학술논문
Effects of a multidisciplinary care program on disability, autonomy, and nursing needs in subjects recovering from acute respiratory failure in a chronic ventilator facility
Document Type
Report
Author
Source
Respiratory Care. December 1, 2014, Vol. 59 Issue 12, p1863, 9 p.
Subject
Language
English
ISSN
0020-1324
Abstract
BACKGROUND: The aim of this study was to analyze the effects of a multidisciplinary program carried out in a chronic ventilator facility on disability, autonomy, and nursing needs of patients after a prolonged ICU stay. Secondary outcome measures were survival, weaning rate, chronic ventilator facility stay, and discharge destination. METHODS: Multidisciplinary assessment, clinical stabilization, weaning attempts, and a new Disabled Patients Autonomy Planning tool to assess daily care needs were investigated in 240 subjects in a chronic ventilator facility (52 subjects after cardiovascular surgery, 60 subjects with acute respiratory failure, 71 subjects with COPD, and 57 subjects with neurological disease). RESULTS: At admission, nursing needs, disability, and autonomy differed according to diagnosis (P < .001); weaned subjects had greater nursing needs (P < .001) and disability (P = .0014) than unweaned subjects. During the stay, 13.8% of the subjects died irrespective of diagnosis (P = .12); 47% (P < .001) were weaned with significant differences (P
Introduction In the last 15 y, with the increased availability of beds in ICUs and improved levels of care, a category of patients labeled as survivors of a catastrophic illness [...]
Introduction In the last 15 y, with the increased availability of beds in ICUs and improved levels of care, a category of patients labeled as survivors of a catastrophic illness [...]