ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (1): 64-69.

• 临床研究 • 上一篇    下一篇

机械通气患者早期运动规范化流程管理的实践

戴雪梅 窦英茹 潘春芳 朱庆捷 郭凌翔 史甜 单雪芹 刘永兵 刘林   

  • 出版日期:2020-01-10 发布日期:2020-01-22

Practice of standardized process management for early exercise in patients with mechanical ventilation

DAI Xuemei，DOU Yingru，PAN Chunfang，ZHU Qingjie，GUO Lingxiang，SHI Tian，SHAN Xueqin，LIU Yong- bing，LIU Lin   

  • Online:2020-01-10 Published:2020-01-22

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摘要： 目的 探讨早期运动规范化流程管理在机械通气患者中的应用效果。 方法 成立早期运动多学科团队合作管理小组，制订规范化早期运动方案，组织培训，按流程实施早期运动。 结果 早期运动规范化流程管理实施后，患者机械通气时间、ICU住院时间、呼吸机相关性肺炎的发生率、谵妄发生率、运动相关不良事件发生率、早期运动非计划中断率均较改进前下降，差异具有统计学意义（P<0.05）。 结论 对机械通气患者早期运动实施规范化流程管理非常重要，可以有效提高运动疗效，确保患者安全。

关键词: 危重病, 通气机, 机械, 运动, 疾病管理, 病人医疗护理计划

Abstract: Objective To explore the effect of standardized process management for early exercise in patients receiving mechanical ventilation. Methods An early multidisciplinary cooperative exercise management team was established to develop standardized early exercise programs，organize training，and implement early exercise according to the process. Results After the implementation of early exercise standardization process management，the me-chanical ventilation time，ICU length of stay，VAP incidence rate，delirium incidence rate，incidence of exercise-relat-ed adverse events，and early exercise unplanned interruption rate were all decreased，and the differences were sta-tistically significant （P<0.05）. Conclusion It is very important to implement standardized process management for early exercise of mechanical ventilation patients，which can effectively improve exercise efficiency and ensure patient safety.

Key words: Critical Illnes, Ventilators, Mechanical, Kinesis, Disease Management, Patient Care Planning