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

Abstract

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

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.

Figures/Tables 3

References 21

[1]	Morgan M, Vernon T, Bradburn EH, et al. A comprehensive review of the outcome for patients readmitted to the ICU following trauma and strategies to decrease readmission rates[J]. J Inten-sive Care Med, 2020, 35(10):936-942.
[2]	Oh TK, Song IA, Jeon YT. Impact of Glasgow Coma Scale scores on unplanned intensive care unit readmissions among surgical patients[J]. Ann Transl Med, 2019, 7(20):520. doi: 10.21037/atm.2019.10.06 pmid: 31807502
[3]	胡佳民, 邹圣强, 江竹月, 等. 非计划重返ICU风险预测模型的构建与验证[J]. 中国护理管理, 2020, 20(4):519-524.
	Hu JM, Zou SQ, Jiang ZY, et al. Development and verification of the risk predict model of unplanned readmission to com-prehensive ICU[J]. Chin Nurs Manag, 2020, 20(4):519-524.
[4]	Son YJ, Kim GO, Lee YM, et al. Predictors of early and late unplanned intensive care unit readmission:a retrospective cohort study[J]. J Nurs Scholarsh, 2021, 53(4):400-407.
[5]	徐绍莲, 解绍芹. ICU转出病人重返原因分析及护理对策[J]. 护理研究, 2012, 26(16):1500-1501.
	Xu SL, Xie SQ. Causative analysis and nursing countermea-sures for return of transferred patients from ICU[J]. Chin Nurs Res, 2012, 26(16):1500-1501.
[6]	Fakhry SM, Leon S, Derderian C, et al. Intensive care unit bounce back in trauma patients:an analysis of unplanned returns to the intensive care unit[J]. J Trauma Acute Care Surg, 2013, 74(6):1528-1533. doi: 10.1097/TA.0b013e31829247e7 pmid: 23694883
[7]	Chaboyer W, James H, Kendall M. Transitional care after the intensive care unit:current trends and future directions[J]. Crit Care Nurse, 2005, 25(3):16-18,20-22,24-26,29. pmid: 15946925
[8]	Caffin CL, Linton S, Pellegrini J. Introduction of a liaison nurse role in a tertiary paediatric ICU[J]. Intensive Crit Care Nurs, 2007, 23(4):226-233.
[9]	Alberto L, Zotárez H, Cañete áA, et al. A description of the ICU liaison nurse role in Argentina[J]. Intensive Crit Care Nurs, 2014, 30(1):31-37.
[10]	Ludin SM, Parker S, Arbon P. A survey of Malaysian Critical Intensive Care Unit nurses’ awareness of patients’ transition experiences(PE) and transitional care practice(TCP)[J]. Inten-sive Crit Care Nurs, 2014, 30(4):196-203.
[11]	肖乐乐, 徐玲芬, 吴巍, 等. ICU联络护士在过渡期护理中工作内容的构建[J]. 中国护理管理, 2019, 19(6):900-905.
	Xiao LL, Xu LF, Wu W, et al. The construction of work content of ICU liaison nurse in transitional care[J]. Chin Nurs Manag, 2019, 19(6):900-905.
[12]	李帅妮, 倪晓莎, 胡文奕, 等. 适配干预研究进展[J]. 中国医学科学院学报, 2021, 43(4):612-619. doi: 10.3881/j.issn.1000-503X.11886
	Li SN, Ni XS, Hu WY, et al. Research progress of adaptive intervention[J]. Acta Acad Med Sin, 2021, 43(4):612-619. doi: 10.3881/j.issn.1000-503X.11886
[13]	车国卫, 吴齐飞, 邱源, 等. 多学科围手术期气道管理中国专家共识(2018版)[J]. 中国胸心血管外科临床杂志, 2018, 25(7):545-549.
	Che GW, Wu QF, Qiu Y, et al. Multidisciplinary perioperative airway management:Chinese expert consensus(2018 edition)[J]. Chin J of Clin Thor Cardiovas Surg, 2018, 25(7):545-549.
[14]	武亮, 郭琪, 胡菱, 等. 中国呼吸重症康复治疗技术专家共识[J]. 中国老年保健医学, 2018, 16(5):3-11.
	Wu L, Guo Q, Hu L, et al. China respiratory rehabilitation treatment technical experts consensus[J]. Chin J Geriatr Care, 2018, 16(5):3-11.
[15]	刘大为. 实用重症医学[M]. 2版. 北京: 人民卫生出版社, 2017.
	Liu DW. Practice of critical care medicine[M]. 2nd ed. Beijing: People's Medical Publishing House, 2017.
[16]	冯洁惠, 浦其斌, 高春华, 等. 气道分级管理应用于慢性阻塞性肺疾病机械通气患者的效果分析[J]. 护理与康复, 2012, 11(8):709-712.
	Feng JH, Pu QB, Gao CH, et al. Effect analysis on airway management based on different grades applied in mechani-cally ventilated patients with chronic obstructive pulmonary disease[J]. Nurs Rehabil J, 2012, 11(8):709-712.
[17]	急诊氧气治疗专家共识组. 急诊氧气治疗专家共识[J]. 中华急诊医学杂志, 2018, 27(4):355-360.
	Expert Consensus Group on Emergency Oxygen Therapy. Expert consensus on emergency oxygen therapy[J]. Chin J Emerg Med, 2018, 27(04):355-360.
[18]	台瑞, 方芳, 杨富, 等. 综合重症监护室患者过渡期护理方案的构建与应用[J]. 解放军护理杂志, 2021, 38(3):10-13.
	Tai R, Fang F, Yang F, et al. Design and implementation of a transitional care plan in comprehensive intensive care unit[J]. Nurs J Chin PLA, 2021, 38(3):10-13.
[19]	米元元, 黄海燕, 陈卉, 等. 重症患者非计划重返ICU安全管理方案的建立及效果评价[J]. 护理学报, 2022, 29(6):15-19. doi: 10.16460/j.issn1008-9969.2022.06.015
	Mi YY, Huang HY, Chen H, et al. Construction and evaluation of safety management project for unplanned ICU readmission[J]. J Nurs (China), 2022, 29(6):15-19.
[20]	周海清, 马若云, 王明雪, 等. 护士主导的三联预康复管理模式对食管癌患者围术期功能状态的影响[J]. 国际护理学杂志, 2022, 41(16):3045-3051.
[21]	王浩, 姜宏英, 李伊, 等. 电阻抗断层成像技术在呼吸康复中的应用[J]. 中华结核和呼吸杂志, 2023, 46(7):714-719.
	Wang H, Jiang HY, Li Y, et al. Application of electrical impedance tomography in pulmonary rehabilitation[J]. Chin J Tubere Respir Dis, 2023, 46(7):714-719.

