目的深入了解重症监护室(intensive care unit,ICU)护士对有创机械通气患者离床活动评估的障碍因素,为保障患者安全、提高离床活动提供参考。方法2023年5月,采用目的抽样法选取某院ICU护士11名为研究对象,对其进行半结构式深度访谈,采用...目的深入了解重症监护室(intensive care unit,ICU)护士对有创机械通气患者离床活动评估的障碍因素,为保障患者安全、提高离床活动提供参考。方法2023年5月,采用目的抽样法选取某院ICU护士11名为研究对象,对其进行半结构式深度访谈,采用Colaizzi的现象学7步分析法分析访谈资料。结果ICU护士对有创机械通气患者离床活动评估的障碍因素被提炼为3个主题,即:评估面临客观障碍,评估的意识及经验欠缺,离床活动可能引发的不良后果阻碍护士实施评估。结论建议研发标准化的评估工具、规范评估流程,倡导多学科团队的参与,提高评估的知识技能和重视程度,以保障患者安全、提高有创机械通气患者离床活动开展率。展开更多
目的:探究早期床上分级运动联合肠内营养对重症监护室(ICU)机械通气患者胃肠功能及肌力恢复的影响。方法:选取2022年5月—2023年5月南平市第一医院收治的ICU机械通气患者90例。按随机数字表法将90例患者分为观察组(45例)及对照组(45例)...目的:探究早期床上分级运动联合肠内营养对重症监护室(ICU)机械通气患者胃肠功能及肌力恢复的影响。方法:选取2022年5月—2023年5月南平市第一医院收治的ICU机械通气患者90例。按随机数字表法将90例患者分为观察组(45例)及对照组(45例)。对照组给予常规锻炼联合肠内营养治疗,观察组给予早期床上分级运动联合肠内营养。比较两组胃肠功能情况、肌力恢复情况[医学研究委员会肌力评定量表(medical research council scale,MRC)]、自理能力评分、睡眠质量评分[匹兹堡睡眠质量指数量表(PSQI)]、住院相关指标及并发症的发生情况。结果:干预后观察组急性胃肠功能损伤分级情况优于对照组(P<0.05)。干预后两组MRC评分、自理能力评分与干预前相比均提升,且观察组均高于对照组(P<0.05)。干预后两组的PSQI评分与干预前相比均下降,且观察组低于对照组(P<0.05)。观察组干预后机械通气、ICU住院、总住院时间均短于对照组(P<0.05)。观察组并发症总发生率(4.44%)低于对照组(26.67%)(P<0.05)。结论:早期床上分级运动联合肠内营养能够有效改善ICU机械通气患者胃肠功能和肌力,有助于提升其自理能力和睡眠质量,缩短机械通气时间和住院时间,降低并发症的发生率。展开更多
<strong>Objective:</strong> Against a background of the two-child policy in China, the objective is to explore the effects of lower limb strengthening exercises on hospitalized pregnant women put on bed re...<strong>Objective:</strong> Against a background of the two-child policy in China, the objective is to explore the effects of lower limb strengthening exercises on hospitalized pregnant women put on bed rest for prevention of miscarriage. <strong>Method:</strong> Sixty cases of pregnant women admitted to the Department of Obstetrics in one of the highest ranking hospitals in Guangzhou, China, during the period from November 2018 to December 2019 for the purpose of preventing miscarriage were selected. They were divided into an experimental group and a control group of 30 cases each. The control group was put under routine care while the intervention group conducted lower limb muscle strengthening exercise on top of the routine care. After the intervention, the conditions of lower limbs, the psychological states and the results of pregnancy for the two groups were compared. <strong>Results: </strong>After the intervention, the scores of the experimental group in anxiety, depression and postpartum depression were lower and leg circumferences were smaller compared to the control group. The difference is statistically significant (<em>P</em> < 0.05). The experimental group had longer gestation than the control group and was able to get out of bed earlier than the control group after delivery, with statistically significant difference (<em>P</em> < 0.05). <strong>Conclusion:</strong> Lower limb muscle strengthening exercises can effectively improve the physiological and psychological states of pregnant women hospitalized for prevention of miscarriage and promote their postpartum recovery.展开更多
Currently, the aging of the population has become the world's social problem. With the increase of aging population and lots of disability, paralysis makes nursing care more difficult. Because of many elderly cann...Currently, the aging of the population has become the world's social problem. With the increase of aging population and lots of disability, paralysis makes nursing care more difficult. Because of many elderly cannot get timely care, the phenomenon that the elderly have chronic diseases has become more and more serious. It is important to research and develop a new product which can help the elderly and the disabled for improving the quality of their life. This paper suggests a new type of multifunctional self-caring wheelchair-bed, which is combined with a wheelchair and a bed. The bed can realize the free conversion among user sitting, leg lifting and lying down, and also can implement the function of turning on sides. Particularly, the wheelchair can be easily separated from the bed and combined, so that patients and the elderly can move freely using it, and even it can be transformed into a standing type to satisfy the patient's standing demand, and to a certain extent, carry out the purpose of rehabilitation.展开更多
