在巴西的重症监护病房中使用机械吸气-排气装置
Rodrigo Souza Vieira1, Maycon Moura Reboredo1,2, Cristiane Bastos Netto1
1Pulmonary and Critical Care Division, University Hospital of Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil.
Nursing in critical care
|February 20, 2025
概括
在巴西的重症监护室 (ICU) 中,机械吸气-排气 (MI-E) 的使用率很低. 医疗保健专业人员面临的障碍包括缺乏知识和证据,阻碍MI-E的采用.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 机械吸气-排气 (MI-E) 为气道清理提供了潜在的好处.
- 在巴西的重症监护室 (ICU) 中,其使用模式和障碍在很大程度上仍未得到记录.
研究的目的:
- 调查巴西ICU医疗保健专业人员目前使用MI-E设备的情况.
- 识别阻碍MI-E定期实施和应用的障碍.
主要方法:
- 一项横截面电子调查分发给与巴西重症监护协会相关的医疗保健专业人员 (医生,物理治疗师,护士).
- 分析了来自232个返回调查的数据,以确定MI-E的可用性和使用频率.
主要成果:
- 只有20.9%的受访ICU报告拥有MI-E设备.
- 当可用时,MI-E的使用是不常见的:每天使用 (12.9%),每周使用 (22.6%),每月或更少 (64.5%).
- 确定的主要障碍包括缺乏知识,资源不足和科学证据不足.
结论:
- 在巴西的ICU中,MI-E并未被广泛采用,医疗保健专业人员报告的显著使用不足.
- 通过有针对性的教育,资源分配和强大的临床试验来解决障碍,对于改善MI-E实施至关重要.
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