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对于接受体外膜氧化治疗的成年患者的行走协议:质量改善倡议
Valentina Obreja1, Taline Marcarian2, Pamela S Miller3
1Valentina Obreja is a critical care nurse and evidence-based practice and quality improvement champion in the cardiothoracic intensive care unit at Ronald Reagan UCLA Medical Center in Los Angeles, California.
Critical care nurse
|January 31, 2025
概括
实施体外膜氧化 (ECMO) 健行方案增加了步行患者的数量. 虽然站立和行走时间没有显著差异,但该方案在患者移动性方面具有临床意义.
科学领域:
- 关键护理医学 关键护理医学
- 心肺支 提供心肺支
- 康复 康复 康复 康复
背景情况:
- 身体外膜氧化 (ECMO) 患者的早期流动性减少了通风时间,妄想和重症监护室停留时间,改善了身体功能.
- 机构根据指导方针制定出行协议.
- 一项质量改善倡议评估了成年ECMO患者的行走协议.
研究的目的:
- 评估在接受ECMO的成年重症监护病人的行走方案的有效性.
主要方法:
- 一项质量改进倡议比较了按协议行走的成年ECMO患者与历史对照组.
- 数据分析包括描述性统计和独立的t测试.
- 评估的结果包括安全事件,患者和治疗次数,站立/行走时间和距离.
主要成果:
- 协议组的28%的患者 (13/46) 走路,而对照组的2019年的10% (14/147) 和2020年的15% (21/144).
- 在平均出行次数 (协议:10次,控制:9次) 中没有发现显著差异.
- 协议组和对照组之间的平均站立时间,行走时间和距离没有显著差异.
结论:
- 通过ECMO行走协议,实现行走的患者数量显著增加.
- 尽管时间和距离没有显著差异,但该方案在促进患者流动性方面具有临床意义.
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