早期康复的重要性
危重病或损伤导致的制动可能会让患者面临风险,出现多种并发症1 2
- 谵妄
- 呼吸机相关肺炎 (VAP)
- ICU 获得性衰弱
- 压疮
最近,三家著名学会发布了指南和操作规范,推荐使用早期康复:
- 重症护理医学协会 (SCCM)3、
- 美国重症医学科护士协会 (AACN)4,以及
- 美国护士协会 (ANA)5
指南中与本主题相关的内容也在美国以外的其他国家发布。
早期康复方案可帮助您防止各种并发症的发生。6 7 8 9事实上,许多临床医生已经开始使用类似于 ABCDE 的集束化治疗,以持续改善患者预后。10 11 12
甚至有研究显示,这些方案和技术可节省医疗开支,因为治疗天数和/或高昂的并发症治疗费用相应减少。13
您可能会心存疑虑:“如果这些都是真的,我如何在 ICU 中开始使用该方案呢?”我们能提供各种帮助。我们设计了一款 渐进式康复 Progressive Mobility® 方案,能让您更加轻松地实施早期康复方案。该产品基于最新的临床证据,并经美国学术带头人验证,可提供您所需要的实用工具帮助您完成患者移动。
进一步了解 渐进式康复 Progressive Mobility® 方案
参考文献- Needham, D. Increasing physical function among patients in the ICU. JAMA. 2008;300(14):1685-1690
- Stiller, K. Physiotherapy in Intensive Care. A systematic review. CHEST. 2013
- Barr J, et al. Crit Care Med. Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit. 2013;41(1):263-306
- Bell, L. AACN Practice Alert. Delirium Assessment and Management. Issued online November 2011.
- Matz, W et al, Safe patient handling and mobility. Interprofessional national standards. (Maryland: American Nurses Association, 2013)
- Vollman, K. Progressive mobile in the critically ill. Crit Care Nurse. 2010;30:S3-S5
- Morris, P. et al. Crit Care Med. 2008; 36:2238-2243
- Schweickert, WD et at. Lancet. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomized controlled trial. 2009;373:1874-1882
- Vasilevskis EE, et al. CHEST. Reducing latrogenic risks: ICU-acquired delirium and weakness – Crossing the quality chasm. 2010;138:1224-1233
- Balas M, et al. Crit Care Med. Safety and efficacy of the ABCDE bundle in critically-ill patients receiving mechanical ventilation. 2012;40 (suppl.)
- Bassett RD, et al. Inten Crit Care Nurs. Integrating a multidisciplinary mobility programme into intensive care practices (IMMPTP): a multicenter collaborative. 2012; 29:88-97
- Lord R, et al. Crit Care Med. ICU early physical rehabilitation programs: Financial modeling of cost savings. 2013; 41(3):717-724