AIIMS ICU康复(AIR):使用TIDieR检查表开发和描述慢性气管造口患者家庭康复干预措施

Q1 Medicine
Wellcome Open Research Pub Date : 2024-09-05 eCollection Date: 2023-01-01 DOI:10.12688/wellcomeopenres.19340.1
Swagata Tripathy, Asha P Shetty, Upendra Hansda, Nanda Kumar P, Alok Kumar Sahoo, Mahalingam V, Sujata Mahapatra, Jayanta Kumar Mitra, P Bhaskar Rao, Kasturi Sanyal, Itimayee Panda, Guruprasad N, Jagannath Sahoo, Helen Eborral, Nazir Lone, Rashan Haniffa, Abi Beane
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引用次数: 0

摘要

背景:长期气管切开术的慢性病患者缺乏国家支持的康复治疗,导致住院时间延长、急诊资源负担增加和院内感染。很少有干预措施描述成人气管造口术患者的家庭康复。几乎没有一个涉及到利益相关者。本文介绍了全印度医学科学研究所(AIIMS) ICU康复(AIR)保健干预措施,以促进慢性气管造口患者的家庭康复。方法:采用基于经验的协同设计理论(EBCD)将空气干预分为6个阶段。一个核心研究委员会研究了该领域的普遍知识和差距。患者-护理者和保健利益相关者对家庭护理的障碍和促进因素的经验导致了一项干预措施,其组成部分相互关联:家庭护理者培训、设备库、移动保健应用和后续行动,由医学研究理事会(MRC)框架指导。医疗保健利益相关者(医生、护士、医疗设备供应商)和患者护理人员在不同阶段收集经验,为每个组件组建更小的协同设计团队。多次共同设计会议迭代地允许在一年内改进干预措施。干预描述和复制模板(TIDieR)检查表用于报告AIR干预。结果:第一部分包括至少三次护理人员的床边实践培训课程,内容涉及气管造口术吸引、导管护理、监测氧合、肠内喂养、护肤和物理治疗,并辅以嵌入在移动应用程序中的图画书和视频。第二个是一个包含租赁检索模型的设备库。第三个组成部分是一种新型移动保健工具,用于与项目中的核心小组和其他病人护理人员社区进行双向沟通,以便进行后续工作和排除故障。出院后第7天和第21天进行家访,评估患者的卫生、营养、物理治疗情况,并为将来与最近的初级卫生保健机构建立联系。结论:研究结果支持利用利益相关者的积极反馈进行基于ebcd的开发。随后将进行可行性评估、过程评估和有效性评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
AIIMS ICU Rehabilitation (AIR): development and description of intervention for home rehabilitation of chronically ill tracheostomized patients.

Background: The paucity of state-supported rehabilitation for chronically ill patients with long-term tracheostomies has ramifications of prolonged hospital-stay, increased burden on acute-care resources, and nosocomial infections. Few interventions describe home rehabilitation of adult tracheostomized patients. Almost none involve stakeholders. This paper describes the All-India Institute of Medical Sciences (AIIMS) ICU rehabilitation (AIR) healthcare intervention developed to facilitate home rehabilitation of chronically ill tracheostomized patients.

Methods: The AIR intervention development was based on the experience-based codesign theory (EBCD). A core research-committee studied prevalent knowledge and gaps in the area. Patients-carer and health-care stakeholders' experiences of barriers and facilitators to home care resulted in an intervention with interlinked components: family-carer training, equipment bank, m-health application, and follow-up, guided by the Medical Research Council (MRC) framework. Healthcare stakeholders (doctors, nurses, medical equipment vendors) and patient-carer dyads were engaged to gather experiences at various stages to form smaller codesign teams for each component. Multiple codesign meetings iteratively allowed refinement of the intervention over one year. The Template for Intervention Description and Replication (TIDieR) checklist was used to report the AIR intervention.

Results: The first component comprised a minimum of three bedside hands-on training sessions for carers relating to tracheostomy suction, catheter care, monitoring oxygenation, enteral feeding, skincare, and physiotherapy, buttressed by pictorial-books and videos embedded in a mobile-application. The second was an equipment-bank involving a rental-retrieval model. The third component was a novel m-health tool for two-way communication with the core group and community of other patient-carers in the project for follow-up and troubleshooting. Home visits on days 7 and 21 post-discharge assessed patient hygiene, nutrition, physiotherapy, and established contact with the nearest primary healthcare facility for the future.

Conclusions: Findings support the EBCD-based development using active feedback from stakeholders. Assessment of feasibility, process and effectiveness evaluation will follow.

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来源期刊
Wellcome Open Research
Wellcome Open Research Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)
CiteScore
5.50
自引率
0.00%
发文量
426
审稿时长
1 weeks
期刊介绍: Wellcome Open Research publishes scholarly articles reporting any basic scientific, translational and clinical research that has been funded (or co-funded) by Wellcome. Each publication must have at least one author who has been, or still is, a recipient of a Wellcome grant. Articles must be original (not duplications). All research, including clinical trials, systematic reviews, software tools, method articles, and many others, is welcome and will be published irrespective of the perceived level of interest or novelty; confirmatory and negative results, as well as null studies are all suitable. See the full list of article types here. All articles are published using a fully transparent, author-driven model: the authors are solely responsible for the content of their article. Invited peer review takes place openly after publication, and the authors play a crucial role in ensuring that the article is peer-reviewed by independent experts in a timely manner. Articles that pass peer review will be indexed in PubMed and elsewhere. Wellcome Open Research is an Open Research platform: all articles are published open access; the publishing and peer-review processes are fully transparent; and authors are asked to include detailed descriptions of methods and to provide full and easy access to source data underlying the results to improve reproducibility.
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