Gilmartin M, Make B
Respir Care. 1983 Nov;28(11):1490-7.
Discharge of the ventilator-dependent person from a hospital requires careful advance planning by hospital personnel and rehabilitation of the patient to assure maximal functional ability in the home. The patient and family should be taught the techniques necessary for both routine and emergency care in the home. Respiratory equipment, including the type of mechanical ventilator best suited to the patient's needs and the home environment, and disposable supplies must be obtained, and payment from third-party payers must be assured. Equipment placement and the ability of the patient to perform self-care and activities of daily living following discharge can be facilitated by integrating results of a home care evaluation into the patient's rehabilitation program. Trips of gradually longer duration out of the hospital allow the patient to gain confidence in his ability to care for himself. Responsibilities for follow-up in the home can be shared by respiratory home care companies, visiting nurses, and pulmonary physicians.
依赖呼吸机的患者出院需要医院工作人员提前精心规划，并对患者进行康复治疗，以确保其在家中具备最大程度的功能能力。应向患者及其家属传授在家中进行常规护理和紧急护理所需的技巧。必须购置呼吸设备，包括最适合患者需求和家庭环境的机械通气机类型以及一次性用品，并且必须确保第三方付款人的支付。将家庭护理评估结果纳入患者的康复计划，有助于设备安置以及患者在出院后进行自我护理和日常生活活动的能力。逐渐延长的出院后外出时间可让患者对自己的自理能力增强信心。呼吸家庭护理公司、访视护士和肺科医生可共同承担家中的随访责任。
