浅镇静联合早期活动与作业治疗在机械通气患者中的应用及效果评价

Effects of light sedation combined with Early Mobilization and Occupational Therapy on Mechanical Ventilated patients

目的:评价浅镇静联合早期活动与作业治疗在机械通气患者中的应用。方法:2016年1-12月,将72例机械通气患者随机分为干预组38例,对照组34例,两组患者均给予镇痛镇静护理及ICU常规护理,对干预组患者实施浅镇静联合早期活动与作业治疗,比较两组患者镇静剂用量、谵妄发生率、氧合指数、握力、日常生活能力、机械通气时间和ICU治疗时间,并观察干预期间不良事件的发生。结果:干预组患者镇静剂用量、机械通气时间、ICU治疗时间少于对照组,差异具有统计学意义(P<0.05);氧合指数、握力、日常生活能力优于对照组,差异具有统计学意义(P<0.05);干预期间两组患者均无严重不良事件发生。结论:对ICU机械通气患者实施浅镇静联合早期活动与作业治疗可以改善患者的转归,且安全可行。

Objective： To evaluate the effects of light sedation combined with Early Mobilization and Occupational Therapy on Mechanical Ventilated patients. Methods： Seventy–two patients who were undergoing Mechanical Ventilation were randomized into an intervention group（38 patients） and a control group（34 patients）. Patients in both groups were provided with pain and sedation management and ICU routine care, while light sedation combined with Early Mobilization and Occupational Therapy was implemented in intervention group. Dosage of sedative, incidence rate of delirium, oxygenation index, power of gripping, activity of daily living, length of Mechanical Ventilation and length of ICU stay were compared. The adverse events during the intervention were observed. Results： Dosage of sedative, length of Mechanical Ventilation and ICU stay in the intervention group were less than that in the control group, and oxygenation index, power of gripping and activity of daily living were significantly better than the control group（P〈0.05）. There were no unpredicted events during the intervention in both two groups. Conclusion： Light sedation combined with Early Mobilization and Occupational Therapy could improve patient＇s outcomes, and it is safe and feasible.