分指握力球运用于ICU机械通气患者的效果观察

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (667 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the effect of finger grip ball applied to mechanically ventilated patients in intensive care unit (ICU). Methods Prospectively enrolled 100 mechanically ventilated ICU patients admitted to Shanghai Sixth People’s Hospital from July 2018 to January 2019. According to the random number table method, they were divided into the conventional group and the experimental group, with 50 cases in each group. Routine intervention was used in the routine group, and the experimental group was used routine intervention + finger grip ball. The offline time of the two groups was recorded, the comfort (using the Digital Pain Rating [NRS] for evaluation) of restraint of the two groups was evaluated, and the occurrence of adverse events (redness and swelling at the wrist restraint, skin injury at the wrist restraint, venous thromboembolism [VTE]) in the two groups was counted. Results The offline time of the experimental group was shorter than that of the conventional group, and the difference was statistically significant (P ＜ 0.05). The total restraint comfort of the experimental group was higher than that of the conventional group, and the difference was statistically significant (P ＜ 0.05). The incidence of redness and swelling at the wrist restraint and skin damage injury at the wrist restraint in the experimental group were lower than those in the conventional group, and the differences were statistically significant (P ＜ 0.05). There was no statistically significant difference in the incidence of VTE between the two groups (P ＞ 0.05). Conclusion ICU mechanically ventilated patients have high restraint comfort with finger grip ball intervention, which can shorten the offline time and reduce the redness, swelling and injury of the wrist restraint.

Key words： Intensive care unit Mechanical ventilation Finger grip ball Off-line time Comfort Adverse events

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YAO Lixian CHEN Meiyang TANG Wenqi ZHANG Zuoyan

Cite this article:

YAO Lixian CHEN Meiyang TANG Wenqi ZHANG Zuoyan. Observation on the effect of finger grip ball applied to mechanically ventilated patients in ICU[J]. 中国医药导报, 2021, 18(26): 185-188.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/185

[1] De Jong A，Chanques G，Jaber S. Mechanical ventilation in obese ICU patients：from intubation to extubation [J]. Crit Care，2017，21（1）：63.
[2] Pan Y，Jiang Z，Changrong Y，et al. Influence of Physical Restraint on Delirium of Adult Patients in ICU：A Nested Case-Control Study [J]. J Clin Nurs，2018，27（9/10）：1950-1957.
[3] 陈宝玉，武曌，仇海燕.分指厚掌约束手套在老年患者非计划性拔管中的应用效果[J].护理学报，2017，24（16）：74-76.
[4] Shah M，Shah S，Shah D. Hand-Grip Strength as an Effective Predictor of Surgical Outcomes in Malignancy [J]. Indian J Surg，2017，79（6）：98.
[5] 杨雪，王喜今，姜玮，等.Richmond 躁动镇静评分量表评估电休克治疗后谵妄的信度及效度[J].临床精神医学杂志，2016，26（2）：86-88.
[6] 谢铎文，潘景业.急性生理学与慢性健康状况评分系统：1978-2010[J].中国中西医结合急救杂志，2010，17（6）：378-381.
[7] 陈杰，吴晓英，战颖，等.中文版成人疼痛行为量表的研制及信效度检验[J].中国疼痛医学杂志，2016，22（1）：28-33.
[8] Smallwood CD. Monitoring Big Data During Mechanical Ventilation in the ICU [J]. Respir Care，2020，65（6）：894-910.
[9] 郝巍巍，江智霞.ICU成人患者身体约束的研究进展[J].中国护理管理，2017，17（3）：414-418.
[10] 崔念奇，甘秀妮，周世群，等.ICU患者使用身体约束相关特征及影响因素的调查研究[J].护士进修杂志，2018， 33（6）：7-10.
[11] Shen X，Hu B，Pang X，et al. Nurses’ behaviours towards physical restraint use in the ICU：A descriptive qualitative study [J]. Int J Nurs Pract，2021，27（1）：e12868.
[12] Mohammad S. Prevalence of physical restraint among ventilated intensive care unit （ICU） patients [J]. J Clin Nurs，2018，27（19/20）：3490-3496.
[13] Gr?覬ntved A，Hu FB. Walking pace and handgrip strength：simple measures of fitness and mortality risk? [J]. Eur Heart J，2017，38（43）：3241-3243.
[14] Verceles AC，Wells CL，Sorkin JD，et al. A multimodal rehabilitation program for patients with ICU acquired weakness improves ventilator weaning and discharge home [J]. J Crit Care，2018，33（47）：204-210.
[15] 史广玲，刘夕珍.分指握力球预防ICU患者非计划性拔管的效果评价[J].中华护理杂志，2018，53（2）：199-201.
[16] Arslan SA，Uurlu K，Erdal ES，et al. Effects of Inspiratory Muscle Training on Respiratory Muscle Strength，Trunk Control，Balance and Functional Capacity in Stroke Patients：A single-blinded randomized controlled study [J]. Top Stroke Rehabil，2021，28（4）：1-9.
[17] Roberts H，Holmes S，Allen S. Relationship between lung function and grip strength in older hospitalised patients：a pilot study [J]. Int J Chron Obstruct Pulmon Dis，2017， 12（12）：1207-1212.
[18] Nava S，Prediletto I，Pisani L，et al. Noninvasive Ventilation in Unplanned Endotracheal Extubation：Just a Little Help From My Friend [J]. Respir Care，2019，64（3）：352-354.
[19] 刘云访，喻姣花，李素云，等.ICU成人患者气管插管非计划性拔管预防及管理的证据总结[J].护理学报，2020， 27（3）：43-48.
[20] Suliman M，Aloush S，Al-Awamreh K. Knowledge，attitude and practice of intensive care unit nurses about physical restraint [J]. Nurs Crit Care，2017，22（5）：264-269.
[21] 杨米娜.改良式保护手套联合约束带在预防非计划性拔管中的应用[J].慢性病学杂志，2018，20（7）：907-908.
[22] 李佳星，任之珺，张紫君，等.缩减约束方案对预防ICU气管插管非计划性拔管的效果研究[J].中华护理杂志，2017，52（5）：549-553.
[23] Yu R，Ong S，Cheung O，et al. Reference Values of Grip Strength，Prevalence of Low Grip Strength，and Factors Affecting Grip Strength Values in Chinese Adults [J]. J Am Med Dir Assoc，2017，18（6）：551.
[24] Wang T，Wu Y，Li W，et al. Weak Grip Strength and Cognition Predict Functional Limitation in Older Europeans [J]. J Am Geriatr Soc，2019，67（1）：93-99.
[25] 沈玉兰，孙盼盼.改良式手腕分指握力球在预防老年患者非计划性拔管中的应用[J].齐齐哈尔医学院学报，2020，41（18）：133-134.