天津护理 ›› 2026, Vol. 34 ›› Issue (4): 379-385.DOI: 10.3969/j.issn.1006-9143.2026.04.001

• 论著 •    下一篇

全程多维康复模式在机械通气患者中的应用研究

陈蕾 迟园园 王国州 衣香莉 于思淼 卢凤 王东浩 赵静   

  1. (天津医科大学肿瘤医院 恶性肿瘤国家临床医学研究中心 天津市肿瘤防治重点实验室 天津市恶性肿瘤临床医学研究中心,天津 300060)
  • 出版日期:2026-08-28 发布日期:2026-09-02
  • 基金资助:
    天津市卫生健康科技人才项目(KJ20115);天津市医学重点学科建设项目(TJYXZDXK-011A)

Application of a whole-course multidimensional rehabilitation model in mechanically ventilated patients

CHEN Lei, CHI Yuanyuan, WANG Guozhou, YI Xiangli, YU Simiao, LU Feng, WANG Donghao, ZHAO Jing   

  1. (Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060)
  • Online:2026-08-28 Published:2026-09-02

摘要: 目的:探讨全程多维康复模式在 ICU 机械通气患者中的应用效果。方法:选取 64 例 ICU 机械通气患者为研究对象,采用随机数字表将研究对象随机分为观察组和对照组,每组 32 例。观察组采用全程多维康复模式,对照组给予常规护理。比较干预第 2、4、7 天及转出时的动脉血气、吞咽功能、机械通气时间、并发症发生情况、睡眠质量,以及焦虑水平差异。结果:共有 62 例患者完成干预,其中观察组 30 例,对照组 32 例。两组患者 Gugging 吞咽功能评估量表评分及理查兹-坎贝尔睡眠量表评分的交互效应均具有统计学意义(P<0.05)。转出时两组患者 ICU 获得性衰弱发生率、谵妄发生率、广泛焦虑评分及机械通气时间均具有统计学意义(P<0.05)。结论:应用全程多维康复模式可改善机械通气患者呼吸和吞咽功能,提高患者睡眠质量,缩短机械通气时间,有效缓解患者焦虑情绪并减少并发症的发生。

关键词: 机械通气, 康复护理, 多维度

Abstract: Objective: To explore the application effect of a whole-course multidimensional rehabilitation model in mechanically ventilated patients in ICU. Methods: A total of 64 mechanically ventilated ICU patients were selected as the study subjects and randomly divided into an observation group and a control group using a random number table, with 32 cases in each group. The observation group received the whole-course multidimensional rehabilitation model, while the control group received routine nursing care. Differences between the two groups were compared at days 2, 4, 7 of the intervention and at the time of extubation, including arterial blood gas analysis, swallowing function, duration of mechanical ventilation, incidence of complications, sleep quality, and anxiety levels. Results: A total of 62 patients completed the intervention, including 30 patients in the observation group and 32 patients in the control group. The results showed that the interaction effects of the Gugging Swallowing Screen scores and the Richards-Campbell Sleep Questionnaire scores between the two groups were statistically significant (P<0.05). At the time of extubation, the incidence of ICU-acquired weakness, incidence of delirium, Generalized Anxiety Disorder-7 scores, and duration of mechanical ventilation all showed statistically significant differences between the two groups (P<0.05). Conclusion: The application of the whole-course multidimensional rehabilitation model can improve mechanically ventilated patients' respiratory, swallowing functions, and sleep quality, shorten the duration of mechanical ventilation, effectively alleviate anxiety, and reduce the incidence of complications in mechanically ventilated patients.

Key words: Mechanical ventilation, Rehabilitation nursing, Multidimensional