在重症监护室,重症监护室获得了虚弱和体力康复,在ICU中进行体力康复
Stephanie L Hiser1, Kelly Casey2, Peter Nydahl3
1Department of Health, Human Function, and Rehabilitation Sciences, George Washington University, Washington, DC, USA stephanie.hiser@gwu.edu.
概括
重症监护室获得的虚弱 (ICUAW) 影响了许多重症患者的成年人,导致结果不佳. 本综述考察了ICUAW的证据和对物理康复干预的未来研究需求.
科学领域:
- 关键护理医学 关键护理医学
- 身体康复 身体康复
- 神经学 神经学
背景情况:
- 重症监护室获得的虚弱 (ICUAW) 影响大约50%的重症成年人.
- ICUAW与延长机械通风,延长住院和减少身体功能等不良结果有关.
- 目前关于ICUAW早期身体康复有效性的证据是不一致的.
研究的目的:
- 审查关于ICUAW的定义,诊断,流行病学,病理生理学,风险因素,影响和管理的现有证据.
- 确定ICUAW领域的研究差距和挑战.
- 为ICUAW提供有关身体康复干预的未来研究提供考虑.
主要方法:
- 对ICUAW最近的研究进行系统的文献综述.
- 综合有关ICUAW定义,诊断和风险因素的证据.
- 分析有关ICUAW影响和管理的现有数据.
主要成果:
- ICUAW是一种严重的并发症,对重症患者具有广泛的负面影响.
- 需要进一步阐明ICUAW的危险因素和病理生理机制.
- 对于ICUAW的身体康复干预措施的有效性仍然不确定,需要进一步调查.
结论:
- ICUAW是一个重大的临床挑战,对患者产生重大影响.
- 进一步的研究对于完善诊断标准,了解病理生理学和确定有效的管理策略至关重要.
- 未来的研究应侧重于优化身体康复干预,以改善ICUAW患者的治疗结果.
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