COVID-19 与非 COVID-19 患者的肌肉力量/重症监护病房获得性衰弱。
Muscle strength/intensive care unit acquired weakness in COVID-19 and non-COVID-19 patients.
机构信息
Student Research Committee, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
出版信息
Nurs Crit Care. 2023 Nov;28(6):1012-1021. doi: 10.1111/nicc.12830. Epub 2022 Jul 27.
BACKGROUND
Intensive care unit acquired weakness (ICU-AW) affects both coronavirus disease 19 (COVID-19) and non-COVID-19 patients. ICU-AW can result in a variety of consequences, including increased patient mortality.
AIMS
The current study aimed to compare muscle strength and ICU-AW in COVID-19 and non-COVID-19 patients.
STUDY DESIGN
This was a cross-sectional, descriptive-analytical pilot study.
METHODS
Fifteen conscious COVID-19 patients and 15 conscious non-COVID-19 patients admitted to the ICUs of a public hospital were selected by convenience sampling. Muscle strength in arms and legs was assessed by a hand-held dynamometer (HHD), and ICU-AW was measured with the medical research council sum score (MRC-SS) scale on the first, fourth, and seventh days of admission to ICUs.
RESULTS
The results showed that muscle strength in the arms and legs of the COVID-19 patients assessed by a HHD and MRC was significantly lower than that of non-COVID-19 patients. On the fourth day of ICU admission, 80% of the COVID-19 patients and 40% of the non-COVID-19 patients had ICU-AW. All COVID-19 patients and 86.8% of the non-COVID-19 patients had ICU-AW on the seventh day of ICU admission.
CONCLUSIONS
Decreased muscle strength and ICU-AW are more likely in COVID-19 patients who must stay in the ICU compared with non-COVID-19 patients.
RELEVANCE TO CLINICAL PRACTICE
Health systems should plan to provide rehabilitation facilities for COVID-19 patients and prevent prolonged complications of COVID-19.
背景
重症监护病房获得性肌无力（ICU-AW）影响新冠肺炎（COVID-19）和非 COVID-19 患者。ICU-AW 可导致多种后果，包括增加患者死亡率。
目的
本研究旨在比较 COVID-19 和非 COVID-19 患者的肌肉力量和 ICU-AW。
研究设计
这是一项横断面、描述性分析的初步研究。
方法
通过便利抽样选择了 15 名入住公立医院 ICU 的意识清醒的 COVID-19 患者和 15 名意识清醒的非 COVID-19 患者。使用手持测力计（HHD）评估手臂和腿部肌肉力量，并在入住 ICU 的第 1、4 和 7 天使用医学研究委员会总和评分（MRC-SS）量表测量 ICU-AW。
结果
结果显示，COVID-19 患者的手臂和腿部肌肉力量通过 HHD 和 MRC 评估明显低于非 COVID-19 患者。入住 ICU 的第 4 天，80%的 COVID-19 患者和 40%的非 COVID-19 患者出现 ICU-AW。入住 ICU 的第 7 天，所有 COVID-19 患者和 86.8%的非 COVID-19 患者均出现 ICU-AW。
结论
与非 COVID-19 患者相比，入住 ICU 的 COVID-19 患者肌肉力量下降和 ICU-AW 的可能性更大。
临床相关性
卫生系统应计划为 COVID-19 患者提供康复设施，并预防 COVID-19 的长期并发症。
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