Establishment and application of standardized procedure of bedside power cycling in patients with mechanical ventilation in intensive care unit
ZHANG Zuoyan1 FENG Xiao2 YUAN Ziming1 MA Pingping1 ZHANG Li1 MA Jun3▲
1.Department of Intensive Medicine, the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;
2.Department of General Surgery, the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;
3.Department of Nursing, the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China
Abstract：Objective To explore the establishment and application of standardized procedure of bedside power cycling in patients with mechanical ventilation in intensive care unit (ICU). Methods A total of 122 patients admitted to the Department of ICU of the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University were selected as research objects from September 2020 to May 2021, and they were divided into control group and experimental group by random number table method, with 61 cases in each group. The control group received ICU routine treatment, and patients in the experimental group were subjected to bedside power cycling exercise with standardized procedures. After treatment, Medical Research Council (MRC) muscle strength score, activities of daily living Barthel index (BI) mechanical ventilation duration, and satisfaction were compared between the two groups. Results Upon Leaving the ICU, MRC muscle strength score and BI index of two groups were higher than those of before treatment, and those of the experimental group were higher than those of the control group (P＜0.05). The length of mechanical ventilation in both groups were longer than those of before treatment, the experimental group was shorter than that of the control group (P＜0.05). The satisfaction of the two groups was better than that before treatment, and that of the experimental group was better than that of the control group (P＜0.05). Conclusion The establishment of the standardized process of exercise of bedside power bicycle can significantly improve the relevant evaluation indicators of patients, promote the rehabilitation of patients and improve the satisfaction of patients, which is worthy of clinical application.
章左艳1 冯笑2 袁子茗1 马萍萍1 张丽1 马俊3▲. ICU机械通气患者床旁功率自行车运动标准化流程的建立与应用[J]. 中国医药导报, 2023, 20(28): 184-188.
ZHANG Zuoyan1 FENG Xiao2 YUAN Ziming1 MA Pingping1 ZHANG Li1 MA Jun3▲. Establishment and application of standardized procedure of bedside power cycling in patients with mechanical ventilation in intensive care unit. 中国医药导报, 2023, 20(28): 184-188.
[1] 王雨.ICU成人机械通气患者早期活动证据转化及应用研究[D].遵义：遵义医科大学，2021.
[2] Ding A，Sanchez M，Chen Y，et al. Prediction of physiological deterioration and mortality in mechanically ventilated patients admitted to the ICU [J]. Chest，2021，160（4S）.
[3] 卓冰华，林枝珠，黄海娟，等.预测ICU获得性衰弱风险的列线图模型的建立和验证[J].中国医学创新，2022，19（27）：166-170.
[4] Vanhorebeek I，Latronico N，Van den Berghe G. ICU-acquired weakness [J]. Intensive Care Medicine，2020，46（4）：637-653.
[5] Panahi A，Malekmohammad M，Soleymani F，Hashemian SM. The Prevalence and Outcome of Intensive Care Unit Acquired Weakness （ICUAW）[J]. Tanaffos，2020，19（3）：250- 255.
[6] 董小余，盛苗苗，方少样.ICU获得性衰弱对重症患者近远期预后的影响[J].护士进修杂志，2017，32（22）：2025- 2027.
[7] Barr J，Fraser GL，Puntillo K，et al. Clinical practice guidelines for the management of pain，agitation，and delirium in adult patients in the intensive care unit [J]. Critical Care Med- icine，2013，41（1）：263-306.
[8] Gosselink R，Bott J，Johnson M，et al. Physiotherapy for adult patients with critical illness：recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients [J]. Intensive Care Medicine，2008，34（7）：1188- 1199.
[9] 覃碧琼，徐品贤，黄华田.早期程序化康复训练在ICU机械通气患者应用研究[J].中华灾害救援医学，2021，9（7）：1094-1097.
[10] 孙丹丹.早期康复运动对ICU患者获得性衰弱发生率、机械通气时间与住院时间的影响[J].数理医药学杂志，2021，34（7）：1087-1088.
[11] 张艺伟. 早期床旁功率自行车在肺癌胸腔镜术后患者中的应用研究[D].开封：河南大学，2022.
[12] 陈姗，李玉翠，赵成岗，等.下肢运动方式对COPD有创机械通气患者肌力的影响[J].吉首大学学报（自然科学版），2020，41（5）：70-76.
[13] 苏艳红，宋瑞平.早期床上脚踏车运动结合常规床上活动对ICU机械通气患者营养指标和心肺功能的影响[J].中国医学工程，2020，28（6）：45-48.
[14] Hodgson CL, Stiller K, Needham DM，et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults [J]. Critical care，2014，18：658.
[15] 李佩云，李春芳，孙力.高压氧疗法对颅脑损伤患者BI指数、GCS、SAS、SDS的影响[J].海南医学院学报，2017，23（16）：2289-2291，2295.
[16] 吴凤琴，倪高顺.责任制护理对脑血栓患者语言、肢体功能恢复及日常生活自理能力的影响[J].贵州医药，2019， 43（4）：652-653.
[17] Stevens RD，Marshall SA，Cornblath DR，et al. A framework for diagnosing and classifying intensive care unit-acquired weakness [J]. Critical Care Medicine，2009，37（10 Suppl）：S299-S308.
[18] 郝娜，张建波，高冰洁，等.Braden量表评分联合急性生理学与慢性健康状况评分系统Ⅱ评分预测压疮发生的价值[J].中国全科医学，2016，19（24）：2994-2997.
[19] 黄淑燕，赖江龙，谢云玲.基于量化评估下的早期四级康复训练对重症监护病房机械通气患者运动认知功能恢复及预后的影响[J].中外医学研究，2021，19（11）：172- 174.
[20] 虞立，姜金霞.床上脚踏车联合被动关节活动在急性呼吸衰竭机械通气患者中的应用[J].中华现代护理杂志，2019，25（21）：2734-2738.
[21] 曹秋平，卓雪英.早期肢体功能锻炼对ICU重症肺炎行机械通气患者获得性衰弱的影响分析[J].基层医学论坛，2019，23（20）：2848-2850.
[22] 郑宝玲，吴美霞，王淑萍.早期运动训练对ICU机械通气患者获得性肌无力的干预作用[J].中华保健医学杂志，2022，24（3）：182-185.
[23] De Jonghe B，Lacherade JC，Sharshar T，et al. Intensive care unit-acquired weakness：risk factors and prevention [J]. Crit Care Med，2009.
[24] 叶志冲.多学科协作早期运动预防ICU机械通气患者获得性衰弱的效果分析[J].吉林医学，2020，41（10）：2514- 2515.
[25] 何蕾.标准化早期活动方案在ICU机械通气病人中的应用效果[J].蚌埠医学院学报，2019，44（6）：808-811.
[26] 王静净.早期活动联合体感音乐预防ICU机械通气患者ICU-AW护理研究[J].河北医药，2018，40（2）：306- 309，313.
[27] 柯卉，黄海燕.四级早期活动与康复锻炼疗法预防病人ICU获得性衰弱的效果观察[J].护理研究，2016，30（18）：2202-2205.
[28] 孙雪梅，王新民，崔福玲.早期脑卒中偏瘫行床旁功率自行车运动38例下肢运动功能恢复效果观察[J].齐鲁护理杂志，2011，17（1）：68-69.
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