摘要
目的探讨基于多学科协作(MDT)模式的早期康复对ICU机械通气患者负性情绪及生活质量的影响.方法选取张家港港城康复医院2021年1月—2022年5月收治的60例ICU机械通气患者为研究对象,以随机数字表法将其分为对照组与观察组.对照组(n=30)采用常规康复治疗,观察组(n=30)采用基于MDT的早期康复治疗.比较两组患者的负性情绪状况、生活质量及并发症总发生率.结果干预后,观察组的汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组转出ICU后1、3、6个月的健康调查简表评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症总发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05).结论ICU机械通气患者采用基于MDT模式的早期康复治疗能减轻负性情绪,提高其生活质量,降低并发症发生风险,值得临床推广使用.
Objective To investigate the effect of early rehabilitation based on multidisciplinary team(MDT)model on negative emotions and quality of life in patients with mechanical ventilation in ICU.Methods 60 patients with mechanical ventilation in ICU admitted to Zhangjiagang Port City Rehabilitation Hospital from January 2021 to May 2022 were selected as the research objects and were divided into a control group and an observation group by random number table method.The control group(n=30)received conventional rehabilitation treatment,and the observation group(n=30)received early rehabilita-tion treatment based on MDT model.The negative emotional status,quality of life and total incidence of complications were compared between the two groups.Results After the intervention,the scores of Hamilton Anxiety Scale and Hamilton De-pression Scale in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the MOS item short from health survey scores of the observation group were higher than those of the control group at 1,3 and 6 months after being transferred out of ICU,and the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the observation group was 3.33%,lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation therapy based on MDT model can alleviate negative emotions,improve the quality of life and reduce the risk of complications in patients with mechanical ventilation in ICU,and is worthy of clinical promotion.
作者
杨丹
许敏丹
钱宇强
YANG Dan;XU Mindan;QIAN Yuqiang(Department of Rehabilitation Treatment,Zhangjiagang Port City Rehabilitation Hospital,Zhangjiagang Jiangsu,215600,China)
出处
《反射疗法与康复医学》
2024年第2期178-180,184,共4页
Reflexology And Rehabilitation Medicine
基金
张家港市卫生青年科技项目(ZJGQNKJ202225)。
关键词
ICU
机械通气
多学科协作
早期康复
生存质量
并发症
ICU
Mechanical ventilation
Multidisciplinary team
Early rehabilitation
Quality of life
Complication
作者简介
杨丹(1991-),女,江苏张家港人,本科,主管康复治疗师,研究方向:康复治疗;通信作者:许敏丹(1986-),女,江苏江阴人,本科,主管康复治疗师,研究方向:康复治疗,邮箱:532209466@qq.com。
