早期护理干预对危重症患者获得性衰弱、独立功能状态的影响

摘要

目的：探讨早期护理干预对危重症患者获得性衰弱、独立功能状态的影响。方法将2014年1月-2015年10月 ICU 收治的行机械通气治疗的危重症患者120例作为研究对象，将其随机分为对照组与干预组各60例。对照组接受常规护理，干预组在对照组基础上入院后72 h 内进行早期护理干预。比较2组获得性衰弱、独立功能状态。结果干预后干预组 MRC 肌力评分、独立功能状态恢复率均显著高于对照组，获得性衰弱发生率显著低于对照组。结论早期护理干预可以有效降低危重症患者获得性衰弱发生率，显著提高患者的独立功能。%Objective To explore the effect of early nursing intervention on acquired debilitation and independent functional status among patients with severe diseases.Methods Totally 120 critically ill patients treated with mechanical ventilation between January 2014 and October 201 5 in ICU were randomly divided into an intervention group and a control group,each of 60.Both groups received routine treatment and nursing,while the intervention group received early nursing intervention within 72 hours after admission.Two groups were compared in the acquired debilitating and independent functional status.Results After the intervention,the UK Medical Research Council score and independent functional recovery of the intervention group were significantly higher than those of the control group,while the incidence of acquired debilitation was significantly lower than that of the control group.Conclusions Early nursing care can effectively reduce the incidence of acquired debilitating diseases among critically ill patients,and significantly improve the patients' independent function.