Application of vertical bed training on patients with tracheotomy in rehabilitation
10.3760/j.issn.1674-2907.2014.28.014
- VernacularTitle:直立床训练在康复科气管切开患者中的应用
- Author:
Lingdi LOU
1
;
Xiongang HUANG
;
Yuanjiao WANG
Author Information
1. 310014 杭州，浙江省人民医院康复科
- Keywords:
Tracheotomy;
Pulmonary infection;
Department of rehabilitation;
Vertical bed training
- From:
Chinese Journal of Modern Nursing
2014;20(28):3579-3581
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of vertical bed training on the extubation time and pulmonary infection of patients with tracheotomy in rehabilitation department .Methods Sixty-five new patients with tracheotomy and pulmonary infection more than a month were randomly divided into the control group (33 cases) and the observation group (32 cases) by stratified block randomization .All the patients received routine nursing and rehabilitation therapy , in addition, the patients in the observation group received electrodynamic vertical bed training .The decannulation rate , cure rate of pulmonary infection , sputum culture negative rate and the clinical pulmonary infection scale ( CPIS) were compared.Results One patient was lost in each of the groups during follow up .After the nursing intervention , the CPIS of the observation group was significantly lower than that in the control group (t=9.276,6.609, respectively;P<0.01).22 patients (71.0%) in the control group removed the tracheal tube;20 patients (64.5%) cured of pulmonary infection;15 patients (48.4%) had negative sputum culture;the sare of CPIS was (2.8 ±1.1), those values of the control group were 43.8%, 37.5%, 25.0%and (3.9 ±1.5).There were significant differences between groups ( t/χ2 =4.76,4.60, 6.22,3.36, respectively;P<0.05).Conclusions Vertical bed training can reduce the time of tracheostomy , and help in control the pulmonary infection of patients with tracheotomy in rehabilitation department .
