成人重症监护室物理治疗会话长度的预测因素:一个纵向小组研究
Leda Tomiko Yamada da Silveira1, Maria Teresa Politi2, Bruno Leonel Ferreyro3
1Department of Speech Therapy, Physiotherapy and Occupational Therapy, University of Sao Paulo, Sao Paulo, Brazil; University Hospital, University of Sao Paulo, Sao Paulo, Brazil.
Archives of physical medicine and rehabilitation
|February 18, 2024
概括
在重症监护室 (ICU) 的物理疗法会话长度受执行程序的类型,患者的病情和一天中的时间的影响. 运动和呼吸程序,改变的胸部X射线和较低的移动性得分预测了更长的会议,而动员和下午班的禁忌预测了更短的会议.
科学领域:
- 关键护理医学 关键护理医学
- 康复疗法康复疗法康复疗法
- 医疗保健管理的管理
背景情况:
- 物理治疗对于重症监护室 (ICU) 患者至关重要,但疗程持续时间有很大差异.
- 确定影响理疗会长度的因素对于优化资源配置和患者护理至关重要.
研究的目的:
- 为了确定成人ICU患者体育疗程持续时间的预测因素.
- 了解患者,理疗师和服务相关因素如何影响会议长度.
主要方法:
- 一项纵向小组研究在一家中等医疗公立教学医院的ICU中进行.
- 181名成年医疗和外科患者的物理疗法 (N=339) 使用计时器计时.
- 采用混合效应模型来分析会话长度与各种因素之间的关联.
主要成果:
- 物理治疗疗程的平均持续时间为29分钟.
- 与更长时间的疗程相关的因素包括执行运动和呼吸程序,改变胸部X射线和更高的ICU移动性量表 (IMS) 分数.
- 对床外动员和下午班的禁忌与较短的会议持续时间有关.
结论:
- 在ICU中物理治疗会话的长度是多因素的,受干预的复杂性和患者的功能状态的影响.
- 关于物理治疗的临床决策,如动员的必要性和手术类型,显著影响会话持续时间.
- 了解这些因素可以帮助更好地规划和提供ICU环境中的物理治疗服务.
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