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
ARTICLE HIGHLIGHTS
Research background

The incidence of delirium in the intensive care unit (ICU) is between 20% and 50%, while the incidence of delirium in ICU patients receiving mechanical ventilation is as high as 60%–80%.

Research motivation

It is urgent and critical to provide early rehabilitation training for ICU patients with mechanical ventilation.

Research objectives

This study aims to investigate the effect of progressive early rehabilitation training on patients with mechanical ventilation in ICU and evaluate its prognosis.

Research methods

The control group received routine nursing and rehabilitation measures, and the intervention group received progressive early rehabilitation training on the basis of routine nursing. Clinical effectiveness and prognosis of the two groups were compared.

Research results

The incidence of delirium, duration of delirium, mechanical ventilation time and ICU hospitalization time in the intervention group were shorter than those in the control group. The daily living ability (Barthel index) score in the intervention group was significantly higher than in the control group.

Research conclusions

Progressive early rehabilitation training can effectively reduce the incidence of delirium in ICU patients with mechanical ventilation, and improve physical function.

Research perspectives

From the perspective of improving prognosis of patients, the clinical effectiveness of progressive rehabilitation training on ICU patients with mechanical ventilation was evaluated.