Teixeira Cassiano, Rosa Regis Goulart
Department of Internal Medicine, Universidade Federal de Ciências da Saúde de Porto Alegre - Porto Alegre (RS), Brazil.
Intensive Care Unit, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brazil.
Crit Care Sci. 2025 May 26;37:e20250269. doi: 10.62675/2965-2774.20250269. eCollection 2025.
Significant physical and neuropsychiatric challenges, diminished life quality, and heightened demand for healthcare services often mark the period following discharge from the intensive care unit and hospitalization. Most follow-up care for these patients relies on clinic-based models, necessitating visits to healthcare facilities for rehabilitation and continued monitoring. However, this approach can create barriers for the most severely affected individuals, potentially worsening health inequities. In contrast, home care offers a viable solution by providing essential social support and assistance to patients with varying healthcare needs, allowing them to preserve their independence within the familiar environment of their own homes and communities. This model presents a promising alternative to the conventional clinic-based post-intensive care unit recovery system. It is cost-effective and better aligned with the preferences of an increasing number of individuals who choose to stay at home rather than move to institutional settings for care.
在重症监护病房出院和住院后的这段时间，往往伴随着重大的身体和神经精神方面的挑战、生活质量下降以及对医疗服务的需求增加。这些患者的大多数后续护理依赖于基于诊所的模式，这就需要前往医疗机构进行康复治疗和持续监测。然而，这种方法可能会给受影响最严重的个体带来障碍，有可能加剧健康不平等。相比之下，居家护理通过为有不同医疗需求的患者提供基本的社会支持和援助，提供了一个可行的解决方案，使他们能够在自己家中和社区的熟悉环境中保持独立。这种模式是传统的基于诊所的重症监护病房后康复系统的一个有前景的替代方案。它具有成本效益，并且更符合越来越多选择居家而非前往机构接受护理的个人的偏好。
