早期主动活动对重症肌无力机械通气患者脱机的效果观察  

Observation of early active exercises on mechanical ventilation weaning patients with myasthenia gravis

作　　者：闫荣 巨婷 阎旭 蒋玮 Yan Rong;Ju Ting;Yan Xu;Jiang Wei(Department of Neurology,Tangdu Hospital,Air Force Military Medical University,Xi′an 710038,China;Nursing Department,Tangdu Hospital,Air Force Military Medical University,Xi′an 710038,China)

机构地区：[1]空军军医大学唐都医院神经内科监护室,西安710038 [2]空军军医大学唐都医院护理处,西安710038

出　　处：《中国实用护理杂志》2020年第32期2505-2509,共5页Chinese Journal of Practical Nursing

摘　　要：目的研究早期主动活动对于重症肌无力机械通气患者脱机时间、脱机期间舒适度、患者对护理服务满意度及动脉血气分析结果的影响。方法选取2014年1月至2018年1月在空军军医大学唐都医院神经内科监护室住院的重症肌无力机械通气患者56例为研究对象。按照随机数字表法分为观察组30例和对照组26例,观察组实施主动锻炼,鼓励尽早下床,对照组实施被动锻炼,比较2组患者的脱机时间、脱机期间的舒适度、对护理服务的满意度、动脉血气分析指标。结果观察组脱机时间为(6.2±2.3)d,对照组为(9.8±3.9)d,差异有统计学意义(t值为5.559,P<0.01)。观察组患者脱机期间的舒适度为(81.20±4.93)分,对照组为(64.54±2.62)分,差异有统计学意义(t值为15.798,P<0.01)。观察组患者对护理服务较满意3例,满意27例,患者满意度评分(93.67±2.20)分;对照组一般满意2例,较满意15例,满意9例,患者满意度评分(85.81±5.49)分,2组比较差异有统计学意义(χ^2值为23.3122,t值为-7.2057,P<0.01)。观察组患者脱机期间的动脉血气分析结果与对照组比较差异无统计学意义(P>0.05)。结论早期主动活动能缩短重症肌无力机械通气患者的脱机时间,提高患者脱机期间的舒适度及对护理服务的满意度,且没有对患者的呼吸功能及酸碱平衡造成影响。Objective To compare the difference of weaning time,comfort and satisfaction during the time,and arterial blood gas analysis in early active exercises of mechanical ventilation patients with myasthenia gravis(MG).Methods Fifty-six mechanical ventilation patients with MG hospitalized in the Department of Neurology,Tangdu Hospital,Air Force Military Medical University were enrolled from January 2014 to January 2018.All the patients were divided into observation group(n=30)and control group(n=30)according to the random number table.Observation group performed active exercise,that encourage patients get out of bed as early as possible.Control group implement passive exercise.Then,analyzed the difference of weaning time,comfort and satisfaction during the time,and arterial blood gas results between this two groups.Results The weaning time of observation group was(6.2±2.3)days,while(9.8±3.9)days of control group,the difference was significantly(t value was 5.559,P<0.01).The comfort of observation group were(81.20±4.93)points,while(64.54±2.62)points of control group,the difference was significantly(t value was15.798,P<0.01).In the observation group,3 cases were satisfied with the nursing service,27 cases were satisfied,and the patient satisfaction score was(93.67±2.20)points;in the control group,2 cases were generally satisfied,15 cases were relatively satisfied,9 cases were satisfied,and the patient satisfaction score was(85.81±5.49)points,the difference between the two groups was statistically significant(χ^2 value was 23.3122,t value was-7.2057,P<0.01).There were no difference of arterial blood gas results between the two groups(P>0.05).Conclusion Early active exercises can shorten the weaning time of mechanical ventilation patients with MG,improve patients comfort and satisfaction with nursing services during the weaning time,and have no effect on patients'respiratory function and acid-base balance.

关 键 词：主动活动 重症肌无力 机械通气 脱机 

分 类 号：R473.74[医药卫生—护理学]