印度神经重症监护病房的胸部物理治疗技术：一项调查。

Chest physiotherapy techniques in neurological intensive care units of India: A survey.

作者信息

Bhat Anup, Chakravarthy Kalyana, Rao Bhamini K

机构信息

Department of Physiotherapy, M. S. Ramaiah Medical College, Bengaluru, India.

School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.

出版信息

Indian J Crit Care Med. 2014 Jun;18(6):363-8. doi: 10.4103/0972-5229.133890.

DOI:10.4103/0972-5229.133890

PMID:24987235

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4071680/

Abstract

CONTEXT

Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs.

AIM

The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India.

SETTINGS AND DESIGN

A tertiary care hospital in Karnataka, India, and cross-sectional survey.

SUBJECTS AND METHODS

A questionnaire was formulated and content validated to assess the current chest physiotherapy practices in neurological ICUs of India. The questionnaire was constructed online and a link was distributed via E-mail to 185 physiotherapists working in neurological ICUs across India.

STATISTICAL ANALYSIS USED

Descriptive statistics.

RESULTS

The response rate was 44.3% (n = 82); 31% of the physiotherapists were specialized in cardiorespiratory physiotherapy and 30% were specialized in neurological physiotherapy. Clapping, vibration, postural drainage, aerosol therapy, humidification, and suctioning were used commonly used airway clearance (AC) techniques by the majority of physiotherapists. However, devices for AC techniques such as Flutter, Acapella, and standard positive expiratory pressure devices were used less frequently for AC. Techniques such as autogenic drainage and active cycle of breathing technique are also frequently used when appropriate for the patients. Lung expansion therapy techniques such as breathing exercises, incentive spirometry exercises, and positioning, proprioceptive neuromuscular facilitation of breathing are used by majority of physiotherapists.

CONCLUSIONS

Physiotherapists in this study were using conventional chest physiotherapy techniques more frequently in comparison to the devices available for AC.

摘要

背景

神经重症监护病房（ICU）是神经科学领域中迅速发展的一个亚专业。胸部物理治疗技术在神经ICU中对于预防、阻止或逆转因神经疾病和入住ICU而导致的损伤具有重要价值。然而，与普通ICU相比，胸部物理治疗技术在神经ICU中需要更大程度的调整。

目的

本研究的目的是获取有关印度神经ICU当前胸部物理治疗实践的数据。

设置与设计

印度卡纳塔克邦的一家三级护理医院，横断面调查。

研究对象与方法

制定了一份问卷并进行了内容验证，以评估印度神经ICU当前的胸部物理治疗实践。问卷在线构建，并通过电子邮件将链接分发给全印度185名在神经ICU工作的物理治疗师。

所用统计分析方法

描述性统计。

结果

回复率为44.3%（n = 82）；31%的物理治疗师专门从事心肺物理治疗，30%专门从事神经物理治疗。大多数物理治疗师常用的气道清理（AC）技术包括拍击、振动、体位引流、雾化治疗、湿化和吸痰。然而，诸如福乐球、阿法贝拉和标准呼气末正压装置等AC技术设备在AC中使用较少。当适合患者时，也经常使用诸如自主引流和主动呼吸循环技术等方法。大多数物理治疗师使用诸如呼吸锻炼、激励肺活量测定锻炼和体位摆放、呼吸的本体感觉神经肌肉促进等肺扩张治疗技术。