A Prospective, Descriptive Study on Awake Self-prone in Hospitalized COVID-19 Patients

R. Kapoor, Tiffany Rader, J. Dillon, Fnu Jaydev, Dawn Horvath, Aubrey Little, J. Vickery, C. DiPerna, L. Brittain, O. Rahman
{"title":"A Prospective, Descriptive Study on Awake Self-prone in Hospitalized COVID-19 Patients","authors":"R. Kapoor, Tiffany Rader, J. Dillon, Fnu Jaydev, Dawn Horvath, Aubrey Little, J. Vickery, C. DiPerna, L. Brittain, O. Rahman","doi":"10.1097/NUR.0000000000000654","DOIUrl":null,"url":null,"abstract":"Purpose/Aims Healthcare workers internationally continue to look for innovative ways to improve patient outcomes and optimize resource utilization during the coronavirus disease 2019 (COVID-19) pandemic. Proning awake, nonintubated patients has been suggested as a potential intervention in critical care. The aim of this study is to provide a multidisciplinary approach to safely perform awake self-prone positioning in the acute care setting. Design This is a prospective, descriptive study. Method Patients with COVID-19 were screened and enrolled within 48 hours of a positive test. After approval from the primary team, patients were provided education materials by a multidisciplinary team on the self-prone intervention. Visual cues were placed in the room. Patients were requested to maintain a diary of hours of prone positioning. Patients' baseline characteristics, admission vitals, daily oxygen requirements, and level of care were collected. Results Of 203 patients screened, 31 were enrolled. No pressure-related injury or catheter (intravenous or urinary) displacement was identified. Eighty-one percent of patients spent less than 8 hours a day in prone positioning. Among patients enrolled, none required invasive ventilation or died. Conclusions Awake self-proning can be performed safely in patients given a diagnosis of COVID-19 in the acute care setting with a multidisciplinary team.","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical nurse specialist CNS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/NUR.0000000000000654","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Purpose/Aims Healthcare workers internationally continue to look for innovative ways to improve patient outcomes and optimize resource utilization during the coronavirus disease 2019 (COVID-19) pandemic. Proning awake, nonintubated patients has been suggested as a potential intervention in critical care. The aim of this study is to provide a multidisciplinary approach to safely perform awake self-prone positioning in the acute care setting. Design This is a prospective, descriptive study. Method Patients with COVID-19 were screened and enrolled within 48 hours of a positive test. After approval from the primary team, patients were provided education materials by a multidisciplinary team on the self-prone intervention. Visual cues were placed in the room. Patients were requested to maintain a diary of hours of prone positioning. Patients' baseline characteristics, admission vitals, daily oxygen requirements, and level of care were collected. Results Of 203 patients screened, 31 were enrolled. No pressure-related injury or catheter (intravenous or urinary) displacement was identified. Eighty-one percent of patients spent less than 8 hours a day in prone positioning. Among patients enrolled, none required invasive ventilation or died. Conclusions Awake self-proning can be performed safely in patients given a diagnosis of COVID-19 in the acute care setting with a multidisciplinary team.
住院COVID-19患者清醒自我倾向的前瞻性描述性研究
在2019冠状病毒病(COVID-19)大流行期间,国际卫生工作者继续寻找创新方法来改善患者预后并优化资源利用。醒着,非插管的病人已被建议作为一种潜在的干预在重症监护。本研究的目的是提供一个多学科的方法来安全地执行清醒的自我俯卧位在急性护理设置。这是一项前瞻性、描述性研究。方法对COVID-19患者进行筛查,并在检测结果阳性的48小时内入组。经初级团队批准后,由多学科团队为患者提供自我倾向干预的教育材料。房间里放置了视觉线索。要求患者记录俯卧位的小时数。收集患者的基线特征、入院生命、每日需氧量和护理水平。结果203例患者中,31例入组。未发现与压力相关的损伤或导管(静脉或尿液)移位。81%的患者每天俯卧位的时间少于8小时。在纳入的患者中,没有人需要有创通气或死亡。结论在多学科团队的协助下,对确诊为COVID-19的患者在急性护理环境中可以安全地进行清醒自我纠正。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信