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首页> 外文期刊>Southern African Journal of Critical Care >Physiotherapy practice in South African intensive care units
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Physiotherapy practice in South African intensive care units

机译：南非重症监护室的物理治疗实践

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BACKGROUND. Physiotherapists are integral members of the interprofessional team that provides care and rehabilitation for patients in intensive care units (ICUs). OBJECTIVES. To describe the current practice of physiotherapists in ICUs, determine if physiotherapists' practice has changed since a previous report and determine if practice is evidence based. METHODOLOGY. A questionnaire was content validated and made available electronically and in hard copy. Physiotherapists who work in ICUs in public or private sector hospitals or who are members of the South African Society of Physiotherapy were identified and invited to participate. RESULTS. Survey response rate was 33.9%. Patient assessment techniques performed 'very often' included ICU chart assessment (n=90, 83.3%), chest auscultation (n=94, 81.8%) and cough effort (n=81, 75%). Treatment techniques performed 'very often' included manual chest clearance (n=101, 93.5%), in-bed mobilisation and positioning (n=91, 84.3%; n=91, 84.3%, respectively), airway suctioning (n=89, 82.4%), out-of-bed mobilisation (n=84, 77.8%), deep breathing exercises (n=83, 76.9%) and peripheral muscle-strengthening exercises (n=72, 73.1%). More respondents used intermittent positive pressure breathing (57 v. 28%, p=0.00), used adjustment of mechanical ventilation (MV) settings (30 v. 15%, p=0.01), were involved with weaning patients from MV (42 v. 19%, p=0.00) and used incentive spirometry (76 v. 46%, p=0.00) than reported previously. More respondents performed suctioning (99 v. 70%, p=0.00), extubation (60 v. 25%, p=0.00) and adjustment of MV settings (30 v. 12%, p=0.02) than reported internationally. CONCLUSION. Physiotherapy practice in ICUs is evidence based. Care focuses largely on mobilisation, exercise therapy and multimodality respiratory therapy.
机译：背景。物理治疗师是跨专业团队的重要成员，该团队为重症监护病房（ICU）的患者提供护理和康复。目标为了描述重症监护病房中理疗师的当前做法，请确定自上次报告以来理疗师的做法是否已发生变化，并确定该做法是否基于证据。方法。问卷已通过内容验证，并可以电子形式和书面形式提供。确定并邀请了在公立或私立医院的加护病房工作的南非物理治疗师或南非物理治疗学会的理疗师参加。结果。调查答复率为33.9％。 “经常”执行的患者评估技术包括ICU图表评估（n = 90，83.3％），胸腔听诊（n = 94，81.8％）和咳嗽努力（n = 81，75％）。 “经常”执行的治疗技术包括手动胸廓清除术（n = 101，93.5％），床内动员和定位（n = 91，84.3％; n = 91，84.3％），气道吸引（n = 89） （82.4％），床外运动（n = 84，77.8％），深呼吸运动（n = 83，76.9％）和周围肌肉强化运动（n = 72，73.1％）。越来越多的受访者使用间歇性正压呼吸（57 v。28％，p = 0.00），使用机械通气（MV）设置调整（30 v。15％，p = 0.01），参与了MV断奶患者（42 v分别为19％，p = 0.00）和激励肺活量测定（76比46％，p = 0.00）。与国际上报道的相比，更多的受访者进行了吸痰（99 v。70％，p = 0.00），拔管（60 v。25％，p = 0.00）和MV设置调整（30 v。12％，p = 0.02）。结论。重症监护病房的理疗实践是基于证据的。护理主要集中在动员，运动疗法和多模式呼吸疗法上。

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