量化评估策略框架下分阶段康复训练结合支持性心理护理对ICU机械通气患者血氧状态及获得性衰弱发生率的影响

Effects of staged rehabilitation training under the framework of quantitative evaluation strategy combined with supportive psychological nursing on blood oxygen status and incidence of acquired weakness of patients with mechanical ventilation in ICU

目的探讨量化评估策略框架下分阶段康复训练结合支持性心理护理对重症监护室(ICU)机械通气患者血氧状态及获得性衰弱的影响。方法选取我院收治的86例ICU机械通气患者作为研究对象,以随机数字表法将其分为对照组(43例,常规护理)和观察组(43例,量化评估策略框架下分阶段康复训练结合支持性心理护理)。比较两组的干预效果。结果干预后,观察组的动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。干预后,观察组的医学研究委员会(MRC)、Barthel指数(BI)评分高于对照组,获得性衰弱发生率低于对照组(P<0.05)。干预后,观察组的身体负担、情感负担评分均低于对照组(P<0.05)。结论临床对ICU机械通气患者采用量化评估策略框架下分阶段康复训练结合支持性心理护理有助于促进其血氧状态改善,降低获得性衰弱发生率,并减轻疾病自我感受负担。

Objective To explore the effects of staged rehabilitation training under the framework of quantitative evaluation strategy combined with supportive psychological nursing on blood oxygen status and incidence of acquired weakness of patients with mechanical ventilation in intensive care unit(ICU). Methods A total of 86 ICU patients with mechanical ventilation admitted in our hospital were selected as the research objects and divided into control group(43cases, routine nursing) and observation group(43 cases, staged rehabilitation training under the framework of quantitative evaluation strategy combined with supportive psychological nursing) according to random number table method. The intervention effects of the two groups were compared. Results After intervention, the partial pressure of oxygen(PaO_(2)) and oxygen saturation(SaO_(2)) in the observation group were higher than those in the control group, and partial pressure of carbon dioxide(PaCO_(2)) was lower than that in the control group(P<0.05). After intervention, the Medical Research Council(MRC) and Barthel index(BI) scores in the observation group were higher than those in the control group, and the incidence of acquired weakness was lower than that in the control group(P<0.05). After intervention, the physical burden and emotional burden scores in the observation group were lower than those in the control group(P<0.05). Conclusion The clinical use of staged rehabilitation training under the framework of quantitative evaluation strategy combined with supportive psychological nursing for ICU patients with mechanical ventilation can help to improve blood oxygen status,reduce the incidence of acquired weakness, and reduce the self-perceived burden of disease.