摘要
目的:探讨早期活动联合早期营养对预防危重症患者ICU获得性衰弱(ICU-AW)的效果。方法:选取2018年6月-2021年1月福建省肿瘤医院收治的117例ICU患者作为研究对象,按照随机数表法分为研究组59例和对照组58例。对照组给予常规护理措施,研究组在常规护理基础上对患者进行早期活动联合早期营养。根据医学研究委员会评分(medical research council score,MRC score)、巴氏评分(Barthel index,BI)评估患者ICU-AW和日常生活活动能力。结果:两组年龄、性别、文化程度、机械通气、高血压、糖尿病、APACHE Ⅱ评分、全身炎症反应综合征(systemic inflammatory response syndrome,SIRS)差异无统计学意义(P>0.05)。干预前,两组MRC评分、日常生活活动能力差异无统计学意义(P>0.05)。干预后,研究组MRC评分、日常生活活动能力均优于对照组(P<0.05)。研究组ICU住院时间为(8.10±1.17)d,短于对照组的(8.88±1.19)d(P<0.05)。结论:早期活动联合早期营养干预可以缩短ICU住院时间,有效减少危重症患者ICU-AW,并且提高患者的生活自理能力。
Objective:To explore the efficacy of early activities combined with early nutrition on the prevention of ICU-acquired weakness (ICU-AW) in critically ill patients.Method:A total of 117 ICU patients admitted to Fujian Provincial Cancer Hospital from June 2018 to January 2021 were selected as the research objects,and they were divided into study group (59 cases) and control group (58 cases) by random table method.The control group was given routine nursing measures,and the study group was carried out early activities and early nutrition on the basis of routine nursing.The ICU-AW and activities of daily living were evaluated by the medical research council score (MRC score) and Barthel index (BI).Result:There were not statistically significant in age,gender,education level,mechanical ventilation,hypertension,diabetes,APACHE Ⅱ score,and systemic inflammatory response syndrome (SIRS) between the two groups (P>0.05).Before the intervention,there were no significant differences in MRC score and activities of daily living between the two groups (P>0.05).After the intervention,the MRC score and activities of daily living in the study group were better than those in the control group (P<0.05).The length of ICU stay in the study group was (8.10±1.17) d,which was shorter than (8.88±1.19) d in the control group (P<0.05).Conclusion:Early activity combined with early nutritional intervention can shorten ICU stay,effectively reduce ICU-AW in critically ill patients,and improve patients’ self-care ability.
作者
高世鼎
周品芳
林芳
严明芳
GAO Shiding;ZHOU Pinfang;LIN Fang;YAN Mingfang(Fujian Provincial Cancer Hospital,Fuzhou 350014,China;不详)
出处
《中外医学研究》
2021年第33期84-87,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
福建医科大学启航基金项目(2019QH1199)。
关键词
重症监护室获得性衰弱
早期活动
早期营养
活动能力
Intensive care unit-acquired weakness
Early activity
Early nutrition
Activities of daily living
