Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Outcomes after Critical Illness and Surgery Group, Johns Hopkins University, Baltimore, MD, USA.
Crit Care. 2017 Oct 4;21(1):249. doi: 10.1186/s13054-017-1827-6.
The evaluation of physical functioning is valuable in the intensive care unit (ICU) to help inform patient recovery after critical illness, to identify patients who may require rehabilitation interventions, and to monitor responsiveness to such interventions. This viewpoint article discusses: (1) the concept of physical functioning with reference to the World Health Organization International Classification of Functioning, Disability and Health; (2) the importance of measuring physical functioning in the ICU; and (3) methods for evaluating physical functioning in the ICU. Recommendations for clinical practice and research are made, along with discussion of future directions.
在重症监护病房(ICU)中,对身体机能进行评估具有重要价值,可帮助了解患者在重病后恢复的情况,识别可能需要康复干预的患者,并监测对这些干预的反应。本文观点部分讨论了:(1)与世界卫生组织国际功能、残疾和健康分类相关的身体机能概念;(2)在 ICU 中测量身体机能的重要性;(3)在 ICU 中评估身体机能的方法。本文还提出了临床实践和研究方面的建议,并讨论了未来的方向。