Observation of early active exercises on mechanical ventilation weaning patients with myasthenia gravis / 中国实用护理杂志

ABSTRACT

Objective:To compare the difference of weaning time, comfort and satisfaction during the time, and arterial blood gas analysis in early active exercises of mechanical ventilation patients with myasthenia gravis (MG).Methods:Fifty-six mechanical ventilation patients with MG hospitalized in the Department of Neurology, Tangdu Hospital, Air Force Military Medical University were enrolled from January 2014 to January 2018. All the patients were divided into observation group ( n=30) and control group ( n=30) according to the random number table. Observation group performed active exercise, that encourage patients get out of bed as early as possible. Control group implement passive exercise. Then, analyzed the difference of weaning time, comfort and satisfaction during the time, and arterial blood gas results between this two groups. Results:The weaning time of observation group was (6.2±2.3) days, while (9.8±3.9) days of control group, the difference was significantly ( t value was 5.559, P<0.01). The comfort of observation group were (81.20±4.93) points, while (64.54±2.62) points of control group, the difference was significantly ( t value was15.798, P<0.01). In the observation group, 3 cases were satisfied with the nursing service, 27 cases were satisfied, and the patient satisfaction score was (93.67 ± 2.20) points; in the control group, 2 cases were generally satisfied, 15 cases were relatively satisfied, 9 cases were satisfied, and the patient satisfaction score was (85.81 ± 5.49) points, the difference between the two groups was statistically significant ( χ2 value was 23.312 2, t value was - 7.205 7, P < 0.01).There were no difference of arterial blood gas results between the two groups ( P>0.05) .Conclusion:Early active exercises can shorten the weaning time of mechanical ventilation patients with MG, improve patients comfort and satisfaction with nursing services during the weaning time, and have no effect on patients' respiratory function and acid-base balance.