The Clinical Study On The Prevention Of Acquired Weakness In ICU Patients By Early Resistance Exercise Intervention

Objective:The purpose of this paper was to explore the clinical effect of early resistance exercise on the prevention of acquired weakness in ICU patients,using elastic band as exercise equipment,and to evaluate the impacts of early resistance exercise on the muscle strength,the length of stay in ICU,anxiety and depression of ICU patients,providing the evidence for early rehabilitation of ICU patients.Methods:This study was a randomized controlled trial.The inpatients in ICU(including comprehensive ICU,EICU,CCU,RICU,etc.)were selected for investigation by convenient sampling method from July 2019 to February 2020 in a Shenzhen’s Hospital.Using statistical software SPSS17.0,96 random numbers were generated,and the random numbers were arranged from small to large.The first 48 were the experimental group and the last 48 were the control group.The subjects were randomly divided into two groups according to the inclusion and exclusion criteria.The patients in the control group received routine ICU care and early passive and active exercise.The experimental group received early elastic band resistance exercise as early as possible on the basis of the control group,and the intervention lasted for 5 days.Before and after the intervention of resistance exercise,the scores of muscle strength,the incidence of acquired weakness in ICU,the length of stay in ICU and the situation of depression and anxiety were compared between the two groups.SPSS17.0 statistical software was used for data analysis.Results:Eighty nine patients were included in the study,48 in the experimental group and 48 in the control group.In the experimental group,5 patients quit,including 4transferred to another department,1 abandoned,and in the control group,2 quit,including 1 transferred to another department and 1 abandoned.Finally,there were 89subjects.Including 54 males(60.7%)and 35 females(39.3%),with an average age of(67.67±7.26)years and an average BMI of(22.22±1.11)kg/m~2,the average score of APACHE II in icu24 hours was(13.15±1.67).There was no significant difference in the general data between the two groups by t-test or chi-square test(P>0.05),and the two groups were comparable.1、Before the intervention,there was no significant difference between the two groups in MRC score(P>0.05);after the intervention,the score of muscle strength in the experimental group(51.74±2.59)was higher than that in the control group(49.09±1.99),the difference between groups was statistically significant(P<0.05).2、There were 5 cases(11.6%)in the experimental group and 14 cases(30.4%)in the control group.The incidence of ICU-AW in the experimental group was significantly lower than that in the control group(P<0.05).3、The length of stay in ICU in the experimental group(10.19±1.12)days was lower than that in the control group(13.46±1.36)days,the difference between groups was statistically significant(P<0.05).4、Before the intervention,there was no significant difference in anxiety and depression scores between the two groups(P>0.05).The scores of anxiety(6.77±2.20)and depression(6.40±2.03)in the experimental group were significantly lower than those in the control group(9.28±1.76)and depression(9.61±2.02),the difference between groups was statistically significant(P<0.05).Conclusion:1、Early resistance exercise can prevent muscle atrophy,reduce the incidence of ICU-AW,shorten the length of stay in ICU.2、Early resistance exercise can improve the depression,anxiety and other bad emotions of patients,help patients to establish self-confidence,improve the participation and enthusiasm of early rehabilitation of patients,help follow-up specialist and rehabilitation treatment,and help patients integrate into family,work and society as soon as possible.3、As a flexible resistance exercise tool,elastic band is convenient and affordable,easy to carry,simple to operate,and unlimited to use.The resistance intensity can be gradually increased with the comprehensive evaluation of the patient’s body,and the movement is changeable.It can exercise to all joints of the body,enhance muscle strength,and have high safety performance.