目前的做法和在日本的ICU动员实施的障碍:一个多中心前性队列研究
Hideaki Sakuramoto1, Kensuke Nakamura2,3, Akira Ouchi4
1Department of Critical Care and Disaster Nursing, Japanese Red Cross Kyushu International College of Nursing, Munakata 811-4157, Fukuoka, Japan.
与选择性手术患者相比,在非计划性入院患者中,集中护理单位 (ICU) 的动员往往会延迟. 关键的障碍包括循环不稳定和医生对床上休息的规定.
科学领域:
- 关键护理医学 关键护理医学
- 康复疗法 康复疗法
- 患者的流动性 患者的流动性
背景情况:
- 有限的数据存在于临床动员危急病患者的障碍.
- 了解这些障碍对于改善重症监护室 (ICU) 患者的治疗结果至关重要.
研究的目的:
- 调查当前的做法,并确定实施ICU患者动员的障碍.
- 为了比较选择性手术和非计划性入院患者之间的动员策略.
主要方法:
- 一项多中心前性观察性研究,涉及203名入住ICU超过48小时的患者.
- 数据收集发生在2019年6月至12月期间的9家医院.
- 分别对定量和定性数据进行了描述性和主题性分析.
主要成果:
- 对非计划入院患者而言,康复启动延迟 (平均2.9天),而对于选择性手术患者 (平均1.7天).
- 随意入院患者的流动性水平较低 (中位数为5),而选择性手术患者的流动性水平较低 (中位数为6).
- 主要障碍是无计划住院的循环不稳定 (29.9%),选择性手术组的床上休息 (23.4%).
结论:
- 不计划的ICU入院患者经历了延迟和不那么强烈的康复计划.
- 解决循环不稳定和医生订单等障碍对于优化重症监护机构早期动员至关重要.
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