基于循证理念主导的早期康复活动在ICU机械通气患者中的应用效果
Application effect of evidence-based early rehabilitation activities in ICU mechanically ventilated patients
陈妙莉 1黄腊梅 1赵红苑1
作者信息
- 1. 529000 广东省江门市五邑中医院重症医学科
- 折叠
摘要
目的 探析基于循证理念主导的早期康复活动在ICU机械通气患者中的应用效果及对并发症、康复时间的影响.方法 选择医院2022年10月-2023年4月收治的92例ICU机械通气患者作为研究对象,根据组间基线资料均衡可比的原则,按照随机数字表法分为两组各 46 例.对照组实施常规康复训练,观察组实施基于循证理念主导的早期康复活动.对比两组患者康复时间、日常生活能力[日常生活活动能力量表(BI)及汉化ICU活动量表(IMS)]、ICU获得性衰弱(ICU-AW)发生率、呼吸机相关性肺炎(VAP)发生率、谵妄发生率等指标.结果 观察组患者的机械通气时间、ICU治疗时间及总住院时间均短于对照组,差异有统计学意义(P<0.05).康复训练干预前,两组患者BI、IMS评分对比差异无统计学意义(P>0.05);干预后,两组患者上述评分均高于干预前,且观察组BI、IMS评分均高于对照组,差异有统计学意义(P<0.05).观察组患者的ICU-AW发生率(2.17%)、VAP发生率(4.35%)、谵妄发生率(4.35%)均低于对照组(26.09%、17.39%、19.57%),差异有统计学意义(P<0.05).结论 基于循证理念主导的早期康复活动在ICU机械通气患者中应用效果显著,可有效缩短康复时间,改善患者日常生活能力及活动水平,降低并发症风险.
Abstract
Objective To explore the application effect of evidence-based early rehabilitation activities in ICU mechanically ventilated patients and their impact on complications and rehabilitation time.Methods Totally 92 ICU mechanically ventilated patients admitted to the hospital from October 2022 to April 2023 were selected as the research subjects.According to the principle of balanced and comparable baseline data between groups,they were randomly divided into two groups of 46 patients each using a random number table method.The control group received routine rehabilitation training,while the observation group received early rehabilitation activities guided by evidence-based principles.Compare the recovery time,daily living ability[barthel index(BI)and ICU mobility scale(IMS)],ICU acquired weakness(ICU-AW)incidence,ventilator-associated pneumonia(VAP)incidence,delirium incidence and other indicators between two groups of patients.Results The observation group had shorter mechanical ventilation time,ICU treatment,and total hospitalization time than the control group,and the difference was statistically significant(P<0.05).Before rehabilitation training intervention,there was no statistically significant difference in BI and IMS scores between the two groups of patients(P>0.05);After intervention,the above scores of both groups of patients were higher than before intervention,and the BI and IMS scores of the observation group were higher than those of the control group,with statistical significance(P<0.05).The incidence of ICU-AW(2.17%),VAP(4.35%),and delirium(4.35%)in the observation group was lower than that in the control group(26.09%,17.39%,19.57%),and the difference was statistically significant(P<0.05).Conclusion The application of evidence-based early rehabilitation activities in ICU mechanically ventilated patients has a significant effect,which can effectively shorten rehabilitation time,improve patients'daily living ability and activity level,and reduce the risk of complications.
关键词
ICU/机械通气/循证理念/早期康复训练/并发症Key words
ICU/Mechanical ventilation/Evidence based philosophy/Early rehabilitation training/Complication引用本文复制引用
出版年
2024
NETL
NSTL
万方数据