Chinese Journal of Nursing Education >
Construction and application of a dynamic and adaptive pulmonary rehabilitation strategy for ICU discharge patients led by specialty nurses during the transition period
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.
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 . DOI: 10.3761/j.issn.1672-9234.2025.10.017
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