在儿童骨髓移植单位实施早期流动性倡议
Anne Swanson1,2, Kylie James1,2, Kimberly Fan1,3
1St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Pediatric reports
|November 24, 2025
概括
这项研究旨在增加儿科造血细胞移植 (HCT) 接受者,包括扩展光谱β-乳糖酶 (ESBL) 定居者的出行率. 干预措施并没有显著增加患者的行走,在倡议之前观察到更多的运动.
科学领域:
- 儿科血液学 儿科血液学
- 在瘤学瘤学.
- 传染病控制和控制传染病
- 康复医学 康复医学 康复医学
背景情况:
- 儿童造血细胞移植 (HCT) 接受者由于复杂的临床过程而面临功能障碍.
- 早期动员对于减少这些患者的长期功能问题至关重要.
- 感染传播问题,特别是扩展光谱β-乳糖酶 (ESBL) 殖民,可能会限制早期出行.
研究的目的:
- 在三个月内显著增加儿科HCT接受者的出行.
- 为了增强每天的行走活动,每周进行物理治疗 (PT) 访问,每次PT会话步行距离.
主要方法:
- 从电子健康记录中追溯收集数据 (2022年1月至10月).
- 实施一项质量改善计划,允许ESBL殖民患者带有个人防护设备 (PPE) 走动.
- 针对调动ESBL殖民患者的最新协议进行临床工作人员培训.
主要成果:
- 干预前的出行率高于干预后的出行率 (第一组:增加1.36倍,p=0.004;第二组与第三组:增加1.33倍,p=0.016).
- 对于行走变化的效果大小是适度的 (0.3042和0.2856).
- 这项干预措施未能实现其主要目标,即增加出行人数.
结论:
- 质量改善计划未能增加儿科HCT接受者的出行率.
- 观察到的行走趋势有利于干预前的时期,尽管统计能力有限.
- 短暂的监测,回顾性设计,个人防护设备挑战和未测量的变量等因素可能解释了缺乏成功.
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