肢体康复训练设备联合直立床训练在ICU获得性肌无力患者中的应用

Application of Limb Rehabilitation Training Equipment Combined with Upright Bed Training in Patients with Acquired Myasthenia in ICU

目的:分析肢体康复训练设备联合直立床训练在重症监护病房(ICU)获得性肌无力患者中的应用。方法:回顾性分析2020年5月—2023年5月福建中医药大学附属人民医院收治的60例ICU获得性肌无力患者的临床资料,根据康复护理干预方法不同分为对照组和康复训练组,各30例。对照组予以常规基础护理及直立床训练,康复训练组在对照组基础上采用肢体康复训练设备进行康复训练。比较两组干预前后Fugl-Meyer运动功能量表(FMA)评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)、Barthel指数(BI)、呼吸机使用时间、护理满意度及并发症发生情况。结果:康复训练组并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。干预2周、4周后,康复训练组FMA评分、BI评分均高于对照组,SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。康复训练组呼吸机使用时间为(13.49±1.41)h,短于对照组的(15.17±1.51)h,差异有统计学意义(t=4.454,P<0.05)。康复训练组护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:ICU获得性肌无力患者应用肢体康复训练设备联合直立床训练,可显著降低并发症发生风险,促进患者肢体运动功能恢复,缩短呼吸机使用时间,改善患者不良情绪及生活质量。

Objective:To analyze the application of limb rehabilitation training equipment combined with upright bed in patients with acquired myasthenia in Intensive Care Unit(ICU).Method:Clinical data of 60 patients with ICU acquired admitted to People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from May 2020 to May 2023 were retrospectively analyzed.According to different rehabilitation nursing intervention methods,they were divided into control group and rehabilitation training group,with 30 cases in each group.The control group received routine basic nursing and upright bed training,and on the basis of the control group,limb rehabilitation training equipment was used in the rehabilitation training group.Fugl-Meyer assessment scale(FMA)score,self-rating anxiety scale(SAS),self-rating depression scale(SDS),Barthel index(BI)before and after intervention,ventilator use time,nursing satisfaction and complications were compared between the two groups.Result:The total incidence of complications in rehabilitation training group was significantly lower than that in control group,and the difference was statistically significant(P<0.05).After 2 weeks and 4 weeks of intervention,FMA scores,BI score in rehabilitation training group were higher than those in control group,SAS scores and SDS scores of rehabilitation training group were lower than those of control group,and the differences were statistically significant(P<0.05).The use time of ventilator in rehabilitation training group was(13.49±1.41)h,which was shorter than(15.17±1.51)h in control group,and the difference was statistically significant(t=4.454,P<0.05).The total nursing satisfaction of rehabilitation training group was significantly higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion:The application of limb rehabilitation training equipment combined with upright bed training in ICU patients with acquired myasthenia can significantly reduce the risk of complications,promote the recovery of limb motor function,shorten the time of ventilator,and improve the adverse mood and quality of life of patients.