儿科重症监护室的随访:在采取行动之前思考
Guillaume Mortamet1, Sandrine Birsan2, Justine Zini3
1Pediatric Intensive Care Unit, Grenoble-Alpes University Hospital, La Tronche, France; Univ. Grenoble Alpes, Grenoble, France.
Anaesthesia, critical care & pain medicine
|June 1, 2024
概括
实施儿童重症监护后的随访对于解决重症监护后综合征至关重要. 这一观点为儿童重症监护室 (PICU) 退院后建立有效的后续计划提供了指导.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 儿童健康的结果.
- 实施医疗保健系统的实施.
背景情况:
- 后重症监护综合征 (PICS) 是从儿科重症监护病房 (PICU) 出院后儿童的常见和重大问题.
- 目前的重症监护后随访实践在全球范围内不一致,在许多医疗机构中缺乏标准化和例行实施.
- 随访护理的异质性凸显了对结构化方法的关键需求,以支持儿科患者在PICU后.
研究的目的:
- 为建立PICU后后续计划提供概念和实际建议.
- 概述一个法国工作组对实施标准化后续护理的思考,用于离开PICU的儿童.
- 为解决儿童患者从重症中康复的改善和一致的护理途径的需求.
主要方法:
- 在Francophone de Reanimation et d'Urgences Pédiatriques (GFRUP) 旗下组建了一个多学科工作组.
- 包括各种各样的医疗保健专业人员 (心理学家,医生,理疗师,护士) 在儿科重症监护方面的专业知识.
- 举办一系列虚拟会议,制定PICU后后续行动的指导和框架.
主要成果:
- 定义了结构化PICU后后续计划的目标和目标人群.
- 建立了一个实用的框架,用于在临床环境中实施PICU后随访.
- 确定了与计划实施相关的潜在障碍和挑战,为缓解提供了洞察力.
结论:
- 建立一个PICU后的后续计划提出了挑战,但也带来了巨大的好处.
- 积极的影响扩展到患者,他们的家人和参与儿科重症监护的医疗保健专业人员.
- 标准化后续护理对于优化PICU入院后儿童的康复和长期福祉至关重要.
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