Mendes Roberto Miguel Gonçalves, Nunes Manuel Lourenço, Pinho José António, Gonçalves Ricardo Bruno Rodrigues
Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.
Serviço de Cuidados Intensivos 1, Centro Hospitalar do Porto, Porto, Portugal.
Rev Bras Ter Intensiva. 2018 Mar;30(1):57-63. doi: 10.5935/0103-507x.20180011.
To describe the different rehabilitation care models in practice in Portuguese adult intensive care units.
A simple observational (cross-sectional) study was conducted through an online survey sent to the head nurses or individuals responsible for the 58 adult intensive care units that are part of the database of the Sociedade Portuguesa de Cuidados Intensivos.
We identified three models of organization of rehabilitation care: care provided by the staff of the intensive care unit (22.9%), care provided by specialized external teams (25.0%), and a mixture of the previous models, combining the two situations (52.1%). In the first model, the care was provided mainly by nurses with specialization in rehabilitation and, in the second model, the care was provided by physiotherapists. No significant differences were found between the models regarding the availability of care, in hours/day or days/week (p = 0.268 and 0.994, respectively), or results such as length of hospital stay in intensive care, ventilation time, or mortality rate in the unit (p = 0.418, 0.923, and 0.240, respectively).
The organization of rehabilitation care in Portuguese intensive care units is unique and heterogeneous. Despite different care organization models, the availability of hours of care is similar, as are the overall results observed in patients.
描述葡萄牙成人重症监护病房实际采用的不同康复护理模式。
通过向葡萄牙重症监护学会数据库中58个成人重症监护病房的护士长或负责人发送在线调查问卷，开展一项简单的观察性（横断面）研究。
我们确定了三种康复护理组织模式：由重症监护病房工作人员提供护理（22.9%），由专业外部团队提供护理（25.0%），以及将前两种模式结合的混合模式（52.1%）。在第一种模式中，护理主要由康复专科护士提供，在第二种模式中，护理由物理治疗师提供。在护理可及性方面，即每天护理时长或每周护理天数，各模式之间未发现显著差异（p值分别为0.268和0.994），在重症监护病房住院时长、通气时间或病房死亡率等结果方面也未发现显著差异（p值分别为0.418、0.923和0.240）。
葡萄牙重症监护病房的康复护理组织模式独特且多样。尽管护理组织模式不同，但护理时长的可及性相似，患者的总体结果也相似。
