基于目标导向的序贯式早期活动在ICU获得性衰弱患者中的应用效果

The Effectiveness of Sequential Early Activity Based on Goal Orientation in ICU Patients with Acquired Debility

目的:分析基于目标导向的序贯式早期活动在ICU获得性衰弱患者中的应用效果。方法:选取2022年9月—2023年7月遵义医科大学第二附属医院收治的ICU获得性衰弱患者70例为研究对象,随机分为对照组和观察组,各35例。对照组实施常规护理及肢体功能锻炼,观察组在对照组基础上实施基于目标导向的序贯式早期活动干预。比较两组死亡率、机械通气时间、住院时间、日常生活能力、生命体征。结果:观察组死亡率低于对照组,差异有统计学意义(P=0.037);观察组机械通气时间与住院时间均短于对照组,差异有统计学意义(P<0.001);干预后,两组Barthel指数均升高,观察组高于对照组,差异有统计学意义(P<0.05);干预后,观察组心率、呼吸频率、血氧饱和度、收缩压高于对照组,差异有统计学意义(P<0.001)。结论:针对ICU获得性衰弱患者实施基于目标导向的序贯式早期活动,能够降低死亡率,缩短住院时间与机械通气时间,改善患者生命体征,提高日常生活能力。

Objective:To analyze the application effect of sequential early activity based on goal orientation in ICU patients with acquired debility.Methods:Seventy cases of ICU patients with acquired debility admitted to the Second Affiliated Hospital of Zunyi Medical University from September 2022 to July 2023 were selected for the study,and were randomly divided into the control group and the observation group,each with thirty-five cases.The control group implemented routine care and limb functional exercise,and the observation group implemented sequential early activity intervention based on goal orientation on the basis of the control group.The mortality rate,mechanical ventilation time,hospitalization time,daily living ability,and vital signs of the two groups were compared.Results:The mortality rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.037);mechanical ventilation time and hospitalization time were shorter in the observation group than in the control group,with statistically significant differences(P<0.001);after intervention,the Barthel index increased in both groups,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05);after intervention,heart rate,respiratory rate,oxygen saturation,and systolic blood pressure were higher in the observation group than in the control group,with statistically significant differences(P<0.001).Conclusion:Implementing sequential early activity based on goal orientation for ICU patients with acquired frailty can reduce mortality,shorten hospitalization time and mechanical ventilation time,improve patients'vital signs,and enhance the ability of daily life.