Effects Of Early Rehabilitation For Critically Ill Patients On Intensive Care Unit Acquired Weakness

Objective Construct and apply the early rehabilitation program for the prevention of ICU-AW to reduce the incidence of ICU-AW,improve the clinical nursing outcomes of ICU patients,and provide guidance and reference for the early rehabilitation of critically ill patients.Methods The first part: the research team uses literature analysis,extract literature related content into early rehabilitation program draft for the prevention of ICU-AW in the preliminary,and then prepare the questionnaire after discussion,using Delphi method to consult all fields related experts,analysis,organize the returned comments and suggestions to modify the initial draft,early rehabilitation program for the prevention of ICU-AW were determined finally.The second Part: 110 cases were randomly divided into the experimental group and the control group(55 patients each),who were admitted to a comprehensive ICU of a 3 grade hospital in Anhui province from October 2018 to November 2019.The control group was given care according to ICU nursing routine,while the experimental group was given rehabilitation according to the program developed in this study.The MRC muscle strength assessment method,Barthel index assessment table,ICU-AW incidence,mechanical ventilation duration,sedative using duration and the ICU length of stay were used to assess two groups of patients and evaluate the effect.Results 1.In this study,the evidence content of 12 related literatures was extracted.After two rounds of expert letters,the finally constructed program includes four aspects: early exercise,psychological nursing,nutrition support and effect evaluation,and 32 specific rehabilitation contents.2.In the research of program practice,the muscle strength and Barthel index score of the experimental group were significantly higher than the control group's(P<0.001)on the day out of ICU,the mechanicalventilation duration and the sedative using duration were less than the control group's(P < 0.05),and the incidence of ICU-AW was significantly lower than the control group's(P < 0.05).There was no significant difference in the ICU length of stay between the two groups.Conclusion 1.The constructed early rehabilitation program for the prevention of ICU-AW is based on literature analysis and Delphi method,has strong scientific and clinical practicability.It can provide reference for clinical nursing practice,and also can provide methodology reference for future related research and evidence-based.2.The early rehabilitation program for the prevention of ICU-AW constructed in this study can effectively prevent or reduce ICU-AW,improve patients' self-care ability,and thus improve the clinical outcome of ICU patients.It has good economic and social benefits and is worthy of clinical promotion and application.