Effects of early activity based on action research method in severely ill children
10.3760/cma.j.cn115682-20220424-02022
- VernacularTitle:基于行动研究法的早期活动干预在重症患儿中的应用效果
- Author:
Meng YUAN
1
;
Bo ZHANG
;
Qian LI
;
Xiaoxia SHI
;
Panpan DING
;
Xiaoxiao WANG
;
Li ZHANG
;
Caixia MA
Author Information
1. 河南省人民医院儿科，河南省护理医学重点实验室，郑州大学人民医院，河南大学人民医院，郑州 450000
- Keywords:
Child;
Critical illness;
Action research method;
ICU-acquired weakness;
Hospitalization time
- From:
Chinese Journal of Modern Nursing
2023;29(7):940-944
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of early activity based on action research method in severely ill children.Methods:From February 2020 to January 2022, 101 children with severe illness admitted to the Henan Provincial People's Hospital were selected as the study subjects by convenient sampling. The 51 children with severe illness included from February 2020 to January 2021 were set as the control group, and the 50 children with severe illness included from February 2021 to January 2022 were set as the experimental group. The children in the control group were treated with routine rehabilitation in the Pediatric Intensive Care Unit (PICU) , and the experimental group was treated with early activity based on action research method on the basis of the control group. Before and after the intervention, the effect was evaluated by the Medical Research Council Scale (MRC) , the Intensive Care Unit Mobility Scale (IMS) , the length of stay in PICU and hospitalization time, and the incidence of ICU-acquired weakness (ICU-AW) when transferring out of PICU.Results:When transferring out of PICU, the MRC muscle strength score of children in the experimental group was higher than that in the control group, and the incidence of ICU-AW was lower than that in the control group, and the difference was statistically significant ( P<0.05) . After intervention, the IMS score of children in the experimental group was higher than that in the control group, and the difference was statistically significant ( P<0.05) . The length of stay in PICU and hospitalization time of children in the experimental group were shorter than those in the control group with statistical differences ( P<0.05) . Conclusions:Early activity based on action research method can effectively prevent the occurrence of ICU-AW in severely ill children, improve the activity of children, and shorten the hospitalization time, which is worthy of clinical promotion and application.
