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Aus der Praxis – für die Praxis

Erste Evaluation eines Programms zur Frührehabilitation von Langzeitintensivpatient_innen

Published Online:August 31, 2021https://doi.org/10.1024/1012-5302/a000830

Abstract

Zusammenfassung.Einleitung: Langzeitintensivpatient_innen sind für Teams von Intensivstationen eine zunehmende Herausforderung aufgrund Symptombelastung und Ressourcenverbrauch. Zur Pflege und Behandlung werden strukturierte multimodale Konzepte empfohlen. Ein lokales, interprofessionelles Programm für Frührehabilitation hat das Ziel, Patient_innen optimal zu betreuen durch einen systematischen, proaktiven und ganzheitlichen Behandlungsprozess mit rehabilitativen Schwerpunkten. Das Programm besteht aus spezifischen Assessments und systematischer Koordination der interprofessionellen Frührehabilitation. Problemstellung und Zielsetzung: Die interprofessionelle Zusammenarbeit erfordert von den Beteiligten gegenseitige Akzeptanz und gute Kommunikation. Das Funktionieren ausgewählter Prozesse sowie die Zufriedenheit der Fachpersonen sind Themen einer ersten formativen Evaluation. Methoden: Das Team wertete deskriptive Qualitätsdaten sowie selbsterstellte strukturierte Fragebögen aus. Ergebnisse: Bei 52 von insgesamt 112 Patient_innen im Programm erfolgten spezifische Anpassungen des Behandlungsplanes. Die Assessments sind gut durchführbar und unterstützen die systematische Frührehabilitation. Die interprofessionelle Zusammenarbeit und das Verständnis für Patient_innen hat sich aus Sicht der beteiligten Fachpersonen verbessert. Diskussion und Transfer: Das Programm optimiert die Behandlung und fördert gute interprofessionelle Zusammenarbeit. Die formative Evaluation gibt wertvolle Hinweise auf zukünftige Prozessveränderungen, wie den Einbezug der Patient_innen sowie weiterer Fachdisziplinen und Entwicklung über die Grenzen der Intensivstation hinaus.


First evaluation of an early rehabilitation programm for chronically critically ill patients

Abstract.Introduction: Chronically critically ill patients are an increasing challenge for teams in intensive care units due to the burden of symptoms and the consumption of resources. Structured multimodal concepts are recommended for nursing care and treatment. A local, interprofessional program for early rehabilitation aims to provide optimal care for patients through a systematic, proactive and holistic treatment process with a rehabilitative focus. The program consists of specific assessments and systematic coordination of interprofessional early rehabilitation. Problem and objective: Interprofessional collaboration requires mutual acceptance and good communication from those involved. The functioning of selected processes as well as the satisfaction of the professionals are topics of a first formative evaluation. Methods: The team evaluated descriptive quality data as well as self-generated structured questionnaires. Results: Specific adjustments were made to the treatment plan for 52 of 112 patients in the program. The assessments are easy to carry out and support systematic early rehabilitation. From the perspective of the professionals involved, both the interprofessional collaboration and their understanding for the patients improved. Discussion and transfer: The program optimizes treatment and promotes good interprofessional collaboration. The formative evaluation provides valuable information for future process changes such as the inclusion of patients as well as further disciplines and program development beyond the boundaries of the intensive care unit.

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