早期护理对危重症患者获得性衰弱的影响

The impact of early nursing on acquired asthenia in critically ill patients

目的探究危重症患者应用早期护理对获得性衰弱的影响,为危重症患者获得性衰弱的护理提供指导。方法选取2019年12月—2020年12月高唐县人民医院收治的74例危重症患者,按照随机数字表法分为研究组和对照组各37例。对照组实施常规护理,研究组在对照组基础上实施早期护理。比较两组患者生活能力、肌力水平、生理及慢性健康水平、住院时间、获得性衰弱发生率及护理满意率。结果研究组Barthel指数(BI)和医学研究委员会(MRC)肌肉力量评分高于对照组,急性生理与慢性健康评分(APACHEⅡ)低于对照组,差异均有统计学意义(P<0.05)。研究组住院时间短于对照组,获得性衰弱发生率明显低于对照组,差异均有统计学意义(P<0.05)。研究组护理总满意率为97.30%,高于对照组的75.68%,差异有统计学意义(χ^(2)=7.4000,P<0.05)。结论针对危重症患者应用早期护理可有效降低获得性衰弱发生率,改善肌力水平,提高自理能力,缩短住院时间,值得临床应用推广。

Objective To explore the impact of early nursing on acquired asthenia in critically ill patients,and to provide guidance for the nursing of critically ill patients with acquired asthenia.Methods A total of 74 patients with critical illness admitted to Gaotang County People's Hospital from December 2019 to December 2020 were selected and divided into study group and control group according to the random number table method,with 37 cases in each group.The control group received routine nursing,while the study group received early nursing on the basis of the control group.The living ability,muscle strength level,physiological and chronic health levels,hospital stay,incidence of acquired asthenia and nursing satisfaction rate between two groups of patients were compared.Results The Barthel index(BI)and medical research council(MRC)muscle strength score of the study group were higher than those of the control group,while the acute physiology and chronic health evaluation(APACHE II)score was lower than that of the control group,and the differences were statistically significant(P<0.05).The hospital stay of the study group was shorter than that of the control group,and the incidence of acquired asthenia was significantly lower than that of the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of nursing in the study group was 97.30%,which was higher than 75.68%in the control group,and the difference was statistically significant(χ^(2)=7.4000,P<0.05).Conclusion The application of early nursing for critically ill patients could effectively reduce the incidence of acquired asthenia,improve muscle strength level,enhance self-care ability,shorten hospitalization time,which was worthy of clinical application and promotion.