Effects of early activity on preventing acquired weakness in cardiovascular critical surgery patients
10.3760/cma.j.issn.1674-2907.2019.36.021
- VernacularTitle:早期活动干预在预防心血管重症外科患者获得性衰弱中的应用
- Author:
Yan SONG
1
;
Qiaoyan ZHAO
;
Jimin YU
;
Min HONG
Author Information
1. 郑州市第七人民医院护理部 450016
- Keywords:
? Early activity;
? Cardiovascular critical surgery;
? Acquired weakness
- From:
Chinese Journal of Modern Nursing
2019;25(36):4786-4789
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of early activity on preventing acquired weakness in Cardiovascular Critical Surgery patients. MethodsFrom May 2018 to May 2019, we selected 140 patients of Cardiovascular Critical Surgery at Zhengzhou Seventh People's Hospital as subjects by convenient sampling. All of patients were divided into observation group and control group with the method of random number table, 70 cases in each group. Control group implemented routine nursing. On the basis of that in control group, observation group carried out early activity. We compared the incidence of acquired weakness, time of mechanical ventilation, hospital stay, time to get out of bed, the scores of Medical Research Council (MRC) when leaving Cardiovascular Critical Surgery, the Fugl-Meyer measurement for motor function and activities of daily living (ADL) one month after discharge of patients between two groups. ResultsThe incidence of acquired weakness of observation group was 7.1%(5/70) lower than that (20.0%,14/70) of control group with a statistical difference (P＜0.05). The time of mechanical ventilation, hospital stay, time to get out of bed in observation group were shorter than those in control group with statistical differences (P＜ 0.05). After intervention, the scores of MRC when leaving Cardiovascular Critical Surgery, the Fugl-Meyer measurement for motor function and ADL one month after discharge in observation group were higher than those in control group with statistical differences (P＜ 0.05). ConclusionsEarly activity can effectively decrease the acquired weakness in Cardiovascular Critical Surgery patients, shorten the hospital stay, improve patients' motor function and ADL, which is worthy of clinic application.
