改良坐位八段锦训练对老年机械通气患者预后的影响  

Effect of Improved Sitting Position Baduanjin Training on Prognosis of Elderly Patients With Mechanical Ventilation

作　　者：覃碧琼 李俊利 戴小英 徐品贤 QIN Biqiong;LI Junli;DAI Xiaoying;XU Pinxian(Department of Critical Care Medicine,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning Guangxi 530021,China)

机构地区：[1]广西壮族自治区江滨医院重症医学科,广西南宁530021

出　　处：《中国卫生标准管理》2024年第14期152-155,共4页China Health Standard Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20201253)。

摘　　要：目的探讨改良坐位八段锦训练在老年机械通气患者中的影响。方法选取2021年12月—2022年12月广西壮族自治区江滨医院重症医学科60例行机械通气老年患者。按护理方式不同分为对照组与观察组,各30例。对照组予以机械通气专科护理干预;观察组在对照组基础上,通过医生及康复护士联合对患者进行评估,制定改良坐位八段锦进行干预训练。比较2组患者抗生素使用时间、机械通气时间、并发症发生率。结果观察组抗生素使用时间为(15.13±3.14)d,机械通气时间为(14.13±1.96)d,短于对照组(18.70±3.96)d、(17.70±3.42)d,差异有统计学意义(P<0.05);观察组谵妄发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05);2组不良事件发生情况比较,差异无统计学意义(P>0.05)。结论改良坐位八段锦训练能改善老年机械通气患者肺功能,缩短机械通气时间,降低谵妄发生率。Objective To explore the impact of improved sitting position Baduanjin training on elderly mechanical ventilation patients.Methods A total of 60 elderly patients with mechanical ventilation were selected from the department of critical care medicine,Jiangbin Hospital of Guangxi Zhuang Autonomous Region from December 2021 to December 2022.According to different nursing methods,they were divided into control group and observation group,with 30 cases each.The control group received specialized nursing intervention with mechanical ventilation,the observation group received an improved sitting position of Baduanjin for intervention training on the basis of the control group.The time of antibiotic use,the time of mechanical ventilation and the incidence of complications were compared between the two groups.Results The antibiotic use time and mechanical ventilation time of the observation group were(15.13±3.14)d and(14.13±1.96)d,which were shorter than(18.70±3.96)d and(17.70±3.42)d of the control group,and the difference was statistically significant(P<0.05).The incidence of delirium in the observation group was 3.33%,which was lower than 26.67%in the control group,the difference was statistically significant(P<0.05).There was no statistical significance in the occurrence of adverse events between the two groups(P>0.05).Conclusion The improved sitting position Baduanjin training can improve lung function,shorten mechanical ventilation time,reduce the occurrence of delirium.

关 键 词：改良 干预 老年 机械通气 早期康复 谵妄 

分 类 号：R247[医药卫生—中医临床基础]