早期渐进性运动训练对ICU老年病人自身肌力和自理能力的干预效果分析

doi:10.3969/j.issn.1003-9198.2022.04.025

摘要/Abstract

摘要： 目的分析早期渐进性运动训练对ICU老年病人自身肌力和自理能力的干预效果。方法采用前瞻性研究法,对2019年3月至2021年3月在我院ICU接受治疗的132例老年病人进行研究,将病人随机分为2组,每组66例。2组均采用常规ICU护理干预,观察组同时联合使用早期渐进性运动训练干预。比较干预前后2组的伸肌和屈肌肌力、自理能力、医学研究理事会(MRC)肌力评分、Barthel指数评分和干预后的生活质量评分。结果与干预前相比,干预后观察组的各项伸肌和屈肌肌力指标均升高, 2组的各项自理能力指标评分、MRC评分、Barthel指数评分均升高,且观察组高于对照组,差异均有统计学意义(P＜0.05)。干预后2组的躯体疼痛(BP)评分均降低,其余各项生活质量评分均升高,2组间比较差异亦有统计学意义(P＜0.05)。结论 ICU老年病人开展早期渐进性运动训练干预能够有效改善自身肌力,提高自理能力,改善生活质量。

关键词: 重症监护室, 老年人, 早期渐进性运动训练, 肌力, 自理能力

Abstract: Objective To analyze the intervention effect of early progressive exercise training on self muscle strength and self-care ability in the elderly patients in intensive care unit(ICU). Methods A prospective study was conducted on 132 elderly patients in ICU of our hospital from March 2019 to March 2021. The patients were randomly divided into two groups with 66 cases in each group. Routine ICU nursing intervention was used in both groups, and early progressive exercise training intervention was used in the observation group at the same time. The extensor and flexor muscle strength, self-care ability, scores of Medical Research Council(MRC), Barthel index and the quality of life were compared between the two groups before and after intervention. Results After the intervention, the indexes of extensor and flexor muscle strength in the observation group were higher than those in the control group, with statistically significant difference (P< 0.05). The scores of self-care ability, MRC and Barthel index in the two groups were significantly increased after the intervention than those before the intervention, especially in the observation group(P<0.05). The body pain score was significantly decreased and the other quality of life scores were significantly increased in the two groups after the intervention, and the differences were statistically significant between the two groups(P<0.05). Conclusions Eearly progressive exercise training intervention for the elderly patients in ICU can effectively improve their muscle strength, self-care ability and quality of life.

Key words: intensive care unit, aged, early progressive exercise training, muscle strength, self-care ability

中图分类号:

R 493

贾金凤, 徐晓, 赵红梅. 早期渐进性运动训练对ICU老年病人自身肌力和自理能力的干预效果分析[J]. 实用老年医学, 2022, 36(4): 421-425.

JIA Jing-feng, XU Xiao, ZHAO Hong-mei. Effect of early progressive exercise training on self muscle strength and self-care ability of elderly patients in ICU[J]. Practical Geriatrics, 2022, 36(4): 421-425.

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