"我如何测试水域? 我是如何前进的? ":在危急疾病后编码设计支持途径
Alisha A da Silva1,2, Catherine L Granger1,2, Shaza Abo1,2
1Department of Physiotherapy, School of Health Sciences, Faculty of Medicine, Dentistry, and Health Sciences, and.
Annals of the American Thoracic Society
|February 8, 2024
概括
从重症中长期康复受到后重症监护综合征 (PICS) 的挑战. 一个新的康复原型为重症监护室幸存者过渡回家提供身体,心理和数字支持.
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.
- 健康心理学健康心理学
背景情况:
- 后重症监护综合征 (PICS) 对重症幸存者的长期康复和恢复日常活动产生重大影响.
- 需要加强,简化支持系统,以帮助重症监护室 (ICU) 患者在康复期间出现PICS症状.
研究的目的:
- 探索前ICU患者,他们的护理人员和临床医生的康复经验.
- 共同设计一个康复干预原型,以支持面临PICS的ICU患者.
主要方法:
- 一个基于经验的编码设计 (EBCD) 研究,利用行为变化轮框架.
- 研讨会涉及15名ICU患者,2名护理人员和来自澳大利亚两家医院的23名多学科临床医生.
- 对研讨会数据进行反射性主题分析,以确定恢复主题并开发干预原型.
主要成果:
- 15个主要主题出现,强调过渡回家是适应的关键时期,身体和心理健康负担变得明显.
- 参与者报告说,社区对PICS的理解很差,缺乏支持.
- 开发了一种康复原型,包括医院指导的支持计划 (心理学,物理治疗) 和数字健康包.
结论:
- 从医院到家的过渡是一个关键时刻,需要加强ICU幸存者的康复支持.
- 一个共同设计的康复原型,将身体和心理干预与数字健康工具包相结合,解决了这一需求.
- 该干预方案计划在未来与ICU患者及其家人进行开发和临床试验.
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