物理治疗和优化肠道营养 在危急疾病的后急性阶段 (PHOENIX):混合方法可行性随机对照试验方案
David McWilliams1,2, Owen Gustafson3, Nicola Wyer4
1Centre for Care Excellence, Coventry University, Coventry, UK ac3572@coventry.ac.uk.
BMJ open
|March 27, 2025
概括
这项研究探讨了从重症监护病房过渡到普通病房的患者的物理治疗和营养结合的结构化康复. 它评估了这种方法的可行性和可接受性,以改善患者的康复和身体独立性.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学是康复的科学.
- 临床营养学 临床营养学
背景情况:
- 每年有14万名英国患者从重症监护室 (ICU) 转移到具有重大康复需求的普通病房.
- 许多患者在ICU后仍然依赖营养和身体障碍,营养不良往往没有被识别.
- 目前的做法各不相同,缺乏综合营养和运动策略,以便在一般病房获得最佳恢复.
研究的目的:
- 评估结构化康复计划的可行性和可接受性,将物理治疗和优化营养相结合,用于一般病房的ICU后患者.
- 评估一个更大的,多中心随机对照试验 (RCT) 的潜力.
主要方法:
- 一个双中心,混合方法可行性随机对照试验 (RCT) 涉及60名患者.
- 随机分配患者接受个性化物理治疗和优化营养或ICU出院后的标准护理.
- 通过招聘和保留率评估可行性;通过参与者和员工面试评估可接受性.
主要成果:
- 目前正在收集可行性和可接受性数据.
- 该研究旨在为未来的最终试验提供功率计算的信息.
结论:
- 结合物理治疗和营养的结构化康复可以改善一般病房的ICU后患者的结果.
- 需要进一步的研究来确认临床和成本效益.
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