个体化护理干预在ICU患者四肢肌肉萎缩中的应用  

Application of Individualized Nursing Intervention in Limb Muscle Atrophy of ICU Patients

作　　者：汪伟[1] 

机构地区：[1]蚌埠医学院第一附属医院,安徽蚌埠233004

出　　处：《齐鲁护理杂志》2017年第22期20-22,共3页Journal of Qilu Nursing

摘　　要：目的:探讨个体化护理干预在重症监护病房(ICU)患者四肢肌肉萎缩中的应用效果。方法:将2016年1~12月100例ICU患者按照随机数字表法分为实验组和对照组各50例,实验组和对照组最终完成研究者各46例。对照组采用常规护理方法,实验组在常规护理方法基础上,实施个体化护理干预措施。比较入院时、入院第10天、第30天、第45天时患者肢体周径、关节活动度、关节畸形情况。结果:入院第30天、第45天,实验组肢体周径显著大于对照组(P<0.05);入院第30天,实验组髋关节活动度良好例数显著多于对照组(P<0.05)。结论:个体化护理干预能够减缓长期卧床ICU患者肌肉萎缩的速度,减少患者髋关节活动的异常情况。Objective： To explore the application effect of individualized nursing intervention on limb muscle atrophy in patients with ICU. Methods： A total of 100 ICU patients enrolled from January from December in 2016 were randomly divided into the experimental group and the control group with 50 cases in each group. 46 cases of each group finally finished this project. The control group was given routine nursing method,and the experimental group was given individualized nursing intervention on the basis of routine nursing method. The limb circumference,joint mobility and joint deformity were compared at yhe time of admission,10 th days,30 th days and 45 th days after the admission. Results： On the 30 th day and the 45 th day,the experimental group＇s limb circumference was significantly higher than that of control group（ P 〈0. 05）; on the 30 th day,the degree of hip joint movement in the experimental group was significantly better than that in control group（ P 〈0. 05）. Conclusion： Individualized nursing intervention can slow down the speed of muscle atrophy in patients with long-term bedridden ICU,and reduce the abnormal situation of hip joint activity.

关 键 词：个体化护理干预 重症监护病房 肌肉萎缩 长期卧床 

分 类 号：R473.6[医药卫生—护理学]