从重症监护室出院后的康复:患者认为有什么帮助,缺少哪些服务?
Brenda O'Neill1, Natasha Green2, Bronagh Blackwood2
1Centre for Health and Rehabilitation Technologies, INHR, Ulster University, Belfast, United Kingdom.
PloS one
|March 18, 2024
概括
从重症中康复的患者确定了关键的促进者,如自我激励和支持系统. 他们强调了后续服务和运动康复方面的差距,建议采取全面的干预措施,以改善康复.
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.
- 患者为中心的结果.
背景情况:
- 从危急疾病中恢复是复杂的,受到众多患者挑战的影响.
- 了解患者对康复促进者的看法对于设计有效的康复干预至关重要.
研究的目的:
- 探索重症监护室 (ICU) 患者在出院后的康复经历.
- 确定促进恢复的因素和对额外服务的未满足需求.
主要方法:
- 使用半结构面试进行的定性研究,在ICU出院6个月后对11名患者进行了半结构面试,在12个月后对10名患者进行了半结构面试.
- 采访被录音,转录,并使用模板分析进行分析.
主要成果:
- 出现了四个核心主题:身体和认知/情绪功能,恢复促进者和医疗保健服务的差距.
- 促进者包括体育活动,认知/情感支持,自我激励和技术.
- 障碍包括缺乏跟进,炼计划,同行支持和分散的医疗保健服务.
结论:
- 患者报告的重症康复的促进者包括社会支持,自我激励,移动辅助工具和技术.
- 恢复的障碍包括不充分的随访,运动康复,同行支持和分散的医疗保健服务.
- 建议采取综合性康复干预措施,包括患者导向策略和可访问的医疗保健服务,以改善ICU患者的康复.
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