家庭护理对后重症监护室患者身体功能的影响:元分析
Kornkanya Pengpala1,2, Susan W Buchholz1, Jiying Ling1
1College of Nursing, Michigan State University, East Lansing, MI, USA.
Western journal of nursing research
|February 8, 2025
概括
家庭物理治疗干预可以帮助在重症监护室 (ICU) 机械通风后改善功能. 然而,观察到的身体功能的改善是温和的,这表明需要加强康复策略.
科学领域:
- 康复医学 康复医学 康复医学
- 关键护理医学 关键护理医学
- 物理疗法物理治疗
背景情况:
- 患者在出院后经常经历身体功能下降,特别是那些需要在重症监护室 (ICU) 进行机械通风的人.
- 在ICU后恢复身体功能对于患者的康复和生活质量至关重要.
研究的目的:
- 进行对基于家庭或结合的门诊和基于家庭的干预措施进行元分析.
- 评估这些干预措施在改善ICU机械通风后患者的身体功能方面的有效性.
主要方法:
- 按照PRISMA指南进行系统的文献搜索.
- 包括11项研究 (主要是随机试验),涉及ICU机械通风后接受家庭或门诊+家庭物理功能干预的成年患者.
- 使用各种物理功能测量的随机效应模型计算聚合效应大小 (Hedges' g).
主要成果:
- 6分钟的步行测试显示,综合效果大小为0.32 (95% CI:0.05至0.58).
- 定时升级和进行测试的综合效果大小为1.38 (95% CI: -0.09至2.84).
- 在SF-36体力功能分量表现出0.31 (95%CI:0.09至0.52) 的聚合效应大小.
结论:
- 基于家庭或门诊+基于家庭的干预计划可以导致ICU机械通风后患者的身体功能得到改善.
- 观察到的效果大小通常很小,这表明需要进一步研究优化这些干预措施,以最大限度地提高患者的身体功能.
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