重大择期手术的围手术期护理:巴西物理治疗师的调查

Q4 Medicine
Christiane Luck Macieira, L. Chiavegato, Isabel Fialho Fontenele Garcia, A. Lunardi
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引用次数: 0

摘要

摘要导论:大手术是高度复杂的手术,与其他类型的手术相比,呼吸系统的发病率和死亡率更高。术后肺部并发症(PPC)在此类手术后很常见,并与住院时间、医疗费用和手术患者死亡率增加有关。目的:探讨巴西各地区胸腹外科患者预防和治疗PPC最常用的物理治疗技术。方法:随机选取489名为择期腹部、胸部或心脏手术患者提供围手术期护理的物理治疗师参与本研究。在发给物理治疗师之前,由10名专家编制并评估了一份包含9个问题的问卷,内容涉及手术人群的常规护理和治疗选择。结果:有5年以上手术经验的物理治疗师(63%)中,50.9%的物理治疗师在治疗中总是或经常考虑患者的手术风险。53.8%的患者是遵医嘱接受理疗师治疗的。被提及最多的预防PPC的物理治疗技术是术后活动/运动(59.3%)、术后肺扩张(52.8%)和术前建议(50.7%)。此外,80.6%的物理治疗师认为刺激肺活量测定可以预防PPC,而72.8%的物理治疗师认为气道正压装置可以预防PPC。结论:巴西大多数物理治疗师在治疗手术患者时提供术前专业建议,术后早期活动和肺扩张技术预防PPC,并在治疗过程中考虑患者的手术风险。此外,术前常规进行一些物理治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative care for major elective surgery: a survey of Brazilian physiotherapists
Abstract Introduction: Major surgeries are highly complex procedures and have a higher incidence of respiratory morbidity and mortality compared to other types of surgery. Postoperative pulmonary complications (PPC) are common after such surgeries and are associated with increased hospital stay, health care costs and surgical patient mortality. Objective: To investigate the most commonly used physical therapy techniques for the prevention and treatment of PPC among thoracic and abdominal surgery patients in all regions of Brazil. Methods: A total of 489 randomly selected physiotherapists who provided perioperative care for patients undergoing elective abdominal, thoracic or cardiac surgeries participated in this study. A questionnaire with nine questions about routine care and therapeutic choices for the surgical population was developed and assessed by 10 specialists before being administered to the physiotherapists. Results: Among the physiotherapists (63% with at least 5 years of experience with surgical patients), 50.9% considered the patient’s surgical risk in their treatment either always or often. A total of 53.8% patients were treated by the physiotherapist following a physician’s prescription. The most mentioned physical therapy techniques used to prevent PPC were postoperative mobilization/exercises (59.3%), postoperative lung expansion (52.8%), and preoperative advice (50.7%). In addition, 80.6% of the physiotherapists believe that incentive spirometry prevents PPC, while 72.8% expected this effect from positive airway pressure devices. Conclusion: Most physiotherapists in Brazil who work with surgical patients offer preoperative professional advice, use postoperative early mobilization and lung expansion techniques to prevent PPC, and consider the patient's surgical risk during treatment. In addition, some physical therapy sessions are routinely performed preoperatively.
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来源期刊
Fisioterapia em Movimento
Fisioterapia em Movimento Health Professions-Complementary and Manual Therapy
CiteScore
0.40
自引率
0.00%
发文量
78
审稿时长
13 weeks
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