一个闭环审计的早期动员胸部手术患者在术后的0天0的闭环审计
Elif Demirtas1, Thomas Brookes2
1Surgery, University Hospitals Birmingham, Birmingham, GBR.
Cureus
|December 6, 2024
概括
胸部手术后的早期动员显著改善了患者的康复. 实施多学科团队培训和提醒将术后0日动员率从30%提高到67.6%.
科学领域:
- 胸部外科手术 胸部外科手术
- 术后护理 术后护理
- 康复医学 康复医学 康复医学
背景情况:
- 早期动员对于减少胸部手术患者的并发症至关重要.
- 手术后改善恢复 (ERAS) 准则强调术后的0日 (POD-0) 动员.
- 在临床实践中,遵守早期动员方案可能具有挑战性.
研究的目的:
- 评估胸部手术患者遵守早期动员协议的情况.
- 评估干预措施对POD-0动员率的影响.
- 识别障碍并改善早期流动性实践.
主要方法:
- 一个闭环审计涉及胸部手术患者从2023年11月到2024年6月.
- 在三个周期内追溯收集的数据,评估POD-0调动率.
- 干预措施包括多学科团队 (MDT) 培训和提醒海报.
主要成果:
- 干预前的POD-0动员率为30%,干预后的POD-0动员率增加到67.6%.
- 在病房和高度依赖单位 (HDU) 的患者中,动员率显著改善.
- 在POD-0调动的患者的住院时间中位数较短 (2天而不是5天).
结论:
- 有针对性的干预措施,包括MDT培训和提醒,成功地改善了早期动员坚持.
- 改进的早期动员方案对患者的结果产生了积极的影响,并减少了住院时间.
- 协调的多学科努力对于促进胸部手术中有效的术后恢复至关重要.
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