摘要
目的:探讨急性呼吸衰竭(acute respiratory failure,ARF)幸存者身体功能恢复轨迹及主要影响因素,为制订针对性护理策略提供参考依据。方法:对首都医科大学附属北京潞河医院ARF患者的临床随机对照试验数据进行回顾性分析。收集2016年10月至2020年11月纳入的298例患者一般资料、临床相关数据、身体功能随访数据,分析ARF幸存者身体功能恢复轨迹及不同轨迹组间的主要影响因素,并制订针对性护理策略。结果:298例ARF患者中41例死亡,257例患者为幸存者。ARF幸存者在出院及随访2、4和6个月简易躯体能力测试(Short Physical Performance Battery,SPPB)得分分别为4.75±0.72(低功能)、8.71±0.65(中等功能)、8.92±0.71(中等功能)、9.03±0.70(中等功能),具有4组恢复程度和速度不同的身体功能轨迹。Logistic多因素回归分析结果显示:年龄、性别、住ICU时间、静脉镇静时间是影响ARF幸存者身体功能恢复轨迹的独立影响因素。结论:ARF幸存者具有4组不同的身体功能恢复轨迹,主要影响因素是年龄、性别、住ICU时间、静脉镇静时间,应识别风险较高患者并个性化制订预防及护理措施。
Objective:To explore the trajectory of physical function recovery and the significant risk factors for acute respiratory failure survivors,and provide reference for the formulation of targeted nursing strategies.Methods:A retrospective analysis was conducted for the data of randomized controlled clinical trials involving the patients with acute respiratory failure in Beijing Luhe Hospital Affiliated to Capital Medical University.The general data,clinical data,and physical function follow-up data of 298 patients recorded from October 2016 to November 2020 were collected to analyze the trajectory of physical function recovery and the significant risk factors for the acute respiratory failure survivors in different track groups. On this basis, the targeted nursing strategies were developed. Results: Among these 298 patients with acute respiratory failure, 41 died and 257 survived. The survivors of acute respiratory failure underwent a simple physical ability test (Short Physical Performance Battery, SPPB) at the time of discharge and follow-up visit made 2, 4 and 6 months later, scoring 4.75±0.72 (low function), 8.71±0.65 (medium function), 8.92±0.71 (medium function) and 9.03±0.70 (medium function), respectively. According to the results of logistic multivariate regression analysis, age, gender, the duration of hospitalization in ICU, and time of intravenous sedation were independent risk factors for the trajectory of physical function recovery of those acute respiratory failure survivors. Conclusion: There are 4 different trajectories of physical function recovery of the acute respiratory failure survivors, and the major risk factors include age, gender, the duration of hospitalization in ICU, and time of intravenous sedation. It is thus necessary to identify those patients with higher risk and formulate the personalized measures of preventative and nursing for them.
作者
王玉光
刘玲
朱海新
张志娟
边莹玥
WANG Yuguang;LIU Ling;ZHU Haixin;ZHANG Zhijuan;BIAN Yingyue(Intensive Care Unit,Beijing Luhe Hospital Affiliated to Capital Medical University,Beijing 101149,China)
出处
《临床与病理杂志》
CAS
2022年第8期2002-2008,共7页
Journal of Clinical and Pathological Research
关键词
危重病
急性呼吸衰竭
重症监护病房
身体功能
护理对策
critical illness
acute respiratory failure
intensive care unit
physical function
nursing countermeasures
