ABSTRACT
Objective@#To investigate the effect of progressive early rehabilitation training in patients with severe acute pancreatitis.@*Methods@#A total of 67 patients with severe acute pancreatitis requiring mechanical ventilation who were treated in the intensive care department of Shanghai first people's hospital from May 2015 to May 2018 were selected. According to the order of admission, they were divided into the control group (n=32) and the intervention group (n=35). On the basis of this nursing, the intervention group was jointly evaluated by the ICU rehabilitation team and adopted the progressive early rehabilitation nursing mode according to the different degrees of patients' conditions. The intervention effects of the two groups were compared.@*Results@#The success rate of one-time weaning, mechanical ventilation time and ICU hospitalization time in the intervention group were 97.14% (34/35), (4.62±1.98) d, (8.76±1.02) d, and 78.12% (25/30), (9.01±2.15) d, and (14.01±2.87) d, respectively, in the control group. The difference between the two groups was statistically significant (χ2 = 3.986, t=-5.012, -8.260, P < 0.05 or 0.01). The incidence of delirium, Barthel index (BI) scale score and grip strength score were 2.86% (1/35), 47.54±4.32, (34.05±10.68) kg, in the intervention group, 12.50% (4/32), 41.68±3.18, and (26.79±8.97) kg, in the control group, respectively. The difference between the two groups was statistically significant (χ2=4.024, t=7.651, 3.194, P < 0.05 or 0.01).@*Conclusions@#Progressive early rehabilitation training and nursing has a great influence on the prognosis of patients with severe acute pancreatitis, which can effectively improve the prognosis of patients, accelerate the recovery of patients, shorten the length of hospital stay and the duration of use of ventilator, reduce the incidence of delirium, help patients to restore muscle strength, and improve the Barthel index score of patients, which is worthy of promotion and application.
ABSTRACT
Objective@#A practical length regulator of extended tube for microinjection pump was made and its clinical effect was observed. The method and basis were provided for the orderly management of various infusion pipelines in clinic.@*Methods@#The texture, inner diameter and color of the regulator are designed. Sixty patients who needed to use three or more lengthened tubes at the same time and were pumped through the same vein passage were randomly divided into two groups: the regulator group and the non-regulator group. 31 patients in the regulator group and 29 patients in the routine group were observed continuously for 3 days. During the study period, the number of tube shedding and the number of nursing errors were recorded. The average time required for the same dose of drugs to be pumped into the body was 10 ml/h, 25 ml/h and 50 ml/h, respectively. The average time spent by the nursing staff when the drugs were randomly changed or suspended was investigated in 52 cases. Staff satisfaction with its clinical application.@*Results@#The number of errors and tube shedding in the regulator group were 5 and 2 times respectively, and 34 and 9 times respectively in the routine group (P < 0.05). The time required for the regulator group to pump the same dose at the same rate was 295.33, 120.07 and 59.97 seconds, respectively. The time required for the conventional group was 294.63, 119.83 and 59.87 seconds, respectively, with no significant difference (P > 0.05). The average time needed for drug replacement or suspension was 47.05 seconds in the regulator group and 91.68 seconds in the routine group (P < 0.05). The satisfaction of the two groups was 84.98 and 94.5 respectively (P < 0.05).@*Conclusion@#Compared with the conventional group, the regulator group can reduce the workload of nurses without increasing the risk of clinical use. The regulator is a safe, reliable and convenient pump pipe management device for pumps.
ABSTRACT
Objective To investigate the effect of progressive early rehabilitation training in patients with severe acute pancreatitis. Methods A total of 67 patients with severe acute pancreatitis requiring mechanical ventilation who were treated in the intensive care department of Shanghai first people′s hospital from May 2015 to May 2018 were selected. According to the order of admission, they were divided into the control group (n=32) and the intervention group (n=35). On the basis of this nursing, the intervention group was jointly evaluated by the ICU rehabilitation team and adopted the progressive early rehabilitation nursing mode according to the different degrees of patients′ conditions. The intervention effects of the two groups were compared. Results The success rate of one- time weaning, mechanical ventilation time and ICU hospitalization time in the intervention group were 97.14% (34/35),(4.62 ± 1.98) d,(8.76 ± 1.02) d, and 78.12% (25/30),( 9.01 ± 2.15) d, and(14.01 ± 2.87) d, respectively, in the control group. The difference between the two groups was statistically significant (χ2=3.986, t=-5.012,-8.260, P<0.05 or 0.01). The incidence of delirium, Barthel index (BI) scale score and grip strength score were 2.86% (1/35), 47.54 ± 4.32,(34.05 ± 10.68) kg,in the intervention group, 12.50% (4/32), 41.68 ± 3.18, and(26.79 ± 8.97)kg, in the control group, respectively. The difference between the two groups was statistically significant (χ2=4.024, t=7.651, 3.194, P < 0.05 or 0.01). Conclusions Progressive early rehabilitation training and nursing has a great influence on the prognosis of patients with severe acute pancreatitis, which can effectively improve the prognosis of patients, accelerate the recovery of patients, shorten the length of hospital stay and the duration of use of ventilator, reduce the incidence of delirium, help patients to restore muscle strength, and improve the Barthel index score of patients, which is worthy of promotion and application.
ABSTRACT
Objective A practical length regulator of extended tube for microinjection pump was made and its clinical effect was observed. The method and basis were provided for the orderly management of various infusion pipelines in clinic. Methods The texture, inner diameter and color of the regulator are designed. Sixty patients who needed to use three or more lengthened tubes at the same time and were pumped through the same vein passage were randomly divided into two groups: the regulator group and the non-regulator group. 31 patients in the regulator group and 29 patients in the routine group were observed continuously for 3 days. During the study period, the number of tube shedding and the number of nursing errors were recorded. The average time required for the same dose of drugs to be pumped into the body was 10 ml/h, 25 ml/h and 50 ml/h, respectively. The average time spent by the nursing staff when the drugs were randomly changed or suspended was investigated in 52 cases. Staff satisfaction with its clinical application. Results The number of errors and tube shedding in the regulator group were 5 and 2 times respectively, and 34 and 9 times respectively in the routine group (P < 0.05). The time required for the regulator group to pump the same dose at the same rate was 295.33, 120.07 and 59.97 seconds, respectively. The time required for the conventional group was 294.63, 119.83 and 59.87 seconds, respectively, with no significant difference (P > 0.05). The average time needed for drug replacement or suspension was 47.05 seconds in the regulator group and 91.68 seconds in the routine group (P<0.05). The satisfaction of the two groups was 84.98 and 94.5 respectively (P<0.05). Conclusion Compared with the conventional group, the regulator group can reduce the workload of nurses without increasing the risk of clinical use. The regulator is a safe, reliable and convenient pump pipe management device for pumps.