在肺部康复中,物理治疗师对氧气处方的先进实践作用的实施:一个解释性的顺序混合方法质量评估
Thomas F Riegler1, Thimo Marcin2, Patrick Brun2,3
1Institute of Physiotherapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland. thomas.riegler@zhaw.ch.
BMC health services research
|December 19, 2024
概括
在肺部康复中,物理治疗师现在可以在运动期间处方氧气. 这种先进的实践角色 (APO2) 可以改善工作流程和协作,而不会影响运动能力或安全.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 心血管呼吸系统物理治疗
- 高级实践角色高级实践角色
背景情况:
- 肺部康复中补充氧的处方通常由医生领导,为物理治疗师创造了过程效率低下.
- 开发了物理治疗师 (APO2) 的高级实践角色,以使身体活动期间的氧气处方成为可能.
- 这项研究评估了APO2作用的可行性,安全性和影响.
研究的目的:
- 实施和评估物理治疗师 (APO2) 在肺部康复中在体力活动期间处方氧气的先进实践角色.
- 评估APO2角色对临床过程,患者治疗结果和专业间合作的影响.
主要方法:
- 使用混合方法方法,结合临床数据的定量分析和医疗保健专业经验的定性探索.
- 在一家住院康复诊所实施了APO2角色的呼吸器物理治疗师培训和认证.
- 收集的数据包括氧气处方,定位,运动能力,跨专业面试和调查.
主要成果:
- 在评估期间,经过认证的APO2物理治疗师参与了15%的氧气处方.
- 通过APO2管理的患者表现出更频繁的氧气定位和处方调整,剂量范围更窄.
- 没有观察到运动能力或不良事件的显著差异;定性数据表明对协作和工作流的积极影响.
结论:
- 在肺部康复中,在体力活动期间以物理治疗为主导的氧气处方是可行的和安全的.
- APO2的作用是提高心肺呼吸系统物理治疗中的专业间合作和工作流效率.
- 这种先进的实践模型支持在肺部康复机构中优化患者护理.
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