Parchem Katie, Peck Amanda, Tales Katherine
Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and Von Voigtlander Women's Hospital, Michigan Medicine, Ann Arbor.
Crit Care Nurs Q. 2018 Jul/Sep;41(3):330-339. doi: 10.1097/CNQ.0000000000000211.
Research has shown that patients who are mechanically ventilated or immobile for greater than 7 days are at increased risk for deconditioning and muscle atrophy. Immobility impacts length of stay as well as patients' ability to return to their prior level of function. As part of the safe patient-handling initiative created at Michigan Medicine, a special team of nurses and therapists was assembled to adapt an adult mobility framework for the pediatric population. The pediatric mobility model determines each patient's specific mobility "phase" based on detailed criteria. Clinical staff can then implement strategies aimed at preventing deconditioning and hospital-acquired weakness. At C.S. Mott Children's Hospital, a multidisciplinary team is available to support this pediatric mobility model. Specific equipment utilized during the different phases of mobility has been reviewed and discussed in this article.
研究表明,接受机械通气或卧床超过7天的患者发生身体机能减退和肌肉萎缩的风险会增加。活动受限会影响住院时间以及患者恢复到先前功能水平的能力。作为密歇根大学医学中心发起的安全患者搬运计划的一部分,组建了一支由护士和治疗师组成的特殊团队,以调整适用于儿科人群的成人活动能力框架。儿科活动能力模型根据详细标准确定每位患者的具体活动“阶段”。临床工作人员随后可实施旨在预防身体机能减退和医院获得性虚弱的策略。在C.S. 莫特儿童医院,有一个多学科团队来支持这种儿科活动能力模型。本文对活动能力不同阶段所使用的特定设备进行了审查和讨论。