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在重症监护室机械通风患者的功能动员与抵抗和耐力训练相结合的可行性 - - 设置试点研究
Balachandran Jayachandran1, Kumaresh Venkatesan2, Sunny Boon Chai Tan3
1Rehabilitation Department, Woodlands Health, 17 Woodlands Dr 17, Singapore 737628, Singapore.
Journal of clinical medicine
|April 27, 2024
概括
在重症监护室 (ICU) 早期的功能动员有望改善患者的治疗结果. 虽然抵抗和耐力训练的遵守率很低,但超过一半的机械通风患者实现了功能动员,表明其可行性.
科学领域:
- 关键护理医学 关键护理医学
- 康复疗法康复疗法康复疗法
- 重症监护病房 (ICU) 管理管理
背景情况:
- 在重症监护中获得的弱点是重症监护幸存者的常见并发症,导致功能障碍.
- 早期动员和运动干预对于减轻这些影响至关重要.
研究的目的:
- 评估结合早期功能训练计划的可行性,包括耐力和阻力练习.
- 评估这种联合培训对重症患者功能结果的影响.
主要方法:
- 在医疗和外科重症监护室 (ICU) 进行的一项试点研究.
- 招募患病前独立的机械通风患者 (≥24小时).
- 干预包括功能动员 (坐在床上,行走),耐力 (床上骑自行车) 和抵抗训练.
主要成果:
- 54.54%的患者实现了功能动员;抵抗 (18.18%) 和耐力 (9.09%) 训练遵守率较低.
- 在评估之间没有观察到医学研究理事会 (MRC) 评分,四肢强度或手握强度的显著变化.
- 从初始评估到出院,功能状态评分-重症监护室 (FSS-ICU) 显著改善 (p < 0.008).
- 六分钟步行距离 (6MWD) 在3个月的随访中与医院出院相比显著改善 (p < 0.043).
结论:
- 在机械通风患者中观察到对抗力和耐力训练的遵守程度较低.
- 功能动员,特别是坐在床上,对于大多数被招募的患者来说是可行的.
- 早期功能动员可能是一个可行的策略,以改善ICU幸存者的结果.
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