The influence of early rehabilitation nursing on patients with respiratory failure undergoing invasive mechanical ventilation in the ICU
早期康复护理对ICU呼吸衰竭有创机械通气患者的影响

摘要

目的 将早期康复护理用于ICU呼吸衰竭（RF）有创机械通气（IMV）患者中，探究其应用价值。 方法 选取2024年1月-2025年1月本院ICU收治的96例RF患者，均接受IMV治疗，随机进行分组，对照组48例行常规护理，观察组48例实施早期康复护理，对两组干预结果进行比较。结果 干预前，两组各呼吸功能指标相比，无显著差异（P>0.05），干预后，观察组各指标水平更高（P<0.05）；干预前，两组血气分析指标相比，无显著差异（P>0.05），干预后，观察组SaO₂、PaO₂水平更高、PaCO₂水平更低（P<0.05）；两组并发症发生率比较，观察组4.17%更低（P<0.05）。结论 对ICU接受有创机械通气治疗的RF患者来说，应用早期康复护理可较好改善患者呼吸功能及血气分析指标，还可缩短患者机械通气及住院时间，减少并发症，具有推广价值。

Abstract

Objective To apply early rehabilitation nursing to patients with respiratory failure (RF) undergoing invasive mechanical ventilation (IMV) in the ICU and explore its application value.
Methods A total of 96 patients with RF admitted to the ICU of our hospital from January 2024 - January 2025 were selected and all received IMV treatment. They were randomly grouped. 48 patients in the control group received routine care, and 48 patients in the observation group received early rehabilitation care. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in each respiratory function index between the two groups (P>0.05). After the intervention, the levels of each index in the observation group were higher (P<0.05). Before the intervention, there was no significant difference in the blood gas analysis indicators between the two groups (P>0.05). After the intervention, the levels of SaO₂ and PaO₂ in the observation group were higher and the level of PaCO₂ was lower (P<0.05). The comparison of the incidence of complications between the two groups showed that 4.17% in the observation group was lower (P<0.05).
Conclusion   For RF patients receiving invasive mechanical ventilation treatment in the ICU, the application of early rehabilitation nursing can better improve the respiratory function and blood gas analysis indicators of patients. It can also shorten the mechanical ventilation and hospital stay of patients, reduce complications, and has promotion value.