SICU重症患者身体功能和活动能力调查分析  

Investigation of physical function and activity level of severely ill surgical ICU patients

作　　者：陈巧玲[1] 赵慧玲[1] 邱文抒 陈冰华 林菁[1] 陈钗英 Chen Qiaoling;Zhao Huiling;Qiu Wenshu;Chen Binghua;Lin Jing;Chen Chaiying(The 3rd Division, Fujian Provincial Hospital ,Fuzhou 350001,China)

机构地区：[1]福建省立医院重症医学三科,福建福州350001

出　　处：《护理学杂志》2019年第7期12-15,共4页Journal of Nursing Science

摘　　要：目的调查分析外科ICU(SICU)患者身体功能现状及活动能力水平,为开展早期活动以促进患者快速康复提供参考。方法采用方便抽样法选取SICU符合条件患者100例,应用切尔西危重患者身体功能评估工具(CPAx)和佩尔梅危重患者活动评分量表进行评估。结果 SICU患者身体功能评分3～29(14.83±1.91)分,活动能力评分3～15(8.30±1.62)分;是否使用血管活性药物及机械通气的患者身体功能评分比较,差异有统计学意义(均P<0.01);不同年龄段、是否使用身体约束及机械通气、有无引流管的患者活动能力评分比较,差异有统计学意义(P<0.05,P<0.01)。结论 SICU患者的身体功能和活动能力评分较低,需积极开展重症患者群体中早期活动相关评估,实施适宜的干预措施,改善重症患者的预后和生存质量。Objective To investigate surgical ICU patients′ physical function status and activity level, to provide basis for early mobi-lity programs, and to facilitate rapid recovery of patients.Methods A total of 100 eligible surgical ICU patients were sampled by convenient sampling method and the activity level of patients was assessed by the Chelsea Critical Care Physical Assessment Tool(CPAx) and the Perme Intensive Care Unit Mobility Score.Results The physical function score ranging from 3 to 29 points with a mean of 14.83 and a standard deviation of 1.91, was significantly different in patients on vasoactive drugs and mechanical ventilation therapy or not(P<0.01 for both);the activity level scores ranging from 3 to 15 points with a mean of 8.30 and a standard deviation of 1.62, was significantly different in patients with varied ages, whether or not to use physical restraint, mechanical ventilation and whether or not to have drainage tubes(P<0.05,P<0.01).Conclusion Surgical ICU patients have lower scores of physical function and activity level. Early activity-related assessment should be conducted among critically ill patients and approp-riate interventions should be implemented to improve the prognosis and quality of life of these patients.

关 键 词：外科重症监护病房 重症患者 身体功能 活动能力 早期活动 评估 

分 类 号：R473.6[医药卫生—护理学]