早期动员重症监护病房患者:一个质量改进基于证据的项目
1Department of Nursing, Aspen University, Denver, CO, USA Judith.manning@nychhc.org.
Journal of doctoral nursing practice
|March 12, 2025
概括
使用床边移动性评估工具 (BMAT) 实施由护士驱动的早期移动性协议,显著提高了ICU中的患者移动率. 这种基于证据的干预措施改善了重症患者的早期动员.
科学领域:
- 关键护理医学 关键护理医学
- 提高护理质量 提高护理质量
- 患者移动协议 患者移动协议
背景情况:
- 确定了城市医院重症监护室 (ICU) 患者早期动员 (EM) 安全性和有效性的差距.
- 文献审查表明,护士驱动的流动性协议是安全的EM在ICU的可行的基于证据的干预措施.
研究的目的:
- 评估早期流动性计划使用床边流动性评估工具 (BMAT) 对患者流动性的影响.
- 为了比较ICU环境中的移动率,使用BMAT与标准实践在8周的时间内进行比较.
主要方法:
- 一个试点项目在17个病床的重症监护室中对严重病情的成年患者 (≥18岁) 进行.
- 通过使用床边移动性评估工具 (BMAT) 实施护士驱动的移动性协议.
- 利用科特的八步变革过程和计划-做-研究-行动作为实施指导.
主要成果:
- 总共有306名患者被纳入 (133名干预前,173名干预后).
- 动员率显著增加,从干预前的42% (56/133) 增加到干预后的76% (132/173).
- 根据BMAT指导的协议,患者动员率在统计学上显著改善.
结论:
- 结合BMAT的护士驱动的早期流动性协议在加强ICU患者流动性活动方面是有效的.
- 该研究支持继续使用和传播该协议到其他医院单位.
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