Application of early activity in elderly patients with chronic obstructive pulmonary disease and pulmonary infection undergoing mechanical ventilation in ICU
Objective To explore the application of early activity in elderly patients with chronic obstructive pulmonary disease(COPD)and pulmonary infection undergoing mechanical ventilation in the intensive care unit(ICU).Methods 80 elderly patients with COPD and pulmonary infection who underwent mechanical ventilation in ICU of First Affiliated Hospital of Nanjing Medical University from April 2022 to May 2023 were selected and divided into observation group and control group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,while the observation group received early activity intervention in addition to the same intervention as the control group.Both groups were intervened for 7 days.The hospitalization conditions,activities of daily living,respiratory pressure indexes,vital signs related indexes and adverse events were observed and compared between the two groups.Results The mechanical ventilation time and ICU stay time in the observation group were shorter than those of the control group,and the incidence of delirium was lower than that in the control group(all P＜0.05).After intervention,the modified Barthel index scores of the two groups were higher than those of the same group before intervention,and the observation group was higher than the control group(all P＜0.05);the respiratory pressure index values of the two groups were lower than those of the same group before intervention,and the observation group was lower than the control group(both P＜0.05);the Acute Physiological and Chronic Health(APACHE Ⅱ)scores and body temperature of the two groups were lower than those of the same group before intervention,and the oxygenation index(OI)were higher than those of the same group before intervention,while the APACHE Ⅱ score of the observation group was lower than that of the control group,and OI was higher than that of the control group(both P＜0.05),but there was no statistically significant difference in body temperature between the two groups(P＞0.05).The inci-dence of adverse reactions in the observation group was lower than that in the control group(2.50％vs 15.00％,P＜0.05).Conclusion Early activity intervention for elderly patients with COPD and pulmonary infection undergoing mechanical ventila-tion in ICU can shorten the time of mechanical ventilation and ICU stay,reduce the occurrence of delirium,lower the incidence of adverse events,improve the ability of daily living of patients,and promote the recovery of respiratory mechanics system,which has certain clinical application value.
elderlychronic obstructive pulmonary diseaseintensive care unitpulmonary infectionmechanical venti-lationearly activity
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