The impact of early rehabilitation nursing on the prognosis of ICU patients with severe pneumonia undergoing mechanical ventilation
早期康复护理对ICU重症肺炎机械通气患者预后情况的影响

摘要

目的 分析早期康复护理对ICU重症肺炎机械通气患者预后情况的影响。方法 该研究总共纳入88例研究对象，均是2022年9月至2024年9月到医院诊治的ICU重症肺炎机械通气患者，按照Excel对纳入患者随机排序1~88号，单数序列患者纳入对照组（入选该组患者均进行常规护理，n=44），双数序列患者纳入研究组（入选该组患者均进行早期康复护理，n=44）。对比两组的预后情况、血气指标及呼吸功能。结果 在机械通气总时间与谵妄持续时间上，研究组短于对照组（P＜0.05）。在氧气分压、二氧化碳分压、气道阻力及气道峰压上，研究组优于对照组（P＜0.05）。结论 早期康复护理用于ICU重症肺炎机械通气患者的效果良好，有助于改善预后情况，临床可进一步推广应用。

Abstract

Objective To analyze the impact of early rehabilitation nursing on the prognosis of ICU patients with severe pneumonia undergoing mechanical ventilation.
Methods A total of 88 patients with severe pneumonia who received mechanical ventilation in the ICU from September 2022 to September 2024 were included in this study. The patients were randomly ranked from 1 to 88 according to Excel, with odd numbered patients included in the control group (all patients in this group received routine care, n=44) and even numbered patients included in the study group (all patients in this group received early rehabilitation care, n=44). Compare the prognosis, blood gas indicators, and respiratory function between the two groups.
Results In total duration of mechanical ventilation and duration of delirium, the study group was shorter than the control group (P < 0.05). In partial pressure of oxygen, partial pressure of carbon dioxide, airway resistance and peak airway pressure, the study group was better than the control group (P < 0.05).
Conclusion   Early rehabilitation nursing is effective for ICU patients with severe pneumonia undergoing mechanical ventilation, and can help improve prognosis. It can be further promoted and applied in clinical practice.