摘要
目的构建心脏术后患者早期目标导向活动管理方案并评价其应用效果。方法组建以重症护理学科为主导的心脏术后早期目标导向活动(early goal directed mobilization,EGDM)多学科团队,参考相关研究构建ICU心脏术后患者EGDM管理方案,并于2019年9月—11月在入住ICU的60例心脏外科术后患者中应用。结果实施EGDM管理方案后,ICU心脏术后患者床上被动活动时间增加,术后首次下床时间提前,患者术后48 h肌力恢复率提高,气管插管留置时间及ICU入住时间缩短,与实施前比较,差异均具有统计学意义(P<0.05)。结论EGDM管理方案可以有效地促进ICU心脏术后患者的康复,缩短气管插管留置时间,减少ICU入住时间。
Objective To construct an early goal directed mobilization management(EGDM)program for patients after cardiac surgery and analyze its application effects.Methods To form a multidisciplinary team(MDT)of EGDM after cardiac surgeries,construct an EGDM program based on related research.The EGDM program was implemented for 60 patients after cardiac surgery in ICU from September to November 2019.Results After the implementation of the EGDM program,the patients’passive activity time on the bed increased,the first time of mobilization was advanced,the patients’muscle strength 48 hours after surgery was improved,mechanical ventilation duration and ICU length of stay were shortened(P<0.05).Conclusion EGDM management program can effectively promote the recovery of ICU patients after cardiac surgery,shorten mechanical ventilation duration,and reduce ICU length of stay.
作者
陈娟红
李飞
姚惠萍
潘洁琼
CHEN Juanhong;LI Fei;YAO Huiping;PAN Jieqiong
出处
《中华急危重症护理杂志》
2020年第5期455-458,共4页
Chinese Journal of Emergency and Critical Care Nursing
关键词
心脏外科手术
重症监护
康复护理
Cardiac Surgical Procedures
Intensive Care
Rehabilitation Nursing
作者简介
陈娟红:女,本科,副主任护师,E-mail:2546241247@qq.com
