Objective:To explore the effect of applying bed step training machine to carry out lower limb function exercise in the early lung rehabilitation activities of mechanical ventilation patients.Methods:The mechanical ventilation time of ≥24h, Acute Physiology and Chronic Health Score (APACHE-II) was selected from February 2019 to August 2019 in the Intensive Care Medicine Department of Shanxi Bethune Hospital, and 64 patients were selected with scores of ≥8 points, giving the step-stepping machine function exercise. Compared changes in heart rate, blood pressure, SpO 2 and ventilator support parameters before and after functional exercise (FiO 2, VT, Rate, PEEP, PS, oxygenation index, rapid shallow breath index). Results:The difference in heart rate, blood pressure, SpO 2 of patients before and after exercise of lower limb function was not statistically significant ( P>0.05). In the ventilator support parameters, FiO 2, VT, oxygenation index, rapid shallow breath index before exercise were (57.19±4.36) %, (421.22±17.31) ml, (172.75± 40.13) mmHg (1 mmHg=0.133 kPa), (47.28±3.89) times·min -1·L -1, after exercise were (49.67±5.82) %, (458.79±15.20) ml, (193.58±32.73) mmHg, (44.03±1.21) times·min -1·L -1, the difference was statistically significant ( t values were 1.389 -5.662, P <0.01 or 0.05).The difference of strain of rate, PEEP, and PS were not statistically significant ( P >0.05). Conclusions:Applying bed step training machine to carry out lower limb function exercise is an effective exercise method in the early Pulmonary Rehabilitation activities of mechanical ventilation patients. This method can make the oxygen concentration support parameters of the ventilator drop, the VT increases, increase patients' self-breathing, the oxygenation index increases, Rapid Shallow Breath Index decreases, and provides a prerequisite for shortening the mechanical ventilation time and going offline as soon as possible.

Objective:To study the effect of the standardized structural method of sleep quality SLEEP-MAD model in ICU patients with sleep disorders, and to explore the standardized nursing model to improve the sleep quality of ICU patients.Methods:A total of 180 patients with sleep disorders who were admitted to Shanxi Bethune Hospital Shanxi Academy of Medical Sciences ICU from 1st July 2018 to 30th June 2019 were divided into 85 cases of observation (1st July 2018 to 31th December 2018) and 95 group in the control group (1st January 2019 to 30th June 2019) according to the method of convenient sampling. The control group gave routine sleep management, the observation group carried on the cluster intervention management according to the SLEEP-MAD model request, uses the Richards Campbell Sleep Questionnaire (RCSQ) to carry on the sleep quality evaluation and the related factor data collection, through the statistical result to carry on the analysis explanation to the application effect.Results:Before the intervention, there were no significant differences in the RCSQ scores between the two groups of patients ( P>0.05) . After the intervention, the patients in the observation group had higher scores in the other dimensions than the control group, except for difficulty in re-sleeping, the others' differences were statistical significant ( P<0.05) . Conclusions:The standardized structural method of sleep quality, SLEEP-MAD model, is applied to the nursing of patients with sleep disorder in ICU, which can effectively improve the coping level of patients and improve and improve the quality of sleep.