早期活动干预法预防ICU获得性衰弱的应用效果

Application of Early Activity Intervention to Prevent Acquired ICU Weakness

目的探究早期活动干预法预防心血管外科ICU行机械通气治疗患者获得性衰弱的应用效果。方法采用便利抽样法,选取2016年1月至2017年3月于长海医院心血管外科监护室收治的102例行机械通气的患者为研究对象,按入院顺序分为对照组和观察组各51例,对照组实施ICU常规护理,观察组患者在常规护理的基础上,采用早期活动干预法。对两组干预后的相关临床指标进行比较。结果观察组干预后的ICU获得性衰弱发生数、机械通气时间和ICU滞留时间均低于对照组,英国医学研究理事会评分(the UK Medical Research Council,MRC-score)和日常生活能力(activities of daily living,ADL)完成均数均高于对照组(P<0.05)。结论早期活动干预法可以降低ICU获得性衰弱的发生率,促进日常生活活动能力的恢复,有利于患者院内治疗和院外康复,但目前还存在着专业人员、设备、场地配置不足等问题,需要引起重视。

Objective Investigation on the effect of early mobilization intervention for preventing the ICU acquired weakness in patients with mechanical ventilation. Methods From January 2016 to March 2017, 102 patients with mechanical ventilation in the cardiac ICU of Changhai hospital were divided into control group and observation group,with 51 cases in each group. The control group received routine nursing care, while the observation group received early mobilization intervention. The data related to ICU acquired weakness was collected and compared. Results The incidence rate of ICU acquired weakness, duration of mechanical ventilation and ICU time were lower in the observation group than those in the control group, MRC score and average number of ADI. completion were also higher in the observation group （P〈0.05）. Conclusions Early mobilization intervention can decrease the incidence rate of ICU acquired weakness, promote the recovery of daily activities,which is beneficial to the patients＇ treatment and rehabilitation. However,there are still some problems such as shortage of professionals,equipment and venues,which requires attention.