首页|基于量化评估的早期计划性康复护理结合改良坐位五禽戏对机械通气患者ICU获得性衰弱及肌力情况的影响

基于量化评估的早期计划性康复护理结合改良坐位五禽戏对机械通气患者ICU获得性衰弱及肌力情况的影响

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目的 探究基于量化评估的早期计划性康复护理结合改良坐位五禽戏对机械通气患者ICU获得性衰弱及肌力情况的影响。方法 选择2020 年2月至2022 年12 月我院收治的85 例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(41 例)和观察组(44 例)。对照组接受常规护理,观察组在对照组基础上加施基于量化评估的早期计划性康复护理结合改良坐位五禽戏。比较两组的干预效果。结果 干预后,观察组的医学研究理事会量表(MRCs)评分、肌肉总含量高于对照组(P<0。05);观察组的ICU获得性衰弱发生率低于对照组(P<0。05)。干预后,观察组的积极配合、锻炼标准度评分高于对照组(P<0。05)。干预后,观察组的氧合指数(OI)、动脉血氧分压(PaO2)高于对照组,动脉血二氧化碳分压(PaCO2)低于对照组(P<0。05)。结论 基于量化评估的早期计划性康复护理结合改良坐位五禽戏可提高机械通气患者康复锻炼积极性,降低ICU获得性衰弱发生率。
Effects of early planned rehabilitation nursing based on quantitative evaluation combined with modified sitting-position Wuqinxi on ICU acquired weakness and muscle strength situation in patients with mechanical ventilation
Objective To explore the effects of early planned rehabilitation nursing based on quantitative evaluation combined with modified sitting-position Wuqinxi on ICU acquired weakness and muscle strength stuation in patients with mechanical ventilation.Methods A total of 85 patients with mechanical ventilation admitted in our hospital from February 2020 to December 2022 were selected as the research objects and divided into control group(41 cases)and observation group(44 cases)by random number table method.The control group received routine nursing,and the observation group received early planned rehabilitation nursing based on quantitative evaluation combined with modified sitting-position Wuqinxi on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the Medical Research Council Score(MRCs)score and total muscle content of the observation group were higher than those of the control group(P<0.05);the incidence of ICU acquired weakness in the observation group was lower than that in the control group(P<0.05).After intervention,the scores of active cooperation and exercise standard in the observation group were higher than those in the control group(P<0.05).After intervention,the oxygenation index(OI)and arterial partial pressure of oxygen(PaO2)in the observation group were higher than those in the control group,and the arterial partial pressure of carbon dioxide(PaCO2)was lower than that in the control group(P<0.05).Conclusion Early planned rehabilitation nursing based on quantitative evaluation combined with modified sitting-position Wuqinxi can improve the enthusiasm of rehabilitation exercise in patients with mechanical ventilation,reduce the incidence of ICU acquired weakness.

early planned rehabilitation nursing based on quantitative evaluationmodified sitting-position Wuqinximechanical ventilationICU acquired weaknessmuscle strength

史俊平

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驻马店市中医院,河南 驻马店,463000

基于量化评估的早期计划性康复护理 改良坐位五禽戏 机械通气 ICU获得性衰弱 肌力

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(21)