Application Of Early Rehabilitation In ICU Patients With Mechanical Ventilation Based On Multidisciplinary Collaborative Model

Objective To explore the effects of early rehabilitation based on multidisciplinary collaboration mode on muscle strength,oxygenation index,mechanical ventilation duration,self-care ability,delirium incidence,delirium duration,nutritional risk,Length of Stay in ICU and total cost of ICU hospitalization in patients with mechanical ventilation in ICU.To summarize its clinical effect on ICU patients with mechanical ventilation,and provide a scientific basis for the early rehabilitation of patients with mechanical ventilation and clinical research of multidisciplinary cooperation mode.Methods This study is a kind of experimental study,A total of 80 mechanical ventilation patients in ICU of a comprehensive grade-A hospital in Hohhot from March 2021 to January 2022 were selected as the research objects.A simple randomization method was used to generate evenly distributed pseudorandom numbers by SPSS22.0 software,and rank the pseudorandom numbers,no.1-40 was defined as the early rehabilitation group.No.41-80 was used as the control group.The control group was given ICU routine nursing,and the early rehabilitation group was given multidisciplinary early rehabilitation based on the control group.The intervention started 24-48 hours after admission to ICU and ended when patients left ICU.General information questionnaire,Medical Research Council(MRC),Nutric Score(Nutric),And Barthel Index(Barthel Index)were used for enrollment.BI)baseline data assessment.During extubation,the MRC scale was used to evaluate the patient’s muscle strength,and the BI scale was used to evaluate the patient’s self-care ability.When patients were transferred out of ICU,MRC scale was used again to evaluate patients’ muscle strength,BI scale was used to evaluate patients’ self-care ability and NUTRIC scale was used to evaluate patients’ nutritional risk.Oxygenation index,duration of mechanical ventilation,occurrence of delirium,duration of delirium,total amount of analgesic and sedative drugs used in ICU,length of ICU stay,total cost during ICU stay,and incidence of adverse events were recorded.SPSS22.0 software was used for data analysis.Results During the process,a total of 8 patients fell off,including 5 subjects in the control group and 3 subjects in the early rehabilitation group.Finally,35 patients in the control group and 37 patients in the early rehabilitation group were completed.1.There were no significant differences in basic information,muscle strength score,oxygenation index,self-care ability score and nutritional risk score between the control group and the early rehabilitation group at enrollment(P>0.05).2.The muscle strength score of the control group and the early rehabilitation group was significantly different when they were transferred out of ICU(P<0.05),and the score of the early rehabilitation group was higher than the control group.3.There was statistically significant difference in oxygenation index between the control group and the early rehabilitation group when they were transferred out of ICU(P<0.05),and the oxygenation index of the early rehabilitation group was higher than that of the control group.4.The mechanical ventilation time of the control group and the early rehabilitation group was significantly different when they were transferred out of ICU(P<0.05),and the mechanical ventilation time of the early rehabilitation group was shorter than that of the control group.5.The BI scores of the control group and the early rehabilitation group were significantly different when they were transferred out of ICU(P<0.05),and the scores of the early rehabilitation group were higher than those of the control group.6.NUTRIC scores of the control group and the early rehabilitation group were significantly different when they were transferred out of ICU(P<0.05),and the scores of the early rehabilitation group were lower than those of the control group.7.There was statistically significant difference in the incidence of delirium between the control group and the early rehabilitation group when they were transferred out of ICU(P<0.05),and the incidence of delirium in the early rehabilitation group was lower than that in the control group.8.There was statistically significant difference in delirium duration between the control group and the early rehabilitation group when they were transferred out of ICU(P<0.05),and the delirium duration in the early rehabilitation group was shorter than that in the control group.9.The ICU stay time of the control group and the early rehabilitation group was statistically significant(P<0.05),and the ICU stay time of the early rehabilitation group was shorter than that of the control group.10.The ICU hospitalization expenses of the control group and the early rehabilitation group were significantly different when they were transferred out of ICU(P<0.05),and the ICU hospitalization expenses of the early rehabilitation group were less than those of the control group.11.There was no significant difference in the incidence of adverse events during ICU hospitalization between the control group and the early recovery group(P>0.05).Conclusions Based on the multidisciplinary collaboration mode of early rehabilitation can improve when given in patients with severe muscle,improve patients oxygenation index,shorten the time of mechanical ventilation and improve the ability to care for life,reduce the risk of nutrition,reduce the incidence of delirium,shorten the duration of delirium,reduce the ICU stay time,ICU hospitalization expenses and the incidence of adverse events.However,the improvement of quality of life after discharge needs further research and discussion.