Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU

Objectives: This study aimed to investigate the effect of nurse-led, goal-directed lung physiotherapy (GDLPT) on the prognosis of older patients with sepsis caused by pneumonia in the intensive care unit.Methods: We conducted a prospective, two-phase (before-and-after) study over 3 years called the...

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Autores principales:	Jianhua Sun, Na Cui, Wen Han, Qi Li, Hao Wang, Zunzhu Li, Wei Cheng, Hongbo Luo, Mingxi Zhao
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	goal-directed lung physiotherapy older patients sepsis pneumonia intensive care unit Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d55f2c707c3e463286fbdc5a71ad5b19
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spelling	oai:doaj.org-article:d55f2c707c3e463286fbdc5a71ad5b192021-11-22T04:30:53ZImplementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU2296-858X10.3389/fmed.2021.753620https://doaj.org/article/d55f2c707c3e463286fbdc5a71ad5b192021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.753620/fullhttps://doaj.org/toc/2296-858XObjectives: This study aimed to investigate the effect of nurse-led, goal-directed lung physiotherapy (GDLPT) on the prognosis of older patients with sepsis caused by pneumonia in the intensive care unit.Methods: We conducted a prospective, two-phase (before-and-after) study over 3 years called the GDLPT study. All patients received standard lung therapy for sepsis caused by pneumonia and patients in phase 2 also received GDLPT. In this study, 253 older patients (age ≥ 65 years) with sepsis and pneumonia were retrospectively analyzed. The main outcome was 28 day mortality.Results: Among 742 patients with sepsis, 253 older patients with pneumonia were divided into the control group and the treatment group. Patients in the treatment group had a significantly shorter duration of mechanical ventilation [5 (4, 6) vs. 5 (4, 8) days; P = 0.045], and a lower risk of intensive care unit (ICU) mortality [14.5% (24/166) vs. 28.7% (25/87); P = 0.008] and 28 day mortality [15.1% (25/166) vs. 31% (27/87); P = 0.005] compared with those in the control group. GDLPT was an independent risk factor for 28 day mortality [odds ratio (OR), 0.379; 95% confidence interval (CI), 0.187–0.766; P = 0.007].Conclusions: Nurse-led GDLPT shortens the duration of mechanical ventilation, decreases ICU and 28-day mortality, and improves the prognosis of older patients with sepsis and pneumonia in the ICU.Jianhua SunNa CuiWen HanQi LiHao WangZunzhu LiWei ChengHongbo LuoMingxi ZhaoFrontiers Media S.A.articlegoal-directed lung physiotherapyolder patientssepsispneumoniaintensive care unitMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	goal-directed lung physiotherapy older patients sepsis pneumonia intensive care unit Medicine (General) R5-920
spellingShingle	goal-directed lung physiotherapy older patients sepsis pneumonia intensive care unit Medicine (General) R5-920 Jianhua Sun Na Cui Wen Han Qi Li Hao Wang Zunzhu Li Wei Cheng Hongbo Luo Mingxi Zhao Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU
description	Objectives: This study aimed to investigate the effect of nurse-led, goal-directed lung physiotherapy (GDLPT) on the prognosis of older patients with sepsis caused by pneumonia in the intensive care unit.Methods: We conducted a prospective, two-phase (before-and-after) study over 3 years called the GDLPT study. All patients received standard lung therapy for sepsis caused by pneumonia and patients in phase 2 also received GDLPT. In this study, 253 older patients (age ≥ 65 years) with sepsis and pneumonia were retrospectively analyzed. The main outcome was 28 day mortality.Results: Among 742 patients with sepsis, 253 older patients with pneumonia were divided into the control group and the treatment group. Patients in the treatment group had a significantly shorter duration of mechanical ventilation [5 (4, 6) vs. 5 (4, 8) days; P = 0.045], and a lower risk of intensive care unit (ICU) mortality [14.5% (24/166) vs. 28.7% (25/87); P = 0.008] and 28 day mortality [15.1% (25/166) vs. 31% (27/87); P = 0.005] compared with those in the control group. GDLPT was an independent risk factor for 28 day mortality [odds ratio (OR), 0.379; 95% confidence interval (CI), 0.187–0.766; P = 0.007].Conclusions: Nurse-led GDLPT shortens the duration of mechanical ventilation, decreases ICU and 28-day mortality, and improves the prognosis of older patients with sepsis and pneumonia in the ICU.
format	article
author	Jianhua Sun Na Cui Wen Han Qi Li Hao Wang Zunzhu Li Wei Cheng Hongbo Luo Mingxi Zhao
author_facet	Jianhua Sun Na Cui Wen Han Qi Li Hao Wang Zunzhu Li Wei Cheng Hongbo Luo Mingxi Zhao
author_sort	Jianhua Sun
title	Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU
title_short	Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU
title_full	Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU
title_fullStr	Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU
title_full_unstemmed	Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU
title_sort	implementation of nurse-led, goal-directed lung physiotherapy for older patients with sepsis and pneumonia in the icu
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/d55f2c707c3e463286fbdc5a71ad5b19
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Implementation of Nurse-Led, Goal-Directed Lung Physiotherapy for Older Patients With Sepsis and Pneumonia in the ICU

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