来自中低社会经济地位的患有胸部创伤的患者的个人资料和管理
Heleen van Aswegen1, Ronel Roos1, Elizma Haarhoff2
1Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
The South African journal of physiotherapy
|July 4, 2025
概括
胸部创伤的管理侧重于早期动员和肺部炼,不太重视运动范围的炼. 建议对服务提供进行审查,以改善患者的治疗结果.
科学领域:
- 创伤护理的护理人员.
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 胸部创伤往往导致疼痛和呼吸短促 (SOB),增加并发症风险和住院时间 (LOS).
- 胸部创伤后的患者管理协议没有得到广泛报道,这突显了临床实践知识的差距.
研究的目的:
- 为了全面描述患者的个人资料,症状和胸部创伤的管理策略.
- 分析胸部创伤患者的不良事件,并发症,出院目的地和后续服务.
主要方法:
- 在两个大学附属医院进行了长达18个月的前性观察研究.
- 对被诊断患有胸部创伤的成年患者的临床记录进行了审查,以收集有关管理和结果的数据.
- 进行了统计分析,在p < 0.05时确定了显著性.
主要成果:
- 该研究包括179名患者,主要是男性 (95%),袭击造成的穿透创伤很常见 (82%).
- 治疗包括止痛疗法 (98%),肋间排水插入 (92%) 和日常物理治疗,重点是功能活动,肺体积增大和分泌物去除.
- 虽然大多数患者经历了轻度的SOB和短暂的LOS (平均5.5天),但肩膀和干部运动范围 (ROM) 练习很少进行 (分别为25%和4%).
结论:
- 目前的胸部创伤管理优先考虑早期动员,增加肺体积和清除分泌物.
- 需要更多地关注运动范围的炼和出院后的服务,以全面恢复患者.
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