Evaluation of effect of individualized exercise prescription in critically ill patients during enteral nutrition
10.3760/cma.j.cn115682-20190820-02992
- VernacularTitle:个体化运动处方在重症患者实施肠内营养期间应用的效果评价
- Author:
Fangzheng JIANG
1
;
Kun GAO
;
Nan WU
;
Yangyang XUE
;
Xianghong YE
;
Zhihui TONG
;
Weiqin LI
Author Information
1. 东部战区总医院普通外科ICU，南京 210002
- Keywords:
Exercise prescription;
Functional exercise;
Individualization;
Enteral nutrition tolerance assessment;
Critically ill patients
- From:
Chinese Journal of Modern Nursing
2020;26(24):3306-3311
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of individualized exercise prescription in critically ill patients during enteral nutrition.Methods:From January to August 2018, we selected 120 critically ill patients admitted to the General Surgery Intensive Care Unit (ICU) of General Hospital of Eastern Theater Command. According to admission time, patients were divided into control group and observation group, with 60 cases in each group. Control group used the conventional chest physical therapy, exercise program for passive and active functional exercise of limbs. Observation group implemented the individualized exercise prescription to implement functional exercise orders. After daily rounds, doctors and nurses assessed the condition of the day by combining patient's basic condition and prescribed the individualized exercise prescription, including functional exercise items, requirements, dosages and frequency, performed by a full-time nurse. We compared the muscle strength of patients between two groups with the MRC scores, and observed the intolerance, number of interruptions of enteral nutrition feeding and the ICU hospitalization time during enteral nutrition between two groups.Results:After 168 hours and 366 hours, the differences of MRC scores between two groups were significant ( P<0.05) . After 14 days of intervention, the serum total protein, hemoglobin and body mass index (BMI) of observation group were higher than those of control group also with statistical differences ( P<0.05) . The number of cases of abdominal distension, gastric retention, the total number of intolerance and the number of feeding interruptions during enteral nutrition in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . The ICU hospitalization time of patients of observation group and control group were (25.28±5.42) d and (27.94±5.65) d respectively also with a statistical difference ( P<0.05) . Conclusions:The individualized exercise prescription functional exercise intervention strategies is beneficial for critically ill patients to improve muscle strength, nutritional indicators, avoid rapid decline in BMI, reduce feeding intolerance and the number of feeding interruptions, ensure continuous implementation of enteral nutrition, and shorten patients' ICU hospitalization time so as to promote accelerated recovery of patients.
