专科护士主导的ICU转出患者过渡期肺康复策略的构建与实践研究

doi:10.3761/j.issn.1672-9234.2025.10.017

中华护理教育 ›› 2025, Vol. 22 ›› Issue (10): 1258-1264.doi: 10.3761/j.issn.1672-9234.2025.10.017

专科护士主导的ICU转出患者过渡期肺康复策略的构建与实践研究

林燕(), 任雅钰, 乔文博, 俞超, 高春华, 褚君卿()

310003 杭州市浙江大学医学院附属第一医院护理部

收稿日期:2025-03-23 出版日期:2025-10-15 发布日期:2025-10-16
通讯作者: 褚君卿，本科（硕士在读），主管护师，E-mail：99229735@qq.com
作者简介:林燕，女，本科（硕士在读），副主任护师，E-mail：1712012@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2024KY975);浙江省医药卫生科技计划项目(2025KY807);浙江省医药卫生科技计划项目(2025KY812)

Construction and application of a dynamic and adaptive pulmonary rehabilitation strategy for ICU discharge patients led by specialty nurses during the transition period

LIN Yan(), REN Yayu, QIAO Wenbo, YU Chao, GAO Chunhua, CHU Junqing()

Received:2025-03-23 Online:2025-10-15 Published:2025-10-16

摘要/Abstract

摘要：

目的构建以重症专科护士主导的过渡期动态适配肺康复策略并验证其应用效果。方法采取便利抽样法，选取浙江省某三级甲等医院综合ICU转出至病房的重症患者，2023年5月—2023年10月转出的472例患者为对照组，予以常规随访管理；2023年11月—2024年4月转出的456例患者为试验组，实施以重症专科护士为主导的过渡期动态适配肺康复策略。比较两组转出后ICU重返率、低氧血症发生率、肺功能、住院时间差异。结果干预后，试验组ICU重返率、低氧血症发生率及总住院时间均优于对照组（P<0.05）；两组ICU住院时间、用力肺活量及第1秒用力呼气量得分差异无统计学意义（P>0.05）。结论实施以重症专科护士为主导的过渡期动态适配肺康复策略可降低患者ICU重返率，缩短总住院时长。

关键词: 重症专科护士, 过渡期护理, 重返ICU, 肺康复

Abstract:

Objective To construct a dynamic and adaptive pulmonary rehabilitation strategy led by critical care specialty nurses and to verify its application effect. Methods Using the convenience sampling，patients with critical condition transferred from the general ICU to the ward at a tertiary hospital in Zhejiang Province were selected. Based on the transfer time，472 patients transferred from May 2023 to October 2023 were chosen as the control group and received routine follow-up management；456 patients transferred from November 2023 to April 2024 were selected as the experimental group and underwent a transitional dynamic adaptive pulmonary rehabilitation strategy led by critical care specialty nurses. The differences in ICU readmission rate，incidence of hypoxemia，hospitalization time，and pulmonary function scores after transfer were compared between the two groups. Results There were statistically significant differences between the control and experimental groups in terms of ICU readmission rate，incidence of hypoxemia，and total hospital stay（P<0.05）. However，there were no statistically significant differences in ICU hospitalization time，forced vital capacity，and first-second expiratory volume score（P>0.05）. Conclusion Implementing a transitional dynamic adaptive pulmonary rehabilitation strategy led by critical care specialty nurses can reduce the ICU readmission rate and shorten the total length of hospital stay.

Key words: Critical care specialty nurses, Transitional care, ICU readmission, Pulmonary rehabilitation

林燕, 任雅钰, 乔文博, 俞超, 高春华, 褚君卿. 专科护士主导的ICU转出患者过渡期肺康复策略的构建与实践研究[J]. 中华护理教育, 2025, 22(10): 1258-1264.

LIN Yan, REN Yayu, QIAO Wenbo, YU Chao, GAO Chunhua, CHU Junqing. Construction and application of a dynamic and adaptive pulmonary rehabilitation strategy for ICU discharge patients led by specialty nurses during the transition period[J]. Chinese Journal of Nursing Education, 2025, 22(10): 1258-1264.

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专科护士主导的ICU转出患者过渡期肺康复策略的构建与实践研究

Construction and application of a dynamic and adaptive pulmonary rehabilitation strategy for ICU discharge patients led by specialty nurses during the transition period

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