文摘目的深入了解重症监护室(intensive care unit,ICU)护士对有创机械通气患者离床活动评估的障碍因素,为保障患者安全、提高离床活动提供参考。方法2023年5月,采用目的抽样法选取某院ICU护士11名为研究对象,对其进行半结构式深度访谈,采用Colaizzi的现象学7步分析法分析访谈资料。结果ICU护士对有创机械通气患者离床活动评估的障碍因素被提炼为3个主题,即:评估面临客观障碍,评估的意识及经验欠缺,离床活动可能引发的不良后果阻碍护士实施评估。结论建议研发标准化的评估工具、规范评估流程,倡导多学科团队的参与,提高评估的知识技能和重视程度,以保障患者安全、提高有创机械通气患者离床活动开展率。
文摘目的:探究早期床上分级运动联合肠内营养对重症监护室(ICU)机械通气患者胃肠功能及肌力恢复的影响。方法:选取2022年5月—2023年5月南平市第一医院收治的ICU机械通气患者90例。按随机数字表法将90例患者分为观察组(45例)及对照组(45例)。对照组给予常规锻炼联合肠内营养治疗,观察组给予早期床上分级运动联合肠内营养。比较两组胃肠功能情况、肌力恢复情况[医学研究委员会肌力评定量表(medical research council scale,MRC)]、自理能力评分、睡眠质量评分[匹兹堡睡眠质量指数量表(PSQI)]、住院相关指标及并发症的发生情况。结果:干预后观察组急性胃肠功能损伤分级情况优于对照组(P<0.05)。干预后两组MRC评分、自理能力评分与干预前相比均提升,且观察组均高于对照组(P<0.05)。干预后两组的PSQI评分与干预前相比均下降,且观察组低于对照组(P<0.05)。观察组干预后机械通气、ICU住院、总住院时间均短于对照组(P<0.05)。观察组并发症总发生率(4.44%)低于对照组(26.67%)(P<0.05)。结论:早期床上分级运动联合肠内营养能够有效改善ICU机械通气患者胃肠功能和肌力,有助于提升其自理能力和睡眠质量,缩短机械通气时间和住院时间,降低并发症的发生率。
文摘<strong>Objective:</strong> Against a background of the two-child policy in China, the objective is to explore the effects of lower limb strengthening exercises on hospitalized pregnant women put on bed rest for prevention of miscarriage. <strong>Method:</strong> Sixty cases of pregnant women admitted to the Department of Obstetrics in one of the highest ranking hospitals in Guangzhou, China, during the period from November 2018 to December 2019 for the purpose of preventing miscarriage were selected. They were divided into an experimental group and a control group of 30 cases each. The control group was put under routine care while the intervention group conducted lower limb muscle strengthening exercise on top of the routine care. After the intervention, the conditions of lower limbs, the psychological states and the results of pregnancy for the two groups were compared. <strong>Results: </strong>After the intervention, the scores of the experimental group in anxiety, depression and postpartum depression were lower and leg circumferences were smaller compared to the control group. The difference is statistically significant (<em>P</em> < 0.05). The experimental group had longer gestation than the control group and was able to get out of bed earlier than the control group after delivery, with statistically significant difference (<em>P</em> < 0.05). <strong>Conclusion:</strong> Lower limb muscle strengthening exercises can effectively improve the physiological and psychological states of pregnant women hospitalized for prevention of miscarriage and promote their postpartum recovery.
基金National Natural Science Foundation of Chinagrant number: 11172208, 11072087 and 31000422+1 种基金Jilin Natural Science Foundationgrant number: 201115023
文摘Currently, the aging of the population has become the world's social problem. With the increase of aging population and lots of disability, paralysis makes nursing care more difficult. Because of many elderly cannot get timely care, the phenomenon that the elderly have chronic diseases has become more and more serious. It is important to research and develop a new product which can help the elderly and the disabled for improving the quality of their life. This paper suggests a new type of multifunctional self-caring wheelchair-bed, which is combined with a wheelchair and a bed. The bed can realize the free conversion among user sitting, leg lifting and lying down, and also can implement the function of turning on sides. Particularly, the wheelchair can be easily separated from the bed and combined, so that patients and the elderly can move freely using it, and even it can be transformed into a standing type to satisfy the patient's standing demand, and to a certain extent, carry out the purpose of rehabilitation.
