Effects of rehabilitation nursing under the guidance of electrical impedance tomography on mechanical ventilation time and complications in ICU patients with respiratory failure
10.3760/cma.j.cn211501-20231130-01168
- VernacularTitle:电阻抗断层成像技术指导下康复护理对ICU呼吸衰竭患者机械通气时间和并发症的影响
- Author:
Yaping WANG
1
;
Lu PANG
;
Xiayun WU
Author Information
1. 衢州市人民医院重症医学科，衢州 324000
- Keywords:
Rehabilitation nursing;
Respiratory failure;
Complication;
Mechanical ventilation;
Electrical impedance tomography
- From:
Chinese Journal of Practical Nursing
2024;40(27):2111-2117
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of rehabilitation nursing under the guidance of electrical impedance tomography (EIT) on mechanical ventilation time and complications in ICU patients with respiratory failure so as to promote the systematic improvement of pulmonary rehabilitation nursing exercise measures.Methods:In the randomized controlled trial, 80 patients with respiratory failure admitted to ICU of Quzhou People′s Hospital were enrolled between July 2021 and July 2022 by convenience sampling method. According to different admission time, patients were divided into control group (40 cases, July-December 2021, routine rehabilitation nursing) and observation group (40 cases, February-July 2022, EIT-guided rehabilitation nursing). The lung function indexes, stay time in ICU, mechanical ventilation time, blood gas indexes and incidence of complications were compared between the two groups.Results:There were 22 males and 18 females in the control group, with an age of (53.54 ± 5.17) years; there were 21 males and 19 females in the observation group, with an age of (52.82 ± 5.21) years.After intervention, forced expiratory volume in the first second (2.82 ± 0.67) L, forced expiratory volume/forced vital capacity in the first second (78.87 ± 4.82) % and forced expiratory volume in the first second as a percentage of the predicted value (74.24 ± 9.65) % in observation group were higher than those in control group [(2.10 ± 0.66) L, (65.59 ± 3.67) %, (60.87 ± 9.66) %], and the differences were statistically significant ( t=4.84, 13.86, 6.19, all P<0.05). The stay time in ICU (10.37 ± 1.34)h and mechanical ventilation time (9.82 ± 1.24) h in observation group were shorter than those in control group (12.19 ± 1.22) h, (11.54 ± 1.37) h, and the differences were statistically significant ( t=6.35, 5.89, both P<0.05). After intervention, arterial oxygen partial pressure (90.76 ± 12.46) mmHg (1mmHg=0.133kPa) and oxygenation index (377.36 ± 54.38) in observation group were higher than those in control group (72.65 ± 11.65), (329.15 ± 42.26) mmHg, and the differences were statistically significant ( t=6.72, 4.43, both P<0.05), while arterial carbon dioxide partial pressure (45.32 ± 4.87) mmHg was lower than that in the control group (52.73 ± 4.27) mmHg, the differences was statistically significant ( t=7.24, P<0.05). The incidence of complications 7.50% (3/40) in observation group was lower than that in control group 25.00% (10/40), the differences was statistically significant ( χ2=4.50, P<0.05). Conclusions:EIT-guided rehabilitation nursing is beneficial to improve blood gas indexes and lung ventilation function, effectively shorten tracheal intubation time and stay time in ICU, and reduce the incidence of related complications in ICU patients with respiratory failure.
