呼吸训练器联合床旁端坐法对ICU机械通气患者膈肌功能的影响

doi:10.3969/j.issn.1001-8131.2022.06.012

Abstract
Figure/Table
References
Related Citation (10)

Download: PDF (422 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of breath training device combined with bedside sitting on diaphragm function of ICU patients with mechanical ventilation. Methods A total of 100 cases of ICU patients were retrospectively selected as the research objects.According to the random method,the research objects were divided into control group（48 cases）and observation group（52 cases）.The observation group received the nursing mode of breath training device combined with bedside sitting method,and the intervention time was two weeks.After two weeks,the improvement of arterial blood gas indexes,diaphragm mobility,mechanical ventilation time,ICU stay and quality of life（SF-36）were observed in both groups. Results ① Arterial blood gas indexes：after intervention,the improvement degree of PaCO₂,PACO₂,PaO₂ and PAO₂ in observation group was better than that in control group（P<0.05）.② Diaphragm mobility：after intervention,diaphragm mobility in the observation group was higher than that in the control group（P<0.05）.③Duration of mechanical ventilation and ICU hospitalization：after intervention,the duration of mechanical ventilation and ICU hospitalization in the observation group were less than those in the control group（P<0.05）.④SF-36：after intervention,the scores of pain,health status,vitality and social function in the observation group were higher than those in the control group（P<0.05）. Conclusion The implementation of breath training device combined with bedside sitting method can improve the arterial blood gas indexes,increase diaphragm mobility,reduce the duration of mechanical ventilation and hospital stay,and improve the quality of life of ICU patients with mechanical ventilation,which is of great significance for improving clinical nursing measures.

Key words： Breath training device Bedside sitting ICU Mechanical ventilation Diaphragm function

Received: 09 September 2021

PACS:

R563.8

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Wu Xuting
	Ling Chaomin
	Chen Xiaolin

Cite this article:

Wu Xuting,Ling Chaomin,Chen Xiaolin. Effect of Breath Training Device Combined With Bedside Sitting on Diaphragm Function of ICU Patients With Mechanical Ventilation[J]. journal1, 2022, 42(6): 31-33.

URL:

http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2022.06.012 OR http://www.hrbyybjb.org.cn/EN/Y2022/V42/I6/31

[1] 王文杰,樊清波,李敏,等.无创神经调节辅助通气对慢性阻塞性肺疾病急性加重并肺性脑病撤机困难的机械通气患者的影响[J].中国实用神经疾病杂志,2021,24(2):125-130.
[2] 崔朝妹,刘静,庄欣,等.ICU成人患者有创机械通气撤机的最佳证据总结[J].护理学报,2021,28(6):27-32.
[3] 李玲,汤德智.体感音乐干预结合早期康复运动对ICU机械通气患者ICU获得性衰弱发生率及预后的影响[J].国际护理学杂志,2021,40(7):1231-1234.
[4] 蔡雨清,陈娅妮,孙飞,等.机械通气患者并发ICU获得性衰弱的现状调查及高危因素分析[J].现代医学,2020,48(1):50-56.
[5] 李宁,李静,高华.早期预警护理对ICU重症肺炎机械通气患者预后的影响[J].临床与病理杂志,2021,41(1):163-168.
[6] 缪艳翎,恽文娟.基于量化评估下的早期四级康复训练对ICU机械通气患者的影响研究[J].护士进修杂志,2020,35(5):473-476.
[7] 杨雪峰. 米力农联合高频通气对持续性肺动脉高压新生儿动脉血气指标及机械通气时间的影响[J].实用临床医药杂志,2018,22(11):33-35,40.
[8] 马瑛,叶熊,宋烨,等.M型超声膈肌移动度预测机械通气撤机成功的价值[J].实用医学杂志,2020,36(2):239-243.
[9] 朱先极,徐春燕,郭水根,等.慢性阻塞性肺疾病急性加重期住院时间延长的因素分析[J].国际呼吸杂志,2020,40(2):114-117.
[10] 张立文,颜冉冉,周媛媛,等.早期运动安全管理方案在ICU机械通气患者中的应用[J].中华危重病急救医学,2020,32(7):840-845.
[11] 徐美亚. 精细化护理管理在改善ICU机械通气患者下呼吸道感染中的应用[J].国际护理学杂志,2021,40(1):4-7.
[12] 景阅雯,李建华,李婷.超声监测下呼吸肌训练对AECOPD机械通气患者膈肌功能与撤机的影响[J].护理实践与研究,2020,17(1):1-3.
[13] 杨名珍,李放.膈肌功能研究进展[J].中华物理医学与康复杂志,2019,41(8):623-626.
[14] 陈松美. 八段锦联合多元呼吸康复训练对老年慢性阻塞性肺疾病患者肺功能、mMRC评分及生活质量的影响[J].检验医学与临床,2020,17(18):2669-2672.