Influence of early rehabilitation nursing intervention on ICU mechanically ventilated patients
早期康复护理干预对ICU机械通气患者的影响

摘要

目的 研究分析早期康复护理干预对ICU机械通气患者的影响效果与价值。方法 选取2019年6月-2020年6月内本院ICU收治的接受机械通气治疗的患者152例，按照双盲法办法完成分组，其中76例作为对照组接受常规护理干预，76例作为实验组在对照组基础上接受早期康复护理干预，对比两组患者ICU住院时间、生活自理能力、一次性脱机成功率以及护理满意度。结果 在不同护理干预下，实验组患者的ICU住院时间明显缩短；一次性脱机成功率明显上升；患者的生活自理能力显著改善；护理满意度显著提高；呼吸频率、心率、PaCO2水平更低，PaO2水平更高，相关指标对比对照组有统计学意义（P<0.05）。结论 针对在ICU中接受机械通气治疗的重症患者实施早期康复护理干预能够有效的改善患者通气质量，肺功能指标提升，同时患者的生活自理能力得到有效锻炼，ICU住院时间明显缩短，有利于帮助患者脱机成功，改善疾病预后，患者的护理满意度极高，早期康复护理干预临床效果好，有推广使用的价值。

Abstract

Objective to study and analyze the effect and value of early rehabilitation nursing intervention on patients with mechanical ventilation in ICU.
Methods from June 2019 to June 2020, 152 patients receiving mechanical ventilation treatment in ICU were divided into two groups according to double-blind method, 76 of them received routine nursing intervention as control group, 76 patients as the experimental group received early rehabilitation nursing inter- vention on the basis of the control group, compared with two groups of patients ICU stay in hospital, Life self-care ability, one-time off-line success rate and nursing satisfaction.
Results under the different nursing intervention, the length of stay in ICU of the patients in the experimental group was significantly shortened, the success rate of one-time off-line was significantly increased, the patients' self-care ability and nursing satisfaction were significantly improved, respiratory rate, heart rate, PaCO2 levels were lower, PaO2 levels were higher, the Correlation Index Contrast Control Group has the Statistical Significance (P≪ 0.05).
Conclusion   Early Rehabilitation Nursing intervention for severe patients receiving mechanical ventilation treatment in ICU can effectively improve the quality of ventilation and pulmonary function index, and at the same time, patients' self-care ability can be effectively exercised, the length of stay in ICU is shortened obviously, which is helpful to the success of off-line and improve the prognosis of patients.