肝移植术后患者ICU早期活动方案的构建及应用  

Application of early mobilization program to ICU patient after liver transplantation

作　　者：沈燕 陈兰[2] 费凯红[2] 姚叶英 潘恒德 俞佳琦 杜江[2] 叶丹红 Shen Yan;Chen Lan;Fei Kaihong;Yao Yeying;Pan Hengde;Yu Jiaqi;Du Jiang;Ye Danhong(School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海市第一人民医院护理部 [3]上海市第一人民医院康复科

出　　处：《护理学杂志》2021年第11期33-36,共4页Journal of Nursing Science

基　　金：上海市卫生和计划生育委员会科研基金面上项目(201940074);上海市松江区科技攻关项目(19SJKJGG89)。

摘　　要：目的探讨肝移植术后ICU早期内活动方案对成人肝移植术后患者的影响。方法将40例肝移植手术患者按照住院时间段分为两组各20例。对照组实施肝移植术后常规护理及活动;干预组在此基础上,实施经专家会议修订后的"肝移植术后ICU早期活动方案"。结果干预组首次肛门排气时间、胃管拔除时间显著短于对照组(均P<0.01);两组不同时间Barthel指数和MRC-score评分存在显著的时间、干预、交互效应(均P<0.01)。两组患者均未发生腹腔出血及胆漏。结论肝移植术后开展ICU内早期活动安全,可帮助患者尽早恢复胃肠功能,恢复肌力,提高日常生活活动能力。Objective To explore the effect of early mobilization program on ICU patients after liver transplantation.Methods A total of 40 patients after liver transplantation were divide into 2 groups according to the time sequence,with 20 cases in each group.The control group was given routine nursing care after liver transplantation,while the intervention group was additionally subjected to an expert-panel-discussion based early mobilization program for ICU patients after liver transplantation.Results The time to first-time postoperative gas passage,and the time to gastric tube removal in the intervention group were shorter than those in the control group(P<0.01 for both).The Barthel Index score and MRC-score measured at various time points had significant time effect,group effect,and group by time effect(P<0.01 for all).There was no case of abdominal bleeding or bile leakage in the two groups.Conclusion Early activities in ICU after liver transplantation can help patients restore gastrointestinal function early on,regain muscle strength,and improve activities of daily living.

关 键 词：肝移植术 ICU 早期活动 方案 专家会议法 日常生活活动能力 肌力 并发症 

分 类 号：R473.6[医药卫生—护理学]