持续康复对重症监护室在心脏手术后获得的弱点的影响:一个病例报告
Ryoichi Nishida1,2, Kasumi Yoshii1
1Department of Rehabilitation, Takanohara Central Hospital: 1-3-3 Ukyo, Nara-shi, Nara 631-0805, Japan.
Journal of physical therapy science
|June 2, 2023
概括
持续的康复治疗显著改善了重症监护室获得的弱点后心脏开放手术患者的身体功能. 这种方法可以增强日常生活活动和肌肉力量,以便更好地恢复.
科学领域:
- 心脏病学 心脏病学
- 物理医学和康复 康复
背景情况:
- 在重症监护室获得的虚弱 (ICU-AW) 是严重疾病和手术后的常见并发症.
- 开心手术患者有发展ICU-AW的风险,影响康复和功能结果.
研究的目的:
- 评估持续康复对ICU获得的弱点在心脏病开放手术后患者的影响.
- 评估量身定制的康复干预措施的有效性,以改善心脏手术后患者的身体功能.
主要方法:
- 一个78岁的女性患者的病例报告,她因膜疾病和胸痛而接受了心脏开放手术.
- 评估ICU获得的弱点使用医学研究委员会的总分 (28分).
- 实施和继续一个结构化的康复计划,并进行持续的身体功能评估.
主要成果:
- 在握力和膝盖伸展肌肉力量方面观察到显著的改善.
- 在6分钟步行测试和短物理性能电池中提高了性能.
- 患者在整体身体功能和日常生活活动方面表现出显著的改善.
结论:
- 持续康复是一种可行的和有效的策略,用于管理ICU获得的弱点在心脏开放手术后的患者.
- 量身定制的康复干预,根据患者的严重程度进行调整,可以改善功能恢复.
- 需要进一步的研究,以建立在这种患者群体中康复的最佳实践.
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