摘要
目的观察阶梯式康复护理联合人文关怀对格林巴利综合征(GBS)机械通气患者的干预效果,指导临床对GBS机械通气患者实施合理干预。方法选择2017年1月至2020年1月首都医科大学附属北京天坛医院神经内科收治的62例GBS机械通气患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组各31例。对照组实施人文关怀护理,观察组在对照组基础上实施阶梯式康复护理。两组均干预2周,于干预前、干预2周,比较两组病情相关评分,包括急性生理与慢性健康评分(APACHEⅡ)及英国医学研究委员会(MRC)肌力评定法(MRC-score)评分;记录两组康复时间:机械通气时间、重症监护病房(ICU)停留时间及住院时间;记录两组并发症:呼吸机相关肺炎、压疮、静脉血栓。结果两组干预前APACHEⅡ评分及MRC-score评分比较,差异无统计学意义(P> 0.05);两组干预2周APACHEⅡ评分较干预前降低,MRC-score评分较干预前升高,且观察组干预2周APACHEⅡ评分低于对照组,MRC-score评分高于对照组,差异有统计学意义(P <0.05);观察组机械通气时间、ICU停留时间及住院时间均短于对照组,差异有统计学意义(P <0.05);两组并发症发生率比较,差异无统计学意义(P> 0.05)。结论阶梯式康复护理联合人文关怀可缓解GBS机械通气患者病情、改善患者肌力、缩短康复时间,有推广应用价值。
Objective To observe the intervention effect of stepped rehabilitation nursing combined with humanistic care in patients with Guillain Barre syndrome(GBS)after mechanical ventilation,to guide the clinical implementation of reasonable intervention for GBS patients with mechanical ventilation.Methods A total of 62 patients with GBS on mechanical ventilation admitted to the Department of Neurology,Beijing Tiantan Hospital,Capital Medical University from January 2017 to January 2020 were selected as the research subjects,according to random number table method,they were divided into control group and observation group,with 31 cases in each group.The control group was treated with humanistic care and the observation group was treated with stepped rehabilitation nursing on the basis of the control group.Both groups were treated for two weeks,and disease-related scores,including acute physiology and chronic health evaluation scoreⅡ(APACHEⅡ)and MRC muscle strength rating(MRC-score)score were compared between the two groups before and after two weeks of intervention;the recovery time of the two groups was recorded:mechanical ventilation time,ICU stay time and hospitalization time;complications of two groups were recorded:ventilator associated pneumonia,pressure sores,venous thrombosis.Results APACHEⅡscore and MRC-score score were compared between the two groups before intervention,there was no statistical significant difference(P>0.05);the APACHEⅡscore in both groups was lower than before intervention for two weeks,and the MRC-score was higher than before intervention for two weeks,and the APACHEⅡscore in the observation group was lower than the control group,and the MRC-score was higher than the control group,the differences were statistically significant(P<0.05);the mechanical ventilation time,ICU stay time and hospitalization time of the observation group were all shorter than those of the control group,with statistical significance(P<0.05);there was no significant difference in the incidence of complications
作者
单静
邱茜
李芙蓉
邓永梅
SHAN Jing;QIU Qian;LI Furong;DENG Yongmei(Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处
《中国医药导报》
CAS
2021年第19期189-192,共4页
China Medical Herald
关键词
格林巴利综合征
阶梯式康复
人文关怀
机械通气
病情
肌力
Guillain Barre syndrome
Stepped rehabilitation
Humanistic care
Mechanical ventilation
Disease condition
Muscle strength
