在15个异质ICU正常化每日唤醒和呼吸协调:实施后的多中心调查
Andrew J Knighton1,2, Jacob Kean3, Ithan D Peltan4,5
1Intermountain Healthcare Delivery Institute, Intermountain Health, Salt Lake City, UT, USA. andrewknighton@live.com.
临床医生可能仍然对自发唤醒试验 (SAT) 和自发呼吸试验 (SBT) 的协调有疑问,尽管依赖度很高. 可能需要进一步的策略来确保长期的实践规范化和维持.
科学领域:
- 危急护理医学
- 呼吸疗法
- 医疗实施科学
背景情况:
- 对协调自发唤醒试验 (SAT) 和自发呼吸试验 (SBT) 协议的高度遵守.
- 临床医生可能会保留影响长期实践正常化和维持的未解决问题.
- 识别这些持续存在的问题对于协议的长寿至关重要.
研究的目的:
- 确定有关协调SAT/SBT (C-SAT/SBT) 协议的未解决问题或问题.
- 在实施后六个月评估临床医生的可接受性和实践正常化.
主要方法:
- 对12家医院的606名临床医生 (医生,护士,RT) 进行了横截面调查.
- 评估临床医生对C-SAT/SBT方案可接受性的看法 (有用性,易用性,可靠性).
- 评估所感知的实践规范化,并确定了较低一致性的子组.
主要成果:
- 报告了高守率 (83.1%) 和感知可接受性 (72. 1% - 88. 1%).
- 认知实践的正常化总体上很高 (82.0%),但71%的人不同意至少一个正常化陈述.
- 分组分析显示了不同角色和地点的不同意见,表明了潜在的差异.
结论:
- 尽管C-SAT/SBT协议的高度遵守性和可接受性,但某些临床医生子组仍然存在未解决的问题.
- 对于实践的规范化和持续性的长期影响尚不清楚.
- 可能需要针对性的后期实施策略来解决问题并确保持续的实践.
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