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首页> 外文期刊>Physiotherapy research international: the journal for researchers and clinicians in physical therapy >The timing and extent of acute physiotherapy involvement following lung transplantation: An observational study
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The timing and extent of acute physiotherapy involvement following lung transplantation: An observational study

机译：肺移植后急性物理治疗急性物理治疗的时间和程度：观察性研究

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Abstract Background and purpose Physiotherapy “standard care” for the acute post lung transplant recipient has not yet been documented. We aimed to analyse how soon patients commence exercise and how much time is dedicated to this during physiotherapy sessions acutely post lung transplantation. Methods Prospective observational study of bilateral sequential and single lung transplant recipients for any indication, ≥18?years. Participants were observed during 6 physiotherapy sessions: 3 initial and 3 prior to acute inpatient discharge. Duration and content of each session was recorded, consisting of physical exercise and non‐exercise tasks. Results Thirty participants, 20 male, median age 58.5 (interquartile range 54.5–65.0) were observed over 173 sessions. Chronic obstructive pulmonary disease was the most common transplant indication ( n ?=?12, 40%). Bilateral lung transplant was performed in 90% ( n ?=?27) of participants. First time to mobilise was 2 (2–3) days. Participants received 14 (12.8–23.8) sessions over 18 (17–31) days. The mean duration of physiotherapy in the initial phase was 107.8 (standard deviation 21.8) min, with 22.9 (7.5) min spent exercising. In the final phase, exercise time increased to 28.1 (11.4) min out of 84.1 (24.6) min. Assessment was the most common non‐exercise component, at 26.6 (7.9) and 22.1 (12.5) min across the three initial and final sessions. Implications for physiotherapy practice Lung transplant recipients spent 21–34% of observed sessions performing physical exercise beginning 48?hr following surgery. Remaining physiotherapist time was spent on assessment, respiratory interventions, education, and patient‐specific duties. The use of physiotherapy assistants, structured, progressive exercise programs, and continued workplace innovation may enable a higher percentage of physiotherapist supervised physical exercise in the future.
机译：尚未记录急性肺部移植收件人的抽象背景和目的物理疗法“标准护理”。我们的旨在分析患者开始运动的时间多久，并且在物理治疗急性后肺移植后致力于这一点。方法对双侧顺序和单肺移植接受者进行双侧序列和单肺移植受者的前瞻性观察研究，≥18岁。在6个物理治疗会话期间观察到参与者：3初始和3急性住院病患者出院。记录每个会议的持续时间和内容，包括体育锻炼和非锻炼任务。结果三十名参与者，20名男性，中位数58.5岁（第54.5-65.0次）超过173次会议。慢性阻塞性肺病是最常见的移植指示（n？= 12,40％）。双侧肺移植在参与者的90％（n？='27）中进行。第一次动员是2（2-3）天。参与者收到14（12.8-23.8）届会议超过18（17-31）天。初始相中的平均物理疗法持续时间为107.8（标准差21.8）分钟，花费22.9（7.5）分钟。在最终阶段，运动时间增加到84.1（24.6）分钟的28.1（11.4）分钟。评估是最常见的非运动组分，26.6（7.9）和22.1（12.5）分钟跨三个初始和最终会议。对物理治疗实践的影响肺移植受者花费了21-34％的观察到的会话，在手术后开始48次进行体育锻炼。剩下的物理治疗师时间在评估，呼吸干预，教育和特定患者的职责上。使用物理疗法助理，结构化，渐进运动计划和持续的工作场所创新可能会使未来更高百分比的物理治疗师监督体育锻炼。

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