ICU过渡期多学科协作心肺康复在重症肺炎患者中的应用效果

Application effect of multidisciplinary collaborative cardiopulmonary rehabilitation in patients with severe pneumonia during the ICU transition

目的 了解ICU过渡期重症肺炎患者应用多学科协作心肺康复的效果。方法 86例ICU监护的重症肺炎患者为研究对象,随机分为常规干预组和多学科协作组,每组43例。常规干预组进行常规干预,多学科协作组进行多学科协作心肺康复干预,比较两组的APACHEⅡ评分、肺功能指标、舒适度、48 h重返ICU率、风险事件发生率及护理投诉情况。结果 干预后,两组患者的APACHEⅡ评分均降低,且多学科协作组降低更显著(P<0.01);多学科协作组患者的第1秒最大呼气量、用力肺活量、第1秒最大呼气量/用力肺活量均高于常规干预组,48 h重返ICU率、风险事件发生率及护理投诉率均低于常规干预组(P<0.05或0.01)。结论 在ICU过渡期应用多学科协作心肺康复能够缓解患者病情,改善肺功能,提高舒适度。

Objective To understand the application effect of multidisciplinary collaborative cardiopulmonary rehabilitation in patients with severe pneumonia in the transition period of intensive care unit(ICU). Methods A total of 86 patients with severe pneumonia who were monitored in ICU were selected as the research objects and randomly divided into the Routine Intervention Group and Multidisciplinary Collaboration Group, 43 cases in each group. The Routine Intervention Group was given routine intervention while the Multidisciplinary Collaboration Group was given multidisciplinary collaborative cardiopulmonary rehabilitation. The APACHE II score, pulmonary function indexes, comfort level, 48 h return to ICU, incidence of risk events and nursing complaints were compared between the two groups. Results After intervention,both groups had the APACHE II score significantly decreased, and the Multidisciplinary Collaboration Group showed a more significant decrease(P<0.01). The Multidisciplinary Collaboration Group had the FEV1, FVC and FEV1/FVC higher than the Routine Intervention Group, and had the 48 h return to ICU, incidence of risk events and nursing complaints lower than the Routine Intervention Group(P<0.05 or 0.01). Conclusion The application of multidisciplinary collaborative cardiopulmonary rehabilitation during the ICU transition period can alleviate the patient’s conditions, improve their pulmonary function, and improve patients’ comfort.