探索约旦成人重症监护病房的早期动员实践:一个跨部门调查
Adnan Wshah1, Sakher Obaidat1, Amjad I Shallan1
1Department of Physical Therapy, Faculty of Applied Medical Sciences, The Hashemite University, Zarqa, Jordan.
Journal of multidisciplinary healthcare
|July 4, 2025
概括
在约旦,对重症病患来说,在重症监护室 (ICU) 早期动员是非常重要的. 然而,实践不同,缺乏标准化的协议,表明需要改进实施和培训.
科学领域:
- 临界护理医学 临界护理医学
- 康复疗法康复疗法康复疗法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在重症监护室 (ICU) 长时间固定导致诸如ICU-AW (ICU-AW) 获得的虚弱和心肺功能下降等不良结果.
- 早期动员是减轻重症患者这些负面影响的关键干预措施.
- 关于在约旦ICU实施早期动员的数据有限.
研究的目的:
- 探索目前在约旦成年人重症监护室的早期动员实践.
- 确定卫生保健专业人员用于早期动员的共同策略和患者选择标准.
- 评估约旦ICU早期动员标准化协议的实施程度.
主要方法:
- 采用了观察性,横截面的调查设计.
- 一个结构化的在线问卷收集了约旦ICU医疗保健专业人员的数据.
- 描述性和推断性统计数据被用于分析数据,显著性设置在p < 0.05.
主要成果:
- 完成了200项调查,主要由理疗师和护士完成.
- 常见的早期动员策略包括定位,主动和被动动员,通常与分泌物排水相结合.
- 很大一部分 (36%) 的受访者报告说,没有早期动员的标准化方案,呼吸系统的稳定性是首要的患者选择标准.
结论:
- 约旦的医疗保健专业人员承认早期动员ICU的重要性.
- 实施的变化和缺乏标准化的协议需要制定明确的指导方针和培训.
- 建议对障碍和高风险人群进行进一步研究,以优化早期动员结果.
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