序贯床上运动对老年急症重症监护病房患者康复进程的影响  

Effect of sequential bed exercise on rehabilitation process of elderly patients with EICU

作　　者：陆金珠 王晓彦 邵芳[1] 孙文娟[1] 龚佳妮 Lu Jinzhu;Wang Xiaoyan;Shao Fang(Emergency Department,Affiliated Hospital of Jiangnan University,Wuxi 214062,China)

机构地区：[1]江南大学附属医院急诊科,无锡214062

出　　处：《中华保健医学杂志》2021年第5期445-448,共4页Chinese Journal of Health Care and Medicine

基　　金：江苏省无锡市科技发展资金项目(N20202019)。

摘　　要：目的研究序贯床上运动对老年急症重症监护病房(EICU)患者康复进程的影响。方法选择2019年1月~2021年1月江南大学附属医院收治的120例老年EICU患者,使用随机数表法将其分为观察组(60例)和对照组(60例)。对照组进行EICU常规干预,观察组在对照组基础上增加序贯床上运动。记录两组机械通气时间、镇静剂使用时间、镇痛剂使用时间、在EICU时间、住院时间;记录住院前、入EICU时、出EICU时Barthel指数、英国医学研究理事会(MRC)肌力评分、匹兹堡睡眠质量指数量表(PSQI)评分,并记录住院期间两组谵妄发生率和持续时间。结果与对照组相比,观察组机械通气时间、镇静剂使用时间、在EICU时间较短,差异有统计学意义(P<0.05)。与入院前相比,入EICU时,两组Barthel指数和MRC肌力评分均有所降低;与入EICU时相比,出EICU时,两组Barthel指数和MRC肌力评分均有所提升,且与对照组相比,观察组Barthel指数和MRC肌力评分均较高,差异有统计学意义(P<0.05)。出EICU时,与对照组相比,观察组PSQI评分较低,差异有统计学意义(P<0.05)。与对照组相比,观察组谵妄发生率较低、持续时间较短,差异有统计学意义(P<0.05)。结论在老年EICU患者的康复干预中使用序贯床上运动,可以减少患者机械通气时间、镇静剂使用时间、EICU停留时间,有利于改善患者的自理能力和睡眠质量,可降低谵妄发生率、减少谵妄持续时间。Objective To study the effect of sequential bed exercise on the rehabilitation process of elderly patients in emergency intensive care unit(EICU).Methods 120 elderly patients with EICU in our hospital from January 2019 to January 2021 were selected as the research objects,and they were randomly divided into observation group(60 cases)and control group(60 cases).The control group was given routine intervention of EICU,and the observation group increased sequential bed movement on the basis of the control group.The mechanical ventilation time,sedative use time,analgesic use time,EICU time and hospital stay were recorded;Barthel index,British Council for medical research(MRC)muscle strength score and Pittsburgh sleep quality index(PSQI)score were recorded before hospitalization,at the time of entering EICU and leaving EICU.The incidence and duration of delirium during hospitalization were also recorded.Results Compared with the control group,the observation group had shorter mechanical ventilation time,sedative use time and EICU time(P<0.05);Compared with before admission,the Barthel Index and MRC muscle strength score of the two groups were decreased when they entered the EICU.Compared with before admission,the Barthel Index and MRC muscle strength score of the two groups were improved when they left the EICU,and the difference was statistically significant(P<0.05);Compared with the control group,the Barthel Index and MRC muscle strength score of the observation group were higher at the time of EICU(P<0.05);Compared with the control group,the PSQI score of the observation group was lower at the time of EICU(P<0.05);Compared with the control group,the incidence of delirium in the observation group was lower,the duration was shorter,the difference was statistically significant(P<0.05).Conclusion In the rehabilitation intervention of elderly patients with EICU,the use of sequential bed exercise can reduce the time of mechanical ventilation,sedative use and EICU stay,improve the self-care ability and sleep quality of p

关 键 词：老年 急症重症监护病房 床上活动 机械通气 康复进程 

分 类 号：R49[医药卫生—康复医学]