集中治療室での患者の優先順位と治療目標:多センターコホート研究
Elizabeth Smith1, Pamela MacTavish2, Martin Shaw3
1Elizabeth Smith is a senior nurse, intensive care unit, Glasgow Royal Infirmary, Glasgow, United Kingdom.
まとめ
深刻な病気を生き延びた人は 身体的,社会的,感情的なニーズを含む 様々な回復目標を持っています 患者中心の目標を理解することは 効果的な回復プログラムと将来の研究にとって 極めて重要です
科学分野:
- クリティカルケア医療
- 患者の回復
- 医療サービス研究
背景:
- 患者は身体的,感情的,社会的,認知的な健康に 影響を与える多面的な課題に直面します
- 集中治療室 (ICU) の患者による回復目標に関するデータは限られている.
研究 の 目的:
- マルチセンターICUの回復プログラムから得られたデータを用いて,重篤な病気の回復過程における患者の目標を探求する.
- 最適なケアパスを理解することで将来の研究とケア提供モデルに情報を提供すること.
主な方法:
- 退院後の重症療養療養施設に通っている患者を対象とした多センターの記述的なコホート研究.
- 患者はプログラムに参加中に医療従事者との個人的なケア目標を設定しました.
- フレームワーク分析は,設定されたケア目標を評価するために使用されました.
主要な成果:
- スコットランドの3つの病院から151人の患者が募集されました.
- 134人の患者 (88. 7%) が314の個人目標を設定しました.
- 目標には身体的,健康管理,感情的/心理的,教育的/雇用的/目的的,および慢性疾患と急性回復の両方に関連する社会的/対人領域が含まれています.
結論:
- 深刻な病気を生き延びた人は 身体的,社会的,感情的なニーズに対応する 様々な回復目標を述べています
- 臨床医や研究者は 患者中心の目標を 介入研究計画に組み込む必要があります
- 患者の期待と研究を一致させることは 集中治療の回復イニシアチブに成功するために不可欠です
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