一项多学科调查,比较学术和社区重症监护临床医生的ARDS实践和COVID-19大流行
Diane Masket1, Carey C Thomson2, Andre Carlos Kajdacsy-Balla Amaral3
1Endeavor Health, Medicine, Evanston, United States.
Annals of the American Thoracic Society
|June 23, 2025
概括
在学术和社区临床医生如何管理急性呼吸困扰综合征 (ARDS) 方面存在差异. COVID-19大流行严重影响社区重症监护室 (ICU),需要针对ARDS护理量身定制的实施策略.
科学领域:
- 临界护理医学 临界护理医学
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 已知识别和治疗急性呼吸窘迫综合征 (ARDS) 的障碍.
- 之前的研究没有比较学术和社区环境之间的这些障碍,也没有检查COVID-19大流行期间的ARDS管理.
研究的目的:
- 确定学术和社区重症监护临床医生在COVID-19大流行期间的团队/ICU文化,沟通,ARDS知识,态度,感知障碍和ICU组织/管理方面的差异.
主要方法:
- 从2020年9月到2021年4月进行了一项多学科调查.
- 来自美国和加拿大的15家医院 (6家学术,9家社区) 的重症监护医生,护士,高级实践提供者和呼吸治疗师 (RTs) 参与了这项研究.
- 学术和社区临床医生之间的个人和域名得分进行了比较,并对多次比较进行了统计调整.
主要成果:
- 与学术同行相比,社区医生和护士的文化分数更高.
- 学术护士和技术人员的知识得分高于社区护士和技术人员.
- 与学术临床医生相比,社区临床医生在COVID-19大流行期间报告了ICU组织和实践的更多变化.
- 虽然学术临床医生更有可能每天照顾ARDS患者,但ARDS管理态度和信念在不同环境中是相似的.
结论:
- 在ARDS护理中,学术和社区重症监护临床医生之间存在着文化和知识的显著差异.
- COVID-19大流行不成比例地影响了社区环境中的ICU组织和ARDS管理.
- 对ARDS护理的实施策略必须量身定制,以解决学术与社区环境中的特定障碍.
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