Effects of early quantitative pulmonary rehabilitation in adult ICU patients with mechanical ventilation in high altitude area
10.3760/cma.j.cn115682-20220227-00896
- VernacularTitle:早期量化肺康复方案在高海拔地区成人ICU机械通气患者中的应用
- Author:
Qingyun MA
1
;
Lijie PAN
;
Demei ZHANG
;
Ling MEI
;
Xiang LI
;
Guilan SHENG
;
Dengqin LEI
;
Guangpeng LI
;
Feifei ZHAO
Author Information
1. 青海红十字医院急诊ICU，西宁 810000
- Keywords:
Pulmonary rehabilitation;
Respiration, artificial;
High altitude area;
Quantitative assessment
- From:
Chinese Journal of Modern Nursing
2022;28(26):3585-3590
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of early quantitative pulmonary rehabilitation assessment in adult Intensive Care Unit (ICU) patients with mechanical ventilation in high altitude area.Methods:From March 2019 to October 2021, convenience sampling was used to select 287 adult ICU patients with mechanical ventilation of Qinghai Red Cross Hospital as the research object. According to the time of admission, the patients were divided into the control group (142 cases) and the experimental group (145 cases) . The control group was given the routine pulmonary rehabilitation, and the experimental group received the early pulmonary rehabilitation based on quantitative assessment. The Acute Physiology and Chronic Health EvaluationⅡ (APACHEⅡ) score and the Intensive Care Units Mobility Scale (IMS) score were compared between the two groups before enrollment, on the eighth and sixteenth days of pulmonary rehabilitation. The oxygenation index of the two groups of patients before enrollment and on the first, fourth, sixth, eighth and sixteenth days of pulmonary rehabilitation, the time of ICU stay, the time of mechanical ventilation, the success rate of ventilator removal and the complications of the two groups of patients with mechanical ventilation were also compared.Results:On the eighth and sixteenth days of pulmonary rehabilitation, the APACHE Ⅱ score of the experimental group was lower than that of the control group, and the IMS score was higher than that of the control group, with statistical differences ( P<0.05) . On the sixth, eighth and sixteenth days of pulmonary rehabilitation, the oxygenation index of the experimental group was higher than that of the control group, and the difference was statistically significant ( P<0.05) . The ICU stay time and mechanical ventilation time in the experimental group were lower than those in the control group, and the success rate of ventilator removal in the experimental group was higher than that in the control group, with statistical differences ( P<0.05) . Conclusions:Implementing early pulmonary rehabilitation for adult ICU patients with mechanical ventilation in high altitude area is conducive to promoting pulmonary rehabilitation of patients, improving the success rate of ventilator removal, and reducing patients' ICU stay time, mechanical ventilation time and the occurrence of complications.
