肺部集中垂直化治疗在患有呼吸系统衰竭的患者中
Heather Fudala1, Shelly Orr2, Elisa Winn3
1Heather Fudala is nursing research program director, Virginia Commonwealth University Health System, Richmond, Virginia.
概括
在一项小型重症监护病房研究中,垂直化疗法,一种使患者直立的方法,显示出潜在的益处,但面临着患者安全和护理人员可用性方面的挑战.
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
- 患者安全 患者安全
背景情况:
- 机械通风和倾斜的位置带来了感染和受伤等风险.
- 垂直化治疗包括控制的,在床上直立的定位.
- 之前的研究表明,垂直化可以改善呼吸衰竭中的氧化.
研究的目的:
- 评估垂直化治疗的安全性和可行性.
- 评估其在呼吸困难患者的使用,包括COVID-19患者.
主要方法:
- 在医疗呼吸器重症监护病房的成年患者参与了这项研究.
- 每天进行多达两次垂直化疗法.
- 会议持续时间的目标是30到120分钟.
主要成果:
- 由于安全问题 (低血压,脱) 和人员短缺,计划中的15名参与者中有6人被招聘后停止了招聘.
- 大多数参与者都能耐受治疗,但有一次治疗由于不良事件而提前停止.
- 不足够的护理人员阻碍了持续的治疗.
结论:
- 有限的参与者数量限制了最终的结论.
- 未来的研究应该考虑患者的严重程度,并使用较慢的垂直化率.
- 纵向化疗法增加了护理工作量,尽管对其他医疗保健提供者的好处尚不清楚.
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