摘要
Abstract
Objective To explore the application effect of early rehabilitation training based on humanistic care and comprehensive disease assessment in patients with acute respiratory distress syndrome after weaning from invasive mechanical ventilation.Methods A total of 140 patients with acute respiratory distress syndrome undergoing invasive mechanical ventilation at Renji Hospital,Shanghai Jiao Tong University School of Medicine from April 2022 to March 2024 were selected as the subjects of the study.They were randomly allocated to control and observation groups using a random envelop method,each with 70 cases.The control group received early rehabilitation training strategies based on comprehensive disease assessment,while the observation group received humanistic care on the basis of the strategies given to the control group.The intervention period spanned from the patients'admission to discharge.The recovery,training compliance,physiological conditions,degree of dyspnea,and blood gas analysis parameters after admission and 7 days of intervention,as well as the pulmonary function at admission and 1 month after intervention were compared between the two groups.Results Compared with the control group,the observation group exhibited a shorter hospital stay,a lower readmission rate,and a higher level of compliance with rehabilitation training,all of which were statistically significant(P<0.05).After 7 days of intervention,the Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ)score and the Borg Scale score of the observation group were lower than those of the control group,and the blood gas analysis parameters were better than those of the control group,with statistical significance(P<0.05).At 1 month after intervention,the 6-min walking distance of the observation group was longer(P<0.05).Conclusion The early rehabilitation training based on humanistic care and comprehensive disease assessment can enhance training compliance,promote favorable recovery outcomes,reduce physiological condition and degree of dyspnea,and significantly improve blood gas analysis parameters and pulmonary function in patients with acute respiratory distress syndrome after weaning from invasive mechanical ventilation.关键词
急性呼吸窘迫综合征/有创机械通气/人文关怀/早期康复/肺功能Key words
acute respiratory distress syndrome/invasive mechanical ventilation/humanistic care/early rehabilitation/pulmonary function分类
医药卫生
