ABSTRACT
Objective@#To explore the effect of comprehensive functional exercise on re-intubation in hospitalized patients with critical muscle wasting.@*Methods@#A total of 92 patients with severe muscle atrophy who were treated in our hospital from January 2016 to 2018 were selected. According to the nursing method, the patients were divided into two groups, including 46 cases in the control group, routine muscle atrophy exercise, and 46 cases in the observation group. Comprehensive functional exercise was performed on the basis of the control group. The control group took regular muscle atrophy exercises, and the observation group took a comprehensive functional exercise on the basis of the control group. The reintubation rates at 48h, 72h, and 168h after extubation were compared between the two groups; the incidence of crisis, ventilator prevalence, occurrence rate, and off-line time were compared between the two groups; the health status of SF-36 was compared between the two groups.@*Results@#There were 0, 1, and 2 patients in the observation group at 48, 72, and 168h, and 5, 10, and 13 patients in the control group, respectively, with statistically significant differences (χ2=5.287, 8.364, 9.478, P < 0.05 or 0.01). The incidence rate of crisis, ventilator probability and complication rate were 8.70% (4/46), 4.35% (2/46) and 4.35% (2/46) in the observation group, and 23.91% (11/46), 30.23% (13/46) and 19.57% (9/46) in the control group, respectively. The difference was statistically significant (χ2=8.791, 9.478, 7.325, P < 0.05). The off-line time of the observation group was (107.22 ±10.98) h, and that of the control group (199.44 ±10.57) h, with statistically significant difference (t=2.413, P < 0.05). The SF-36 health status score of the observation group was respectively 36.12±10.44, 82.20±10.24, 40.43±16.14, 63.88±9.75, 82.06±10.11, and the control group was 26.68±17.66, 26.78±10.72, 42.18±8.79, and 68.92±9.65. The difference between the two groups was statistically significant (t=12.214-14.829, P<0.05).@*Conclusions@#Comprehensive functional exercise is beneficial to reduce the rate of intubation of patients with severe muscle atrophy, reduce the incidence of adverse events and improve the health of patients.
ABSTRACT
Objective To explore the effect of comprehensive functional exercise on re-intubation in hospitalized patients with critical muscle wasting. Methods A total of 92 patients with severe muscle atrophy who were treated in our hospital from January 2016 to 2018 were selected. According to the nursing method, the patients were divided into two groups, including 46 cases in the control group, routine muscle atrophy exercise, and 46 cases in the observation group. Comprehensive functional exercise was performed on the basis of the control group. The control group took regular muscle atrophy exercises, and the observation group took a comprehensive functional exercise on the basis of the control group. The reintubation rates at 48h, 72h, and 168h after extubation were compared between the two groups; the incidence of crisis, ventilator prevalence, occurrence rate, and off-line time were compared between the two groups; the health status of SF-36 was compared between the two groups. Results There were 0, 1, and 2 patients in the observation group at 48, 72, and 168h, and 5, 10, and 13 patients in the control group, respectively, with statistically significant differences (χ2=5.287, 8.364, 9.478, P < 0.05 or 0.01). The incidence rate of crisis, ventilator probability and complication rate were 8.70% (4/46), 4.35% (2/46) and 4.35% (2/46) in the observation group, and 23.91% (11/46), 30.23% (13/46) and 19.57% (9/46) in the control group, respectively. The difference was statistically significant ( χ2=8.791, 9.478, 7.325, P<0.05). The off-line time of the observation group was (107.22 ±10.98) h, and that of the control group (199.44 ± 10.57) h, with statistically significant difference (t=2.413, P<0.05). The SF-36 health status score of the observation group was respectively 36.12±10.44, 82.20±10.24, 40.43±16.14, 63.88±9.75, 82.06±10.11, and the control group was 26.68 ± 17.66, 26.78 ± 10.72, 42.18 ± 8.79, and 68.92 ± 9.65. The difference between the two groups was statistically significant (t=12.214- 14.829, P＜0.05). Conclusions Comprehensive functional exercise is beneficial to reduce the rate of intubation of patients with severe muscle atrophy, reduce the incidence of adverse events and improve the health of patients.