相关实验视频
Updated: May 15, 2025

Conducting Respiratory Oscillometry in an Outpatient Setting
Published on: April 8, 2022
在呼吸护理单位实施早期流动性实践:质量改进项目
So Yang Cho1, Karin Smith, Geraldine Hider
1Author Affiliations: Department of Nursing, Kyungdong University, Wonju-si, Gangwon-do, Republic of Korea (Dr Cho); Department of Nursing, Mayo Clinic, Rochester, Minnesota (Dr Cho); Department of Nursing, Bradley University, Peoria, Illinois (Dr Smith); and Department of Humanities, Carrol Community College, Westminster, Maryland (Mrs Hider).
呼吸护理单位的早期流动性计划改善了患者的治疗结果. 实施护士驱动的早期流动性增强了物理治疗参与和出院的流动性,而不会影响停留时间或死亡率.
科学领域:
- 关键护理医学 关键护理医学
- 质量改进科学 质量改进科学
- 康复疗法是一种康复疗法.
背景情况:
- 早期流动性 (EM) 对重症患者至关重要,但在中间护理中未得到充分利用.
- 呼吸护理单位 (RCU) 面临的挑战包括临床严重性和工作人员信心有限,这阻碍了EM采用.
- 在RCU中观察到较低的EM率 (<10%),加剧了与物理治疗的合作不足.
研究的目的:
- 评估护士驱动的EM程序对RCU的流动性结果的影响.
- 评估员工教育和协议实施在克服EM障碍方面的有效性.
- 为了确定物理治疗咨询和退院后干预后流动性的变化.
主要方法:
- 采用了实施前后质量改进研究设计.
- 一个10个床位的RCU实施了一项由护士驱动的EM计划,与一个多学科团队合作.
- 使用了员工教育,基于证据的协议和降低障碍的策略.
主要成果:
- 物理治疗咨询显著增加,从36%增加到73% (P=.01).
- 69%的患者在实施后实现了更高的出院流动性,而在实施前达到59%.
- 没有观察到停留时间或患者死亡率的显著变化.
结论:
- 护士驱动的早期流动性计划有效地提高了中间护理环境中的患者流动性.
- 多学科教育和协作是成功实施EM的关键.
- 电磁干预可以改善功能结果,而不会对关键护理指标产生负面影响.
相关概念视频
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Chronic Obstructive Pulmonary Disease-V: Nursing Management
Assessment
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:

