在重症监护室接受肺移植患者的呼吸障碍的风扇治疗:一个前后的研究
Tomoo Sato1, Satona Tanaka2, Ryuhei Sato1
1Acute Care Nursing Division, Kobe City College of Nursing, Kobe, JPN.
风扇疗法可以安全地减少肺移植后重症监护室 (ICU) 患者的呼吸短促. 这种非药理学方法在改善呼吸应急观察量表得分方面显示出有希望的结果.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 风扇治疗是一种非药物干预,用于缓解呼吸障碍.
- 它在重症患者,特别是重症监护室 (ICU) 的有效性尚未得到充分证实.
- 肺移植接受者在ICU中可能会出现呼吸障碍,需要有效的管理策略.
研究的目的:
- 调查风扇疗法的有效性,以缓解肺部移植患者的呼吸障碍进入ICU.
- 评估在这个特定的患者群体中实施风扇治疗的安全性.
主要方法:
- 一项前性研究涉及肺移植接受者 (年龄大于18岁) 在ICU中出现呼吸障碍.
- 使用便携式风扇向患者的脸部进行风扇治疗,持续5分钟.
- 使用数值评分表 (NRS) 和呼吸困扰观察表 (RDOS) 测量呼吸不良的强度.干预前后.
- 通过配对t-test进行的统计分析;通过生命体征和不良事件监测评估安全性.
主要成果:
- 八名肺移植接受者接受了风扇治疗,87.5%通过气管切除术进行机械通风.
- 观察到呼吸困难观察量表 (RDOS) 评分有统计学意义的下降 (p=0.03).
- 没有注意到严重的不良事件或呼吸速率,氧和,脉率或血压的显著变化.
结论:
- 风扇疗法似乎是一种安全的干预措施,用于减少ICU环境中的肺移植接受者的呼吸障碍.
- 这项研究表明,对呼吸困难的管理有潜在的益处,这需要进一步调查.
- 建议进行更大规模的临床试验,以确认这些初步发现,并确定更广泛的适用性.
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