摘要
目的探讨基于早期运动安全筛查表的脚踏车运动对ICU腹部术后机械通气患者的影响。方法选择2019年1月-2021年1月我院ICU收治的行腹部手术后机械通气患者106例,随机分为两组,各53例。对照组实施常规运动方法,观察组实施基于早期运动安全筛查表的脚踏车运动方法。比较两组术后康复运动依从性、干预前后心肺功能、营养状况及负性情绪。结果观察组术后康复运动依从性高于对照组(P<0.05);观察组干预2周后呼吸频率、二氧化碳分压低于对照组,潮气量高于对照组(P<0.05);观察组干预2周后肌肉总量、骨骼肌、前白蛋白水平高于对照组,体脂肪、四肢水分低于对照组(P<0.05);观察组干预2周后焦虑、抑郁评分均低于对照组(P<0.05)。结论基于早期运动安全筛查表的脚踏车运动应用于ICU腹部术后机械通气患者,可提高康复运动依从性,改善心肺功能及营养状况,缓解负性情绪。
Objective To explore the effect of bicycle exercise based on the early exercise safety checklist on ICU patients with mechanical ventilation after abdominal surgery.Methods From January 2019 to January 2021,106 patients undergoing mechanical ventilation after abdominal surgery who were admitted to the ICU of our hospital were selected and randomly divided into two groups,with 53 cases in each group.The control group implemented routine exercise methods,and the observation group implemented bicycle exercise methods based on the early exercise safety checklist.The compliance of postoperative rehabilitation exercise,cardiopulmonary function,nutritional status and negative emotions before and after intervention were compared between the two groups.Results Postoperative rehabilitation exercise compliance of the observation group was higher than that of the control group(P<0.05);the respiratory frequency and carbon dioxide partial pressure of the observation group were lower than those of the control group after 2 weeks of intervention,and the tidal volume was higher than that of the control group(P<0.05);After 2 weeks,the total muscle mass,skeletal muscle,and prealbumin levels were higher than those of the control group,and body fat and limb water were lower than those of the control group(P<0.05);the observation group's anxiety and depression scores were lower than those of the control group after 2 weeks of intervention(P<0.05).Conclusion The use of bicycle exercise based on the early exercise safety checklist in ICU patients with mechanical ventilation after abdominal surgery can improve compliance with rehabilitation exercise,improve cardiopulmonary function and nutritional status,and relieve negative emotions.
作者
钱小丽
管义祥
QIAN Xiaoli;GUAN Yixiang(ICU, The People's Hospital of Haian,Haian 226600)
出处
《临床护理杂志》
2021年第6期5-8,共4页
Journal of Clinical Nursing
基金
江苏省卫生健康委科研项目(Z2019033)。
