Effects of beside wheelchair seating training on EICU acquired myasthenia in patients with acute respiratory distress syndrome and mechanical ventilation
10.3760/cma.j.cn211501-20201207-04747
- VernacularTitle:床旁轮椅端坐活动对急性呼吸窘迫综合征机械通气患者EICU获得性肌无力的改善作用
- Author:
Lili SONG
1
;
Ping TONG
;
Xue ZHAO
;
Yanfang ZHAI
Author Information
1. 北京医院急诊科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Beside wheelchair seating;
Acute respiratory distress syndrome;
Mechanical ventilation;
EICU acquired myasthenia
- From:
Chinese Journal of Practical Nursing
2022;38(1):50-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of beside wheelchair seating training in patients with acute respiratory distress syndrome (ARDS) and mechanical ventilation, so as to provide the reference for the nursing of acquired myasthenia in EICU.Methods:A total of 66 ARDS patients with mechanical ventilation treated in Beijing Hospital from July 2017 to July 2019 were assigned to the experimental group and the control group according to the admission time, 33 cases in each group. Patients in the control group received routine nursing, while the experimental group implemented beside wheelchair seating training. The differences in muscle strength, self care ability, duration of mechanical ventilation, length of EICU stay as well as complications between the two groups were compared.Results:The incidence of EICU acquired myasthenia in the experimental group was 18.2% (6 cases), which was significantly lower than that in the control group 42.4% (14 cases), the difference was statistically significant ( χ2=4.59, P<0.05). Out of EICU, the Medical Research Council (MRC) scores and Modified Barthel Index (MBI) scores were (48.27 ± 5.11), (59.67 ± 7.33) points in the experimental group, which were significantly higher than those in the control group (44.88 ± 6.75), (54.06 ± 8.53) points, the differences were statistically significant ( t=2.30, 2.86, both P<0.05). The length of EICU stay and duration of mechanical ventilation were (8.24 ± 1.48) d, (7.15 ± 1.48) d, in the experimental group, which were significantly lower than those in the control group (9.85 ± 2.99) d, (8.24 ± 1.77) d, the differences were statistically significant ( t=2.77, 2.72, both P<0.05). The oxygenation index after 30 minutes of weaning was (296.64 ± 15.45) mmHg (1 mmHg=0.133 kPa), which was significantly higher than that in the control group (288.36 ± 16.75) mmHg, the difference was statistically significant ( t value was 2.09, P<0.05). Conclusions:The beside wheelchair seating training can effectively decrease the incidence of EICU acquired myasthenia as well as shorten the duration of mechanical ventilation and length stay in EICU of patients with ARDS. It is safe and effective, and has good clinical application value.
