Effect of Early Rehabilitation Nursing During Intensive Insulin Therapy in Patients After Coronary Artery Bypass Grafting and its Effect on Preventing ICU Acquired Weakness
Effect of Early Rehabilitation Nursing During Intensive Insulin Therapy in Patients After Coronary Artery Bypass Grafting and its Effect on Preventing ICU Acquired Weakness
Objective:To explore the effect of early rehabilitation nursing combined with intensive insulin therapy on the prevention of ICU-acquired weakness in patients undergoing coronary artery bypass grafting. Methods:From January 2023 to December 2023,84 patients with coronary artery bypass grafting who received intensive insulin therapy in our hospital were selected and divided into study group (42 patients) and reference group (42 patients) according to the random number table method. The reference group was given routine nursing,and the study group was given early rehabilitation nursing. The muscle strength score[Medical Research Council Score (MRC)],ICU acquired weakness,insulin use,blood glucose level,depression and anxiety[Hospital Anxiety and Depression Scale (HADS)]and ICU hospitalization time were compared between the two groups. Results:After intervention,the MRC score of the study group was higher than that of the reference group,and the difference was statistically significant (P<0.05). The incidence of ICU acquired weakness in the study group was lower than that in the reference group,and the difference was statistically significant (P<0.05). The amount of insulin used in the study group was lower than that in the reference group,the difference was statistically significant (P<0.05). There was no significant difference in blood glucose level between the two groups (P>0.05). The anxiety score and depression score of the study group were lower than those of the reference group,and the differences were statistically significant (P<0.05). The mechanical ventilation time,ICU hospitalization time and total hospitalization time of the study group were lower than those of the reference group,and the differences were statistically significant (P<0.05). Conclusion:For patients with coronary artery bypass grafting in intensive insulin therapy,early rehabilitation nursing is help to improve muscle strength,prevention of ICU acquired weakness,reduce insulin use,reduce anxiety and depression,shorten the treatment time,and the nursing effect is remarkable.
关键词
早期康复干预/强化胰岛素/冠脉搭桥术/ICU获得性衰弱/肌力
Key words
Early rehabilitation nursing/Intensive insulin/Coronary artery bypass grafting/ICU-acquired weakness/Muscle strength
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