首页|早期活动联合积极心理干预对ICU机械通气患者获得性衰弱的影响

早期活动联合积极心理干预对ICU机械通气患者获得性衰弱的影响

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目的 探讨早期活动联合积极心理干预对ICU机械通气患者获得性衰弱的影响.方法 选择2022年1月至2023年12月期间泰兴市第二人民医院ICU收治的机械通气患者110例,采用随机数字表法分为对照组和观察组,每组55例.对照组接受常规护理,观察组接受早期活动联合积极心理干预.评估两组患者焦虑与恐惧程度,分析其康复积极性,比较获得性衰弱发生情况.结果 干预后,观察组焦虑、恐惧评分均较对照组低,P<0.05;在康复积极性方面,观察组积极举动分数、康复配合度分数均较对照组高,放弃举动分数较对照组低,P<0.05.观察组获得性衰弱发生率较对照组低,P<0.05.结论 对ICU机械通气患者实施早期活动联合积极心理干预,可改善其心理状况和康复积极性,降低获得性衰弱发生风险.
Early Activity Combined with Positive Psychological Intervention for Acquired Weakness in Patients with MV in ICU
Objective:Analysis of early activities combined with positive psychological care to prevent MV in ICU pa-tients with acquired weakness.Methods:The ICU of Taixing Second People's Hospital admitted 110 MV patients from January 2022 to December 2023.Control group(n=55)routine nursing,observation group(n=55)engage in early activities while using positive psychological techniques,to assess the degree of anxiety and fear,rehabilitation enthusiasm,the rate of acquired asthenia.Results:After intervention,the scores of anxiety and fear in the observa-tion group were lower than those in the control group,P<0.05.In terms of rehabilitation enthusiasm,the scores of positive behavior and rehabilitation cooperation in the observation group were higher than those in the control group,and the scores of giving up behavior were lower than those in the control group,P<0.05.The incidence of acquired weakness in the observation group was lower than that in the control group,P<0.05.Conclusion:Early ac-tivities combined with active psychological intervention can improve the psychological status and rehabilitation en-thusiasm of ICU patients with mechanical ventilation,and reduce the risk of acquired weakness.

Mechanical ventilationAcquired astheniaEarly activityPositive psychological interventionICU

肖丽、张凤霞、徐力业、陶一晨

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泰兴市第二人民医院重症医学科,江苏泰兴 225411

机械通气 获得性衰弱 早期活动 积极心理干预 ICU

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(5)