Further Development of Cardiovascular Intensive Care Rehabilitation - The Required Role of Nurses in Cardiovascular Intensive Care Rehabilitation.

Circulation reports Pub Date : 2025-06-06 eCollection Date: 2025-07-10 DOI:10.1253/circrep.CR-25-0068
Yuya Tamaki, Kazuki Gushiken, Terumi Hirata, Yoshito Arasaki, Morikuni Wakugawa, Shuichiro Ikemiya, Haruno Nagata
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Abstract

Cardiovascular intensive care rehabilitation has become more widespread with the development of guidelines and other infrastructures. The next step in further developing cardiovascular intensive care rehabilitation should be improving outcomes in both the intensive care unit (ICU) and after leaving the ICU. However, evidence of effective methods to improve both outcomes has been lacking. Therefore, in this review, we examined strategies to prevent mental disorders in post-intensive care syndrome (PICS) in order to improve outcomes after ICU discharge from a nursing perspective. This review also describes the possibility of setting rehabilitation goals based on Fink's model of crisis and self-concept, and the possibility of preventing mental disorders through self-care support. Further research is needed to determine the effectiveness of these strategies.

心血管重症康复的进一步发展——护士在心血管重症康复中的作用。
随着指南和其他基础设施的发展,心血管重症监护康复变得越来越普遍。进一步发展心血管重症监护康复的下一步应该是改善重症监护病房(ICU)和离开ICU后的预后。然而,缺乏改善这两种结果的有效方法的证据。因此,在这篇综述中,我们从护理的角度探讨了预防重症监护后综合征(PICS)中精神障碍的策略,以改善ICU出院后的预后。本文还介绍了基于Fink的危机和自我概念模型设定康复目标的可能性,以及通过自我照顾支持预防精神障碍的可能性。需要进一步的研究来确定这些策略的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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