跨导管大动脉植入后的早期动员:观察性队列研究
Sandra B Lauck1,2, Maggie Yu1, Carrie Bancroft2
1School of Nursing, University of British Columbia, Centre for Heart Valve Innovation, St. Paul's Hospital, 5248-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.
European journal of cardiovascular nursing
|August 23, 2023
概括
一个护士主导的协议,在输血穿管大动脉植入 (TAVI) 后的早期动员是可行的. 这种方法使患者在手术后数小时内便于行走,改善了康复结果.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 护理 护理 护理
背景情况:
- 早期动员对于改善住院老年人的治疗结果至关重要.
- 穿越骨透管大动脉植入 (TAVI) 是老年患者常见的一种手术.
- 标准化协议可以增强TAVI后患者的康复.
研究的目的:
- 为了评估护士领导的动员协议的有效性,在输血骨TAVI后4小时启动.
- 评估不同护理单位 (重症监护和心脏遥测) 的动员可行性.
- 确定患者和系统相关的障碍,以便在TAVI后及时行走.
主要方法:
- 前性,观察性,单中心的队列研究.
- 实施一个由护士领导的标准化协议,用于早期康复和渐进的动员.
- 测量到第一次动员的时间和描述性统计数据,用于对139名患者的障碍分析.
主要成果:
- 调动的中位时间为4小时; 70.5%的人在4小时内调动,84.9%的人在手术晚上行走.
- 15.1%的患者需要在床上休息一晚,主要是由于心律失常监测或血液动力学/神经学不稳定.
- 与更长的床位休息相关的因素包括混合手术室程序和转移到重症监护;系统问题推迟了4.3%的出行.
结论:
- 标准化,护士领导的动员方案4小时后TAVI是可行的.
- 当没有临床并发症和系统障碍时,可行性被维持.
- 在TAVI后的护理途径中,可以安全地实施早期动员协议.
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