危急疾病对患者身体功能和康复的影响:解释性的混合方法分析
Michelle Paton1, Caitlin Le Maitre2, Danielle Berkovic3
1Australian and New Zeland Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia; Department of Physiotherapy, Monash Health, 246 Clayton Road, Clayton, VIC 3168, Australia.
Intensive & critical care nursing
|December 2, 2023
概括
严重疾病的幸存者往往认为身体功能比客观测量更好,在出院六个月后报告新的局限性. 家庭支持对于康复和财务福祉至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学是康复的科学.
- 患者报告的结果.
背景情况:
- 危急疾病的恢复是复杂的,对身体功能有重大影响.
- 了解患者的感知与客观措施对有效康复至关重要.
研究的目的:
- 为了比较感知到的身体功能与客观测量功能的危急疾病后六个月.
- 为了确定患者在康复阶段的担忧.
主要方法:
- 混合方法研究,包括客观的身体功能评估 (如6分钟步行测试,握力) 和半结构面试.
- 在临界病后六个月进行的家庭访问.
主要成果:
- 60%的幸存者报告说康复,但70%的客观测量功能低于人口规范.
- 幸存者报告说,在家里功能下降,尽管他们被批准出院.
- 家庭支持对于过渡至关重要,但获得服务和财政援助是具有挑战性的.
结论:
- 与客观措施相比,重症幸存者高估了他们的功能恢复.
- 家庭和社交网络对于成功过渡家庭和财务稳定至关重要.
- 专门的离职联络人员可以促进康复,尤其是那些缺乏社会支持的人.
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