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首页> 外文期刊>Southern African Journal of Critical Care >Physiotherapy contributions to weaning and extubation of patients from mechanical ventilation
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Physiotherapy contributions to weaning and extubation of patients from mechanical ventilation

机译：理疗对机械通气患者的断奶和拔管的贡献

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BACKGROUND: Liberation of patients from mechanical ventilation (MV) is an important goal of patient care, to avoid the complications and risks associated with prolonged MV. OBJECTIVE: To determine the extent of South African physiotherapists' involvement in weaning and extubation of patients from MV and whether current practice is evidence based. METHOD: A survey questionnaire was developed, and content validated and made available electronically and in hard copy. Physiotherapists working in adult intensive care units in public and private sector hospitals in South Africa (SA) were identified and invited to participate. RESULTS: Response rate was 43% (n=184). The majority of respondents (n=135, 73%) 'never' or 'seldom' got involved in decision-making to wean patients from MV; a minority (n=8, 4%) were 'routinely' involved in decision-making. Some respondents (n=54, 29%) performed extubation 'often' or 'routinely'. The majority used exercises (n=149, 81%), early mobilisation out of bed (n=142, 77%) and deep breathing exercises (DBEs) (n=142, 77%) 'routinely' to aid in respiratory muscle training. The majority of respondents 'never' adjusted ventilator settings other than fraction of inspired oxygen. No association was found between type of physiotherapy degree respondents held and their involvement in weaning (p=0.24). CONCLUSION: SA physiotherapists' contributions towards weaning of patients from MV through prescription of exercise therapy, early out-of-bed mobilisation and DBEs is evidence based. Involvement in adjustment of MV settings, decision-making regarding patient weaning, development of weaning protocols for their units and extubation is limited.
机译：背景：使患者摆脱机械通气（MV）是患者护理的重要目标，以避免与长期MV相关的并发症和风险。目的：确定南非物理治疗师参与MV患者的断奶和拔管的程度以及目前的做法是否基于证据。方法：开发了调查问卷，并验证了内容并以电子方式提供了书面版本。确定了在南非（SA）的公立和私立医院成人重症监护病房工作的物理治疗师，并邀请他们参加。结果：回应率为43％（n = 184）。大多数受访者（n = 135，73％）“从不”或“很少”参与决策以使MV患者断奶。少数（n = 8，4％）“常规地”参与决策。一些受访者（n = 54，29％）“经常”或“常规地”进行了拔管。大多数人“定期”使用运动（n = 149，81％），下床早期动员（n = 142，77％）和深呼吸运动（DBE）（n = 142，77％）来辅助呼吸肌肉训练。除吸入氧气的比例外，大多数受访者“从不”调整呼吸机设置。在所接受的理疗程度类型与他们参与断奶之间没有关联（p = 0.24）。结论：SA物理治疗师通过运动疗法处方，早期床外动员和DBE为患者从MV断奶中的贡献是基于证据的。 MV设置的调整，有关患者断奶的决策，针对其单位的断奶方案的制定以及拔管的参与是有限的。

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