摘要
目的观察基于多岗联合评估与协作的早期序贯康复训练在ICU机械通气患者中的应用效果。方法该院自2016年4月起开始采用基于多岗联合评估与协作的早期序贯康复训练模式对ICU机械通气患者实施康复治疗，选择应用前（2015年10月～2016年3月）和应用后（2016年4月～9月）于该院ICU接受机械通气治疗的患者各59例作为研究对象，应用前后病例组分别设为对照组和试验组，对干预后两组ICU机械通气病例在各相关观察指标方面的差异性做出比较。结果试验组ICU机械通气病例干预后的肌力、Barthel指数评分和护理满意度评分均显著高于对照组，差异具有统计学意义（均P〈0．05）。ICU获得性肌无力发生率则显著低于对照组，差异具有统计学意义（P〈0．05）。结论采用基于多岗联合评估与协作的早期序贯康复训练模式对ICU机械通气患者实施康复治疗，能够显著降低该类患者ICU获得性肌无力的发生风险，改善患者肌力和自理生活活动能力，提高护理满意度。
Objective To observe the effect of early sequential rehabilitation training based on multi-post joint assessment and collaboration in ICU mechanical ventilation patients. Methods Since April 2016, our hospital has a- dopted the early sequential rehabilitation training model based on multi-post joint assessment and collaboration to imple- ment rehabilitation treatment for ICU mechanical ventilation patients. Fifty-nine patients who underwent mechanical ventilation were selected before （from October 2015 to March 2016） and after （from April to September 2016） the ap~ plication, and the case group was set as the control group and the experimental group respectively. The differences be- tween the two groups of ICU mechanical ventilation cases were compared with those of the two groups. Results The muscle strength, Barthel index score and nursing satisfaction score of the ICU mechanical ventilation cases were signifi- cantly higher than those in the control group, and the incidence of the ICU was significantly lower than that in the con- trol group, and the differences were statistically significant （P〈0. 05） . Conclusions The early rehabilitation training combined with the evaluation of sequential pattern and collaboration based on post ICU patients with mechanical ventila- tion rehabilitation therapy can significantly reduce the risk of ICU in patients with acquired myasthenia gravis patients, improve muscle strength and self-care ability, and improve nursing satisfaction.
出处
《国际护理学杂志》
2018年第2期270-274,共5页
international journal of nursing
关键词
评估
ICU
机械通气
早期康复训练
Evaluation
ICU
Mechanical ventilation
Early rehabilitation training
