早期多学科协作防治ICU获得性衰弱的效果

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摘要目的探讨早期多学科协作在防治ICU获得性衰弱中的效果。方法选取2018年6月—2019年6月在湖北省十堰市太和医院重症医学科接受呼吸机机械通气治疗的112例患者作为研究对象。其中2018年6—12月的57例患者为对照组，2019年1—6月的55例患者为观察组。对照组给予常规护理，观察组采用早期多学科协作模式进行干预。比较两组患者ICU获得性衰弱的发生率、巴氏指数评定得分、初始下床的时间、机械通气时间、ICU住院时间等。结果观察组ICU获得性衰弱的发生率明显低于对照组（P ＜ 0.01），巴氏指数评定得分明显高于对照组（P ＜ 0.01），初始下床时间、机械通气时间、ICU住院时间明显短于对照组（P ＜ 0.01）。结论早期多学科协作模式可以有效降低ICU获得性衰弱的发生率，提升患者自理能力，缩短患者初始下床时间、机械通气时间、ICU住院时间，值得临床推广应用。

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	杨宝义1 李龙倜2 汪蓉1 马小芳1 罗德生1

关键词 ：多学科协作, 重症医学科, 获得性衰弱, 护理

Abstract：Objective To explore the effect of early multidisciplinary team in the prevention and treatment of acquired weakness in ICU. Methods From June 2018 to June 2019, 112 patients with mechanical ventilation in the ICU of Department of Intensive Care Unit, Shiyan Taihe Hospital (Affiliated Hospital of Hubei University of Medicine) were selected as subjects. A total of 57 patients from June to December 2018 were in the control group, and 55 patients from January to June 2019 were in the observation group. The control group was given routine nursing, and the observation group used early multidisciplinary collaboration for intervention. The incidence of intensive care unit acquired weakness, the score of Barthel index, the time of getting out of bed, the mechanical ventilation time and ICU staying time were compared between the two groups. Results In the observation group, the incidence of intensive care unit acquired weakness was significantly lower than that in the control group (P ＜ 0.01), the score of Barthel index was significantly higher than that in the control group (P ＜ 0.01), and the time of getting out of bed, the mechanical ventilation time and ICU staying time were significantly shorter than those in the control group (P ＜ 0.01). Conclusion Early multidisciplinary team model can effectively reduce the incidence of acquired weakness in ICU, it is worthy of clinical application to improve patients′ self-care ability and shorten the initial time of getting out of bed, mechanical ventilation time and ICU staying time.

Key words： Multidisciplinary team Intensive care unit Acquired weakness Nursing

基金资助:湖北省教育厅人文社会科学研究项目（18D070， 18Y108）；
湖北省十堰市太和医院基金项目（2017JJXM039、2018JJXM117）。

通讯作者: 李龙倜（1981.2-），女，硕士，副主任护师；研究方向：护理管理、护理教育。

作者简介: 杨宝义（1986.12-），男，硕士；研究方向：重症监护临床护理。

引用本文:

杨宝义1 李龙倜2 汪蓉1 马小芳1 罗德生1. 早期多学科协作防治ICU获得性衰弱的效果[J]. 中国医药导报, 2020, 17(22): 163-166.
YANG Baoyi1 LI Longti2 WANG Rong1 MA Xiaofang1 LUO Desheng1. Effect of early multidisciplinary team in the prevention and treatment of acquired weakness in ICU. 中国医药导报, 2020, 17(22): 163-166.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I22/163

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