Van Damme Danielle, Flori Heidi, Owens Tonie
Pediatric Critical Care Medicine, Department of Pediatrics and Communicable Diseases (Ms Van Damme and Dr Flori), and Pediatric Intensive Care Unit, Department of Nursing (Mss Van Damme and Owens), Michigan Medicine, Ann Arbor.
Crit Care Nurs Q. 2018 Jul/Sep;41(3):323-329. doi: 10.1097/CNQ.0000000000000212.
Physical activity in acute and critical care has been recognized as a successful method of improving patient outcomes. Challenges lie, however, in mobilizing pediatric critically ill patients and establishing consensus among health care providers about the safety and feasibility. The challenge of mobilizing pediatric patients is balancing developmental level, functional ability, and level of acuity; therefore, a mobility guideline was developed for use in the pediatric intensive care unit (PICU). The unique population and challenges in the PICU led to the development of a PICU-specific set of medical criteria within a PICU mobility guideline. The process of determining the medical criteria, using evidence, is discussed along with stratification of the criteria into phases of mobility. We review the criteria and the implications for mobility guidelines and patient outcomes.
在急性和重症监护中，身体活动已被视为改善患者预后的一种成功方法。然而，在动员儿科重症患者以及在医疗保健提供者之间就安全性和可行性达成共识方面存在挑战。动员儿科患者面临的挑战是平衡发育水平、功能能力和病情严重程度；因此，制定了一项用于儿科重症监护病房（PICU）的活动指南。PICU中独特的人群和挑战导致在PICU活动指南中制定了一套特定于PICU的医学标准。本文讨论了使用证据确定医学标准的过程，以及将标准分层为活动阶段的情况。我们回顾了这些标准以及对活动指南和患者预后的影响。
