使用连续的正气道压力在排泄的肺部溢液:教育干预以证据为基础的实践
Elinaldo da Conceição Dos Santos1, Adilson Mendes2, Daniela Gonçalves Ohara3
1Master's and Doctoral Programs in Physical Therapy of Universidade Cidade de São Paulo, São Paulo, SP, Brazil; Department of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
Clinics (Sao Paulo, Brazil)
|September 24, 2024
概括
一项教育干预有效地增加了医疗保健专业人员对患有多叶流动的住院患者使用持续正气道压力 (CPAP). 这种改进的CPAP实施在两年后在一些医院中得到了持续.
科学领域:
- 医学教育 医学教育
- 呼吸系统疗法 呼吸系统疗法
- 肺部医学 肺部医学
背景情况:
- 胸腔溢血的管理通常涉及胸腔排水.
- 使用连续正气道压力 (CPAP) 与胸腔排水一起用于流并未一致实施.
- 需要改善医疗保健专业人员对CPAP的知识和应用,在这个特定的患者群体中.
研究的目的:
- 开发和评估一种教育干预措施,旨在加强CPAP的实施,用于接受胸腔排水的肺部溢液患者.
- 评估教育计划的有效性和可持续性.
主要方法:
- 这是一项在巴西和比利时的六家医院进行的多阶段实施研究.
- 阶段包括情境诊断,专业教育和培训,干预后评估和为期两年的随访.
- 数据收集包括专业调查,患者病历和患者评估.
主要成果:
- 最初的医疗记录显示,干预措施的文档有限,CPAP在患有胸腔管的患者中使用最小.
- 在教育干预之后,使用CPAP治疗排水性多流液的专业人员比例显著增加 (28.8%至66.7%,p < 0.001).
- 对CPAP治疗的专业接受度也显著增加,在两年后,50%的参与医院持续使用.
结论:
- 该教育干预措施在改善CPAP在医疗保健专业人员治疗患有排水性多叶流液的患者中使用率方面被证明是有效的.
- 对CPAP实施的积极影响表明,在两年内,部分参与的医疗保健机构的可持续性.
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