摘要
目的 探究多学科协作诊治(multidisciplinary team,MDT)主导心肺康复训练对ICU获得性衰弱患者机体活动能力的影响。方法 选取2020年5月—2023年5月在福建中医药大学附属人民医院接受重症监护室(intensive care unit,ICU)获得性衰弱护理治疗的患者60例,采用数字随机分组法分为观察组和对照组,两组各30例。对照组采用常规护理方案,观察组在对照组的基础上采用在MDT主导下的早期心肺康复训练进行干预。记录两组患者的机械通气时长和ICU住院时长;使用医学研究理事会(medical research council,MRC)肌力评定法评定两组患者治疗前后的肌力评分;比较两组患者干预前后切尔西危重患者身体功能评估工具(the chelsea critical care physical assessment tool,CPAx)及自理能力评估量表(Barthel)评分。结果 观察组患者的机械通气时长及ICU住院时长均短于对照组(P <0.05);干预后,观察组患者的MRC评分高于对照组(P <0.05);观察组患者CPAx评分及Barthel评分均高于对照组(P <0.05)。结论 MDT主导心肺康复训练能够帮助ICU获得性衰弱患者有效地恢复机体活动能力,缩短住院治疗的时间,改善患者肌力水平,提高自主生活的能力。
Objective To explore the impact of early cardiopulmonary rehabilitation training led by multidisciplinary collaborative diagnosis and treatment(MDT)on the physical activity ability of ICU acquired weakness patients.Methods A total of 60 patients who received intensive care unit(ICU)acquired frailty care treatment in People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from May 2020 to May 2023 were selected and randomly divided into an observation group and a control group using digital grouping method,with 30 patients in each group.The control group received routine nursing care,while the observation group received early cardiopulmonary rehabilitation training led by MDT for intervention on the basis of the control group.Record the duration of mechanical ventilation and ICU hospitalization for two groups of patients.Evaluate the muscle strength scores of two groups of patients before and after treatment using the medical research council(MRC)muscle strength assessment method.Compare the body function assessment tool(CPAx)and self-care ability assessment scale(Barthel)scores of Chelsea critically ill patients before and after intervention between two groups of patients.Results The duration of mechanical ventilation and ICU hospitalization in the observation group were shorter than those in the control group(P<0.05).After intervention,the MRC score of the observation group patients was higher than that of the control group(P<0.05).The CPAx score and Barthel score of the observation group were higher than those of the control group(P<0.05).Conclusion MDT led early cardiopulmonary rehabilitation training can help ICU acquired weakness patients effectively recover their physical activity,shorten the time of hospitalization,improve their muscle strength level,and enhance their ability to live independently.
作者
郑青青
陈秀贞
吴莉玲
ZHENG Qingqing;CHEN Xiuzhen;WU Liling(Department of Critical Care Medicine,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350004,China;Department of Neonatology,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350004,China)
出处
《中国卫生标准管理》
2023年第21期183-186,共4页
China Health Standard Management
基金
福建省自然科学基金项目(2023J01820)。
关键词
多学科协作
心肺康复训练
ICU获得性衰弱
重症患者
机械通气
机体活动能力
自理能力
multidisciplinary collaboration
cardiopulmonary rehabilitation training
ICU acquired weakness
critically ill patients
mechanical ventilation
physical activity ability
self care ability
