在ICU幸存者的身体功能测量,到目前为止? 一个范围审查审查
I du Plessis1, S D Hanekom1, A R Lupton-Smith1
1Division of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
概括
严重疾病的幸存者经常经历身体功能受损. 这次审查绘制了44种用于测量幸存者的身体功能的仪器,发现大多数关注的是移动性,并在急症监护室后的第一年内使用.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学是康复的科学.
- 健康研究成果研究结果
背景情况:
- 越来越多地认识到重症幸存者的长期发病率.
- 身体功能受损是影响幸存者的生活质量的主要后果.
- 在这个人群中,物理功能的标准化测量仍然不一致.
研究的目的:
- 系统地绘制和描述用于对重症幸存者纵向研究的身体功能测量仪器.
- 根据国际功能,残疾和健康分类 (ICF) 领域对这些工具进行分类.
- 在重症疾病研究中识别身体功能结果测量的差距和不一致.
主要方法:
- 从创立到2023年11月进行了全面的电子数据库搜索 (EbscoHost,科学网,Scopus).
- 两个独立审稿人对标题,摘要和全文研究应用了包含/排除标准.
- 提取了关于出版年,国家,参与者年龄,随访持续时间和物理测量仪器的数据,并根据ICF领域进行分类.
主要成果:
- 包括1995年至2023年间发表的80项研究,确定了44个不同的结果指标.
- 大多数研究 (68) 在一年内有多个随访点;只有12个延长超过一年.
- 仪器主要测量活动限制 (75%) 而不是减值 (25%). 经常测量肌肉力量 (65%) 和六分钟步行测试 (31.6%).
结论:
- 使用各种各样的工具来评估ICU幸存者的身体缺陷,重点关注损伤和活动限制.
- 测量仪器的异质性和不一致性阻碍了数据合成和干预效果评估.
- 确定措施的有效性,预测价值和敏感性对于设计有效的干预研究至关重要.
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