儿童重症监护室中烧伤儿童的动员:结果和障碍
Sarah Eilerman1, Lauren Justice1, Ben Reader1
1Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH 43205, United States.
概括
儿童烧伤患者在重症监护室 (ICU) 的早期动员至关重要. 然而,较高的烧伤严重程度和频繁的手术阻碍了治疗,强调需要解决这些障碍以改善结果.
科学领域:
- 儿童重症监护医疗
- 康复治疗
- 燃烧伤害管理
背景情况:
- 儿童重症监护室 (ICU) 的烧伤患者需要多学科护理.
- 职业和物理治疗师是管理胀,定位和功能活动的关键.
- 早期动员是护理的标准,但缺乏儿童烧伤患者的具体评估.
研究的目的:
- 描述儿童烧伤患者的早期动员实践.
- 确定早期动员参与的障碍.
- 评估移动性变化和烧伤大小对ICU进展的影响.
主要方法:
- 在重症监护室对108名儿童烧伤患者进行了回顾.
- 分析患者人口统计和治疗数据 (活动水平,障碍) 进入ICU后的14天内.
- 检查全身表面积 (TBSA) 烧伤和运动进展之间的关系.
主要成果:
- 较高的TBSA烧伤与明显较低的活动水平相关 (P = .002).
- 对治疗的障碍是常见的:66%的患者错过了物理治疗,55%的患者错过了职业治疗.
- 最主要的障碍包括患者手术 (54%) 和护理问题 (12%).
结论:
- 儿童烧伤重症监护室的早期动员面临重大障碍,包括程序干扰和医疗状况问题.
- 烧伤严重程度的增加与运动能力的减少有关.
- 针对减轻障碍的干预措施对于改善弱势群体的早期动员至关重要.
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