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目的研究危重症患者用早期护理干预对获得性衰弱与独立功能状态的影响。方法以2015年3月-2016年9月我科接收的机械通气危重症患者104例为研究对象,按随机、对照原则,将其分成试验与对照,每组52例。两组都予以常规护理,试验组同时加用早期护理干预措施。分析比较两组干预后的独立功能状态与获得性衰弱情况。结果试验组独立功能状态恢复率为94.23%,对照组为51.92%。试验组明显高于对照组。两组对比,差异具有统计学意义(P<0.05)。试验组获得性衰弱发生率为19.23%,显著低于对照组的71.15%。两组对比,差异具有统计学意义(P<0.05)。针对干预后的MRC肌力评分,试验组为(50.41±5.09)分,对照组为(43.97±4.82)分。试验组明显高于对照组。两组对比,差异具有统计学意义(P<0.05)。结论对危重症患者辅以早期护理干预,可减少获得性衰弱发生风险,改善其独立功能,值得临床借鉴。
Objective To study the effect of early nursing intervention on the state of acquired impaired and independent function in critically ill patients. Methods From March 2015 to September 2016, 104 cases of mechanical ventilation critically ill patients received by our department were divided into trial and control according to randomized and controlled principle, with 52 cases in each group. Both groups were routinely treated with experimental and early nursing interventions. Analysis and comparison of independent functional status and acquired decline after intervention in both groups. Results The functional recovery rate was 94.23% in the experimental group and 51.92% in the control group. The experimental group was significantly higher than the control group. The difference between the two groups was statistically significant (P <0.05). The incidence of acquired debilitating in the experimental group was 19.23%, significantly lower than 71.15% in the control group. The difference between the two groups was statistically significant (P <0.05). The muscle strength score of MRC after intervention was (50.41 ± 5.09) in the test group and (43.97 ± 4.82) in the control group. The experimental group was significantly higher than the control group. The difference between the two groups was statistically significant (P <0.05). Conclusions The intervention of early nursing intervention on critically ill patients can reduce the risk of acquired debilitation and improve their independent function, which is worthy of clinical reference.