Wang Li, Lu Jing-Ya, Ma Xiao-Xiao, Ma Lan-Ou
Intensive Care Unit, Dongyang People's Hospital, Jinhua 322100, Zhejiang Province, China.
Department of Rehabilitation Medicine, Dongyang People's Hospital, Jinhua 322100, Zhejiang Province, China.
World J Clin Cases. 2024 Sep 16;12(26):5930-5936. doi: 10.12998/wjcc.v12.i26.5930.
Direct cardiac surgery often necessitates intensive post-operative care, and the intensive care unit (ICU) activity scale represents a crucial metric in assessing and guiding early rehabilitation efforts to enhance patient recovery.
To clarify the clinical application value of the ICU activity scale in the early recovery of patients after cardiac surgery.
One hundred and twenty patients who underwent cardiac surgery between September 2020 and October 2021 were selected and divided into two groups using the random number table method. The observation group was rated using the ICU activity scale and the corresponding graded rehabilitation interventions were conducted based on the ICU activity scale. The control group was assessed in accordance with the routine rehabilitation activities, and the postoperative rehabilitation indexes of the patients in both groups were compared (time of tracheal intubation, time of ICU admission, occurrence of complications, and activity scores before ICU transfer). The two groups were compared according to postoperative rehabilitation indicators (time of tracheal intubation, length of ICU stay, and occurrence of complications) and activity scores before ICU transfer.
In the observation group, tracheal intubation time lasted for 18.30 ± 3.28 h and ICU admission time was 4.04 ± 0.83 d, which were significantly shorter than the control group (-values: 2.97 and 2.038, respectively, < 0.05). The observation group also had a significantly lower number of complications and adverse events compared to the control group ( < 0.05). Before ICU transfer, the observation group (6.7%) had few complications and adverse events than the control group (30.0 %), and this difference was statistically significant ( < 0.05). Additionally, the activity score was significantly higher in the observation (26.89 ± 0.97) compared to the control groups (22.63 ± 1.12 points) (-value; -17.83, < 0.05).
Implementation of early goal-directed activities in patients who underwent cardiac surgery using the ICU activity scale can promote the recovery of cardiac function.
心脏直视手术术后通常需要重症监护，而重症监护病房（ICU）活动量表是评估和指导早期康复努力以促进患者康复的关键指标。
阐明ICU活动量表在心脏手术后患者早期康复中的临床应用价值。
选取2020年9月至2021年10月期间接受心脏手术的120例患者，采用随机数字表法将其分为两组。观察组采用ICU活动量表进行评分，并根据ICU活动量表进行相应的分级康复干预。对照组按照常规康复活动进行评估，比较两组患者术后康复指标（气管插管时间、入住ICU时间、并发症发生情况以及转出ICU前的活动评分）。根据术后康复指标（气管插管时间、ICU住院时间和并发症发生情况）以及转出ICU前的活动评分对两组进行比较。
观察组气管插管时间为18.30±3.28小时，入住ICU时间为4.04±0.83天，均显著短于对照组（分别为2.97和2.038，P<0.05）。观察组并发症和不良事件的发生数量也显著低于对照组（P<0.05）。转出ICU前，观察组（6.7%）的并发症和不良事件少于对照组（30.0%），差异具有统计学意义（P<0.05）。此外，观察组的活动评分（26.89±0.97）显著高于对照组（22.63±1.12分）（t值为-17.83，P<0.05）。
对接受心脏手术的患者使用ICU活动量表实施早期目标导向活动可促进心功能恢复。
