Application of staged rehabilitation training in ICU patients receiving mechanical ventilation under the framework of quantitative assessment strategy
10.3760/cma.j.cn115682-20201022-05863
- VernacularTitle:量化评估策略框架下分阶段康复训练在ICU机械通气患者中的应用
- Author:
Qingling WANG
1
;
Jingyu HE
;
Xiaolong YANG
;
Lanlan LIU
;
Xin GUO
Author Information
1. 首都医科大学宣武医院急诊科，北京 100053
- Keywords:
Intensive Care Units;
Ventilators, mechanical;
Severe pneumonia;
Quantitative assessment strategy;
Rehabilitation training
- From:
Chinese Journal of Modern Nursing
2021;27(18):2442-2448
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of staged rehabilitation training on the dyspnea, motor function, and lung function of mechanically ventilated patients with severe pneumonia in ICU under the framework of a quantitative assessment strategy, and provide a scientific basis for clinical work.Methods:Totally 104 mechanically ventilated patients with severe pneumonia in ICU at Xuanwu Hospital, Capital Medical University from April 2018 to April 2020 were selected by the convenient sampling method, and divided into the control group and the observation group according to the random number table, with 52 patients in each group. Patients in the control group received conventional rehabilitation training, while patients in the observation group underwent staged rehabilitation training under the framework of quantitative assessment strategy on the basis of the training provided to the control group. The incidence of complications, mechanical ventilation time, ICU stay time, compliance time of adequate enteral nutrition, and nursing satisfaction were compared between the two groups of patients. The dyspnea scores, Medical Research Council (MRC) score, motor function, and lung function [peak respiratory flow (PEF) , forced expiratory volume in 1 s (FEV 1) , FEV 1/forced vital capacity (FVC) ] of the two groups were compared when they were admitted into the ICU, transferred from the ICU, and discharged from the hospital. Results:The mechanical ventilation time, ICU stay time, and compliance time of adequate enteral nutrition in the observation group were shorter than those in the control group, and the differences were statistically significant ( P<0.01) . The PEF, FEV 1, FEV 1/FVC, and motor function in the observation group were higher than those in the control group, and the MRC score was lower than that in the control group, with statistically significant differences ( P<0.05) . The incidence of complications in the observation group was 9.62% (5/52) , which was lower than 25.00% (13/52) in the control group, and the difference was statistically significant ( P<0.05) . The nursing satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant ( P<0.01) . Conclusions:In the management of mechanically ventilated patients with severe pneumonia in the ICU, staged rehabilitation training under the framework of quantitative assessment strategies can reduce the symptoms of dyspnea, improve lung function, enhance mobility, and reduce the risk of complications through targeted and standardized training, which also helps to speed up disease recovery.
