TopacioM,Htof-careultrasoundtrainingwithlong-termfollow-upinacohortof[19]CorcoranE,HopkinsP,FisherR,etcriticallyillCOVID-19patient:asinglecentrecaseseries[J].NursCritCare,2023,28(5):781-788.DOI:10.1111/nicc.12871.yofnurse-performedlungultrasoundinpa95(9):e2925.DOI:10.1097/MD.0000000000002925.髓損傷患者腸內(nèi)營(yíng)養(yǎng)中的應(yīng)用研究[J].軍事護(hù)理，2023,40(6):5-810.3969/j.issn.2097-1826.2023.06.002.LiYY,YuHH,PengF,etal.ApplicationofUltrasonicmonitoringofgastricresidualvolumeinenteralnutritioninpatientswithacutetraumpinalcordinjury[J].MilNurs[22]SteinwandelU,GibsonNP,RippeyJC,etal.Useofultrasouare,2017,43(3):132-142.DOI:10.1111/jorc.12191.[23]謝慶磊，張留平，王越.基于患者需求視角下護(hù)士動(dòng)靜脈內(nèi)瘺超聲引導(dǎo)穿刺培訓(xùn)效果觀察[J].中國(guó)血液凈化，2023,22(4):306-309.DOI:10.3969/j.issn.1671-4091.2023.04.013ervationontheeffectofultrasound-guidedcturetrainingfornursesbasedontheperspectiveofpatients'demand[24]孫建華，李欣，趙明曦，等.超聲引導(dǎo)聯(lián)合腹部四分區(qū)觸診法在鼻etal.Applicationofultrasoundcombinedwithabdominalpalpationinnasojejunalfeedingtubeplacement[J].JNursTrain,2020):1834-1837,1856.[25]孫建華，王小亭，張青，等.超聲引導(dǎo)聯(lián)合胃竇漸進(jìn)式注水法在鼻腸管放置中的應(yīng)用[J].中華護(hù)理雜志，2017,52(12):1418-1421.DOI:10.3761/j.issn.0254-1769.2017.12.002.SunJH,WangXT,ZhangQ,etal.Applicationofultrasonographyguidedwaterinjectionforinsertionofnasojejunaltubes[J].ChinJNurs,2017,52(12):1418-1421.3760/115682-20220526-02530.CriticalCareMedicineCommitteeoftheChineseAssociationofResearchHospitals.NursingexModNurs,2023,29(2/1