Effects of early pulmonary rehabilitation management model in elderly critically ill patients with mechanical ventilation
10.3760/cma.j.cn115682-20210111-00135
- VernacularTitle:早期肺康复管理模式在机械通气老年危重症患者中的应用
- Author:
Aihong PAN
1
;
Jianjian ZHANG
;
Yegui LI
;
Xiuping HUANG
;
Xufeng WU
Author Information
1. 合肥市第一人民医院护理部 230061
- Keywords:
Aged;
Critical illness;
Respiration, artificial;
Pulmonary rehabilitation
- From:
Chinese Journal of Modern Nursing
2021;27(20):2776-2780
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of early pulmonary rehabilitation management model in elderly critically ill patients with mechanical ventilation.Methods:Using convenience sampling, 64 elderly critically ill patients with mechanical ventilation in the Intensive Care Unit (ICU) of the First People's Hospital of Hefei from June to December 2019 were selected as the control group, and 64 elderly critically ill patients with mechanical ventilation in the ICU of the First People's Hospital of Hefei from January to July 2020 were selected as the experimental group. The control group carried out routine nursing, and the experimental group implemented the early pulmonary rehabilitation management model on the basis of routine nursing. The pulmonary function indicators, invasive mechanical ventilation time, ICU stay and cost, delirium incidence, ventilator associated pneumonia (VAP) incidence, outcome and satisfaction of patients and their families were compared between the two groups.Results:The pulmonary function indicators of patients in the experimental group were better than those in the control group, and the difference was statistically significant ( P<0.01) . The invasive mechanical ventilation time and ICU stay of the experimental group were shorter than those of the control group, and the ICU cost was lower than that of the control group, and the differences were statistically significant ( P<0.01) . The incidence of delirium and VAP in the experimental group was lower than those in the control group, and the number of outcome cases was more than that in the control group, and the differences were statistically significant ( P<0.05) . The satisfaction of patients and their families in the experimental group was higher than that in the control group with a statistically significant difference ( P<0.05) . Conclusions:The implementation of the early pulmonary rehabilitation management model can effectively improve the pulmonary function of the elderly critically ill patients with mechanical ventilation, reduce the occurrence of complications and the patient's family financial burden, and increase the satisfaction of patients and their families, which is feasible and extendable.
