早期康复护理预防危重症机械通气合并肥胖患者ICU获得性衰弱的效果观察  

Observation on the effect of early rehabilitation nursing on the prevention of ICU acquired weakness in critically ill patients with mechanical ventilation combined with obesity

作　　者：游得意 陈碧群[1] YOU Deyi;CHEN Biqun(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,Fujian,China)

机构地区：[1]厦门大学附属中山医院,福建厦门361000

出　　处：《延边大学医学学报》2024年第2期185-187,共3页Journal of Medical Science Yanbian University

摘　　要：[目的]观察危重症机械通气合并肥胖者采用早期康复护理预防ICU获得性衰弱的有效性.[方法]以2021年6月1日—2023年5月31日在厦门大学附属中山医院重症医学科病区接受治疗的116例患者为研究对象,入选者均为危重症机械通气并发肥胖者.根据随机数字表法进行分组,分为实验组和对照组,对照组实施常规护理,实验组给予早期康复护理,比较两组护理效果、生活自理能力、机械通气时间等指标.[结果]两组干预前生活自理能力间无明显差异(P>0.05);干预后,实验组入住ICU时间为(7.19±5.26)d,明显短于对照组的(10.51±6.23)d(P<0.05),对护理工作满意度明显高于对照组(P<0.05),机械通气所用时间明显短于对照组(P<0.05),ICU获得性衰弱发生率明显低于对照组(P<0.05),生活自理能力明显高于对照组(P<0.05).[结论]早期康复护理干预危急重症机械通气并发肥胖病例有利于降低ICU获得性衰弱发生率,缩短患者机械通气及入住ICU时间,提高自理能力及护理效果,具有推广应用价值.OBJECTIVE To observe the effectiveness of early rehabilitation nursing in the prevention of ICU acquired weakness in critically ill patients with mechanical ventilation combined with obesity.METHODS A total of 116 patients who were treated in the Department of Intensive Care Medicine of our hospital from June 1,2021 to May 31,2023 were selected as the research objects.All the enrolled patients were critically ill patients with mechanical ventilation combined with obesity.According to the random number table method,they were divided into experimental group and control group.The control group received routine nursing,while the experimental group received early rehabilitation nursing.The nursing effect,self-care ability,mechanical ventilation time and other indicators of different groups were compared.RESULTS There was no significant difference in self-care ability among different groups before intervention(P>0.05).The ICU stay time of the experimental group was(7.19±5.26)d,and that of the control group was(10.51±6.23)d.The satisfaction of the experimental group with nursing service was higher than that of the control group(P<0.05).There were significant differences in the duration of mechanical ventilation between the two groups,and the incidence of ICU acquired weakness in the experimental group was lower than that in the control group,and the self-care ability after the intervention in the experimental group was higher than that in the control group,and the difference between the two groups was significant(P<0.05).CONCLUSIONS Early rehabilitation nursing intervention for critically ill patients with mechanical ventilation combined with obesity can not only reduce the incidence of ICU acquired weakness,but also shorten the time of mechanical ventilation and ICU stay,and improve the selfcare ability of patients and nursing effect,which has the value of popularization and application.

关 键 词：获得性衰弱 早期康复护理 肥胖 危急重症机械通气 

分 类 号：R473.5[医药卫生—护理学]