摇摆运动疗法用于ICU中的妄想患者:多中心随机临床试验
Marie Oxenbøll Collet1,2, G M Nielsen1, Linette Thorn3
1Department of Intensive Care, Copenhagen University Hospital, Copenhagen, Denmark.
Critical care medicine
|January 10, 2025
概括
摇摆运动治疗没有显著减少ICU患者的妄想持续时间. 这项研究发现,摇椅和不摇椅之间在没有昏迷或妄想的情况下活着的日子没有差异.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- Delirium 在重症监护室 (ICU) 患者中很常见,与糟糕的结果有关.
- 摇摆运动疗法在痴呆症患者中表现出镇静作用.
- 它在ICU痴呆症中的有效性以前没有被研究过.
研究的目的:
- 为了评估摇摆运动疗法的有效性和安全性,与非摇摆运动疗法相比.
- 评估对ICU患者痴呆症持续时间和激动强度的影响.
- 为了测试摇摆运动疗法改善了没有昏迷或妄想的活日的假设.
主要方法:
- 一个多中心,并行组随机对照试验.
- 招募了149名成年ICU患有痴呆症的患者.
- 参与者每天至少接受摇椅或非摇椅治疗20分钟.
主要成果:
- 主要结局是随机化后2周没有昏迷或妄想的生存日.
- 有141名患者的数据可用.
- 在摇摆和非摇摆组之间没有观察到统计学上显著的差异.
结论:
- 在ICU患者中,摇摆运动疗法并没有显著增加在没有昏迷或妄想的情况下生存的天数.
- 这项干预措施在妄结果的标准非摇摆疗法上没有显示出统计学上显著的益处.
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