摘要
目的:探讨机械通气重症患者采用早期渐进性康复训练对改善神经肌肉功能恢复的作用。方法:选择我院2018年8月至2019年11月收治机械通气重症患者172例,按照随机数表法分为常规护理对照组(n=86)与采用早期渐进性康复训练干预实验组(n=86),对比两组患者功能独立性评分表(FIM)结果与并发症情况,了解患者的生活独立能力和康复结局。结果:在FIM功能独立性评分中,实验组在自理能力、括约肌控制以及转移上的改善效果远远高于对照组,P<0.05。两组在行走、交流与社会认知评分无显著差异,P>0.05。实验组并发症发生率为10.47%(9/86),对照组发生率为29.07%(25/86),P<0.05。在住院期间,实验组患者的Barthel指数结果为(87.2±11.3)分,对照组为(76.5±10.7)分,说明实验组患者的生活质量较高。与此同时,在ICU停留时间上,实验组为(12.2±2.8)d,对照组用时较长,为(17.5±4.4)d;在通气时间的对比中,实验组为(7.6±3.1)d,对照组为(10.9±3.6)d,其差异性显著,具有统计学意义,说明进行早期渐进性康复训练的患者其病情改善用时较短。结论:机械通气重症患者采用早期渐进性康复训练能够有效改善患者的神经肌肉功能,提高患者的活动能力,有利于改善患者的预后,值得推广。
Objective:To explore the effect of early progressive rehabilitation training on the recovery of neuromuscular function in patients with severe mechanical ventilation.Methods:A total of 172 patients with severe mechanical ventilation admitted to our hospital from August 2018 to November 2019 were randomly divided into two groups:routine nursing control group(n=86)and early progressive rehabilitation training intervention group(n=86).The results and complications of functional independence scale(FIM)were compared between the two groups to understand the patients’life independence ability and rehabilitation outcome.Results:In the FIM functional independence score,the improvement of self-care ability,sphincter control and metastasis in the experimental group was significantly higher than that in the control group(P<0.05).There was no significant difference between the two groups(P>0.05).The incidence of complications was 10.47%(9/86)in the experimental group and 29.07%(25/86)in the control group(P<0.05).During hospitalization,the Barthel index of the experimental group was(87.2±11.3),while that of the control group was(76.5±10.7),indicating that the quality of life of the experimental group was higher.At the same time,the duration of stay in ICU was(12.2±2.8)days in the experimental group and(17.5±4.4)days in the control group;in the comparison of ventilation time,the duration of stay in ICU was(7.6±3.1)days in the experimental group and(10.9±3.6)days in the control group,with significant difference,which was statistically significant,indicating that the improvement time of patients’condition was shorter under early progressive rehabilitation training.Conclusion:Early progressive rehabilitation training can effectively improve the neuromuscular function of patients with severe mechanical ventilation,improve the activity ability of patients,improve the prognosis of patients,and it is worth popularizing.
作者
陈志林
陈喜
郑盼盼
陈佩莹
蒙莉萍
CHEN Zhi-lin;CHEN Xi;ZHENG Pan-pan;CHEN Pei-ying;MENG-Li-ping(First Affiliated Hospital of Hainan Medical College,Haikou Hainan 570102,China)
出处
《医学食疗与健康》
2020年第9期11-13,共3页
Medical Diet and Health
基金
海南省卫生和计划生育委员会基金项目(18A200104)。
关键词
早期渐进性康复训练
机械通气
重症患者
神经肌肉功能
并发症
Early Progressive Rehabilitation Training
Mechanical Ventilation
Severe Patients
Neuromuscular Function
Complications
作者简介
通信作者:蒙莉萍(1965.04-),女,汉族,海南海口人,本科学历,主任护理师,护理部主任,研究方向:循证护理、护理管理、护理教育。E-mail:1364868032@163.com。