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

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 21

Related Articles 5

Metrics

Comments

Recommended 0

[1]	CHEN Yuan, YU Haiyan, LAI Yuting, WU Linjing, WANG Ligang. Investigation on the current status of knowledge，attitudes，and practices regarding transitional care among nurses in the cardiovascular nursing field [J]. Chinese Journal of Nursing Education, 2025, 22(5): 598-603.
[2]	GUO Chunling, XIAO Qi, LIU Weiquan, LI Miqi, YU Mingfeng, LIU Yu, XIONG Jie. Evaluation of teaching service quality in clinical practice training bases by critical care specialty nurses [J]. Chinese Journal of Nursing Education, 2025, 22(5): 592-597.
[3]	LIANG Mengyao, FENG Li. Influencing factors of pulmonary rehabilitation benefit in older patients with stable chronic obstructive pulmonary disease [J]. Chinese Journal of Nursing Education, 2024, 21(5): 593-598.
[4]	YANG Hongyan, YANG Ting, WEI Hui, ZHANG Yaping. A review of transitional care of stroke patients during hospital-to-home [J]. Chinese Journal of Nursing Education, 2023, 20(11): 1403-1408.
[5]	ZHANG Xiao-na,WANG Xue-lan,ZHAO Jie,LI Xin-dan,FENG Xiang-kan,LU Hong-yan. Knowledge,attitude and practice of transitional care among head nurses in tertiary hospitals in Ningxia [J]. Chinese Journal of Nursing Education, 2022, 19(4): 347-351.