Master's and Doctoral Programs in Physical Therapy of Universidade Cidade de São Paulo, São Paulo, SP, Brazil; Department of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
Department of Biological and Health Sciences, Universidade Federal do Amapá, Macapá, AP, Brazil.
Clinics (Sao Paulo). 2024 Sep 23;79:100499. doi: 10.1016/j.clinsp.2024.100499. eCollection 2024.
To create an educational intervention for health professionals and test its effectiveness in implementing the use of CPAP in hospitalized patients with pleural effusion undergoing thoracic drainage.
This implementation study was developed in 5 hospitals in Brazil and one in Belgium within four phases: (I) Situational diagnosis (professionals and patients' knowledge about CPAP usage for drained pleural effusion and checking medical records for the last 6 months); (II) Education and training of professionals; (III) New situational diagnosis (equal to phase I); (IV) Follow-up for two years.
65 professionals, 117 patients' medical records, and 64 patients were enrolled in this study. Initially, only 72% of medical records presented a description of interventions. CPAP usage was mentioned in only one patient with a chest tube. After phase III, the number of professionals who used CPAP for their patients with drained pleural effusion increased from 28.8% to 66.7%, p < 0.001. Similarly, the acceptability of this therapy for this clinical situation also increased among professionals from 6.4 ± 1.3 to 7.8 ± 1.4, p < 0.001. However, before the implementation, only one medical record described the use of CPAP in one patient with drained pleural effusion. After two years, the use of CPAP therapy by healthcare professionals for patients with drained thoracic drainage was sustained in 3 hospitals.
The educational intervention for the use of CPAP in patients with drained pleural effusion was effective for health professionals. Results were sustained after two years in three of the six hospitals.
为卫生专业人员创建一个教育干预措施，并测试其在实施胸腔引流术后胸腔积液患者使用 CPAP 方面的效果。
本实施研究在巴西的 5 家医院和比利时的 1 家医院进行，共分为四个阶段：（I）现状诊断（了解 CPAP 在引流胸腔积液中的使用情况和检查过去 6 个月的病历）；（II）专业人员的教育和培训；（III）新的现状诊断（与第 I 阶段相同）；（IV）为期两年的随访。
共纳入 65 名专业人员、117 名患者的病历和 64 名患者。最初，只有 72%的病历有干预措施的描述。只有 1 名带胸管的患者提到使用 CPAP。在第 III 阶段后，使用 CPAP 治疗引流性胸腔积液的专业人员从 28.8%增加到 66.7%，p < 0.001。同样，专业人员对这种治疗方案在这种临床情况下的接受度也从 6.4±1.3 增加到 7.8±1.4，p < 0.001。然而，在实施之前，只有 1 份病历描述了 1 名带胸管的患者使用 CPAP。两年后，3 家医院的医疗保健专业人员持续对接受胸腔引流术的患者使用 CPAP 治疗。
针对胸腔引流术后胸腔积液患者使用 CPAP 的教育干预措施对卫生专业人员有效。在 6 家医院中的 3 家，两年后效果仍持续。
