探索密集医师参与:患者特征,干预措施和结果
Hüseyin Arikan1, Ayvaz Yeler2, Ramazan Esen2
1Unit of Internal Medicine Intensive Care, Van Yüzüncü Yıl University, Dursun Odabaş Medical Center, Van, Türkiye.
将全职专科医生引入医疗ICU增加了机械呼吸和脏替代疗法等干预措施. 然而,重症监护病房的死亡率保持不变,这表明需要进一步研究重症监护病房的影响.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 对于高质量的重症监护病房 (ICU) 护理,建议采用密集型人员.
- 在许多地区,包括土耳其,缺乏合格的重症治疗师.
- 本研究评估了在医疗重症监护室引入全职重症监护医生的影响.
研究的目的:
- 评估全职密集治疗师对患者特征的影响.
- 评估ICU干预和患者结果的变化.
- 为了比较在土耳其医疗ICU的预密和后密集期.
主要方法:
- 从2018年2月到2020年1月,对成年ICU患者的回顾性分析.
- 患者人口统计数据,入院原因,严重程度得分 (APACHE-II,SOFA),干预措施和结果的比较.
- 数据来自Van Yüzüncü Yıl大学Dursun Odabaş医疗中心.
主要成果:
- 在强化前期和强化后期之间没有观察到显著的人口差异.
- 在后密集期的患者有更高的APACHE-II和SOFA分数.
- 在强化治疗后,人们注意到机械通风,非侵入性通风,置换疗法和肠道营养的使用增加. 在ICU的死亡率仍然相似.
结论:
- 全日集中治疗师的引入改变了ICU干预措施,增加了先进疗法的使用.
- 尽管干预措施发生了变化,但ICU死亡率没有显著变化.
- 需要进一步的研究,以了解密集医疗人员对土耳其患者结果的长期影响.
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