小児重症治療室での火傷児の動員:結果と障壁
Sarah Eilerman1, Lauren Justice1, Ben Reader1
1Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH 43205, United States.
まとめ
集中治療室 (ICU) に収容されている小児の燃焼患者にとって,早期の動員は非常に重要です. しかし,より重度の灼熱と頻度の高い処置は治療を阻害し,改善された結果のためにこれらの障壁に対処する必要性を強調しています.
科学分野:
- 小児重症治療薬
- リハビリテーション
- 灼傷の管理
背景:
- 焼けを負った小児集中治療室 (ICU) の患者は多科目の治療を必要とします.
- 職業療法士や理学療法士は 腫れや位置づけや 機能的な活動を管理する上で 重要な役割を果たします
- 早期の動員治療は標準的な治療ですが,小児燃焼患者では特定の評価が欠けています.
研究 の 目的:
- 小児炎症患者の早期動員方法を説明する.
- 早期参加の障壁を特定する
- ICUでの移動能力の変化と炎症の大きさの影響を評価する.
主な方法:
- 108人の小児燃焼患者の復元調査
- ICU 入院後14日以内に患者の人口統計と治療データ (活動レベル,障壁) の分析
- 全体表面積 (TBSA) の燃焼と移動性の進行との関係を調べる.
主要な成果:
- 高いTBSA燃焼は,著しく低い活動レベルと相関する (P = .002).
- 治療への障壁は一般的であった: 66%が理学療法,55%が職業療法セッションを逃した.
- トップの障壁は患者の手続き (54%) と看護の懸念 (12%).
結論:
- 小児燃焼ICUでの早期動員には,手続的干渉や医学的状況に関する懸念を含む重大な障壁があります.
- 燃焼の重度の上昇は 移動能力の低下と関連しています
- 障壁の軽減を狙った介入は,この脆弱な集団の早期動員を改善するために不可欠です.
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