评估重症患者体力康复的安全性:德尔菲研究
Huw R Woodbridge1,2, Christopher J McCarthy3, Mandy Jones4
1Imperial College Healthcare NHS Trust, London, UK. h.woodbridge@imperial.ac.uk.
Critical care (London, England)
|April 30, 2024
概括
这项研究发展了关于重症监护室 (ICU) 物理康复的不良事件和危险因素的共识. 创建了工具来指导安全的患者康复,特别是那些服用血管活性药物的患者.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学 康复科学 康复科学
- 临床研究方法论 临床研究方法论
背景情况:
- 身体康复对重症患者至关重要,以改善重症监护室 (ICU) 住院后的结果.
- 在开始康复治疗之前,风险评估至关重要,需要标准化的安全数据.
- 心血管稳定性评估对于在体力活动之前服用血管活性药物的患者至关重要.
研究的目的:
- 定义与一般ICU队列相关的不良事件.
- 建立在接受血管活性药物的患者体力康复前评估风险的标准.
- 开发标准化工具,用于ICU康复中的安全评估.
主要方法:
- 一个三阶段的Delphi研究,涉及国际ICU临床医生,研究人员和前患者/家属.
- 通过公开的建议,利克特级别评级 (70%门) 和通过反重新评级来建立共识.
- 该研究的重点是确定对恢复开始的不良事件和关键风险因素.
主要成果:
- 在54个不良事件上达成共识,为统一的安全测量提供了不良事件工具.
- 在接受血管活性药物患者康复前评估的50个风险因素上达成共识.
- 开发了两种不同的工具,以支持安全的临床实践和ICU康复研究.
结论:
- 开发的不良事件工具促进了物理康复研究中的标准化安全测量.
- 风险评估工具有助于临床医生确定服用血管活性药物的患者安全开始康复.
- 这些工具提高了重症患者的身体康复计划的安全性和有效性.
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