Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8152-8160
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8152
Evaluation of progressive early rehabilitation training mode in intensive care unit patients with mechanical ventilation
Xiao-Jing Qie, Zhi-Hong Liu, Li-Min Guo
Xiao-Jing Qie, Li-Min Guo, Department of Cardiology, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Zhi-Hong Liu, Department of Intensive Care Unit, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Author contributions: Guo LM designed the study; Qie XJ collected data and drafted the manuscript; Qie XJ and Liu ZH analyzed and interpreted the data; Liu ZH and Zhang Y were responsible for critical revision of the article for important intellectual content; all authors approved the final manuscript for submission.
Institutional review board statement: This study was approved by the Institutional Review Board of The Fourth Hospital of Hebei Medical University.
Informed consent statement: The data used in this study were not involved in the patients’ privacy information, so the informed consent was waived by the Ethics Committee of The Fourth Hospital of Hebei Medical University.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Min Guo, BSc, Chief Nurse, Department of Cardiology, The Fourth Hospital of Hebei Medical University, No. 12 Jiankang Road, Chang'an District, Shijiazhuang 050011, Hebei Province, China. gweid66@sina.com
Received: April 10, 2022
Peer-review started: April 10, 2022
First decision: May 11, 2022
Revised: May 27, 2022
Accepted: June 22, 2022
Article in press: June 22, 2022
Published online: August 16, 2022
Processing time: 112 Days and 21.3 Hours
Abstract
BACKGROUND

Mechanical ventilation is a common resuscitation method in the intensive care unit (ICU). Unfortunately, this treatment process prolongs the ICU stay of patients with an increased incidence of delirium, which ultimately affects the prognosis.

AIM

To evaluate the effect of progressive early rehabilitation training on treatment and prognosis of patients with mechanical ventilation in ICU.

METHODS

The convenience sampling method selected 190 patients with mechanical ventilation admitted to the Fourth Hospital of Hebei Medical University from March 2020 to March 2021. According to the random number table method, they were divided into the control and intervention groups. The control group received routine nursing and rehabilitation measures, whereas the intervention group received progressive early rehabilitation training. In addition, the incidence and duration of delirium were compared for the two groups along with mechanical ventilation time, ICU hospitalization time, functional independence measure (FIM) score, Barthel index, and the incidence of complications (deep venous thrombosis, pressure sores, and acquired muscle weakness).

RESULTS

In the intervention group, the incidence of delirium was significantly lower than in the control group (28% vs 52%, P < 0.001). In the intervention group, the duration of delirium, mechanical ventilation time, and ICU stay were shorter than in the control group (P < 0.001). The FIM and Barthel index scores were significantly higher in the intervention group than the control group (P < 0.001). The total incidence of complications in the intervention group was 3.15%, which was lower than 17.89% in the control group (P < 0.001).

CONCLUSION

Progressive early rehabilitation training reduced the incidence of delirium and complications in ICU patients with mechanical ventilation, which improved prognosis and quality of life.

Keywords: Mechanical ventilation; Intensive care unit; Early rehabilitation training; Delirium; Barthel index

Core Tip: The patients on mechanical ventilation in the intensive care unit are prone to ventilator dependence, resulting in a series of complications. Through randomized controlled trials, this study showed that progressive early rehabilitation training could effectively reduce the incidence of delirium and improve physical function and quality of life.