摘要
文章综述了ICU获得性衰弱的护理干预现状,指出ICU获得性衰弱的危险因素,提出早期评估患者的一般情况、加强营养管理与血糖管理、开展多学科团队合作的建议,以期为ICU获得性衰弱的临床护理提供指导。
The present situation of nursing intervention on ICU-acquired weakness(ICU-AW) was reviewed,the risk factors of ICU-AW were pointed out.The suggestions of early assessment of patients,strengthening nutrition management and blood glucose management,and multidisciplinary team cooperation were put forward to provide guidance for the clinical nursing of ICU-AW.
引文
[1] FAN E,DOWDY D W,COLANTUONI E,et al.Physical complications in acute lung injury survivors:a two-year longitudinal prospective study[J].Critical Care Medicine,2014,42(4):849-859.DOI:10.1097/CCM.0000000000000040.
[2] 董大伟,冯波,段艳丽,等.南京市4所三级医院ICU护士对ICU获得性衰弱认知度的调查分析[J].护理管理杂志,2016,16(10):723-725.
[3] 谢霖,罗健,李苗苗,等.ICU获得性肌无力集束化护理研究进展[J].护理管理杂志,2017,17(8):578-580.
[4] WIESKE L,DETTLING-IHNENFELDT D S,VERHAMME C,et al.Impact of ICU-acquired weakness on post-ICU physical functioning:a follow-up study[J].Critical Care,2015,19(1):196.DOI:10.1186/s13054-015-0937-2.
[5] MIRZAKHANI H,WILLIAMS J N,MELLO J,et al.Muscle weakness predicts pharyngeal dysfunction and symptomatic aspiration in long-term ventilated patients.[J].Anesthesiology,2013,119(2):389-397.DOI:10.1097/ALN.0b013e31829373fe.
[6] LUUK W,ESTHER W,CAMIEL V,et al.Early prediction of Intensive Care Unit-acquired weakness using easily available parameters:a prospective observational study[J].PLoS ONE,2014,9(10):e111259.DOI:10.1371/journal.pone.0111259.
[7] GODOY D A ,MELLO L V D ,MASOTTI L,et al.Intensive Care Unit Acquired Weakness (ICU-AW):a brief and practical review[J].Reviews in Health Care,2015,6(1):9-35.DOI:10.7175/rhc.v6i1.1037.
[8] 赵贵美,焦琳琳,杨桂华.早期循序渐进运动对ICU患者获得性衰弱影响的Meta分析[J].中华护理杂志,2017,52(2):177-181.DOI:10.3761/j.issn.0254-1769.2017.02.010.
[9] SCHOBER A E,THORNTON K C.Early Mobilization in the Intensive Care Unit[J].Current Anesthesiology Reports,2013,3(2):73-78 .DOI:10.1007/s40140-013-0013-x.
[10] 耿希华.早期护理干预对危重症患者获得性衰弱、独立功能状态的影响[J].中国临床护理,2016,8(4):277-279.DOI:10.3969/j.issn.1674-3768.2016.04.001.
[11] 周茜,耿亚琴,狄捷,等.器械拉力操预防ICU获得性衰弱效果研究[J].护理学杂志,2016,31(17):18-20.DOI:10.3870/j.issn.1001-4152.2016.17.018.
[12] 胡健,黄仲俊,尚卫明,等.电针穴位刺激结合关节松动训练对ICU患者独立功能状态的影响[J].湖北中医药大学学报,2017,19(3):86-89.DOI:10.3969/j.issn.1008-987x.2017.03.25.
[13] SARFATI C,MOORE A,PILORGE C,et al.Efficacy of early passive tilting in minimizing ICU-acquired weakness:a randomized controlled trial[J].Journal of Critical Care,2018,46(8):37-43.DOI:10.1016/j.jcrc.2018.03.031.
[14] 李大亮,唐国生.ICU早期康复治疗的研究进展[J].医学与哲学,2015,36(12B):54-57.
[15] 江方正,叶向红,吴莉莉,等.集束化功能锻炼管理预防ICU获得性肌无力病人脱机后再插管的效果[J].护理研究,2017,31(14):1780-1782.DOI:10.3969/j.issn.1009-6493.2017.14.036.
[16] 孙建兰,徐进步,丁玉琴.神经电刺激对ICU获得性衰弱的预防作用研究[J/OL].实用临床护理学电子杂志,2016,1(11):12-13.DOI:10.3969/j.issn.2096-2479.2016.11.008.
[17] 赵春红,蒋雅琼,曹丹.指压穴位刺激配合肢体功能锻炼预防ICU获得性衰弱的效果研究[J/OL].实用临床护理学电子杂志,2017,2(11):173-174.DOI:10.3969/j.issn.2096-2479.2017.11.133.
[18] 李馨,肖晨汐.电针治疗ICU获得性肌无力临床研究[J].山东中医杂志,2018,37(7):560-562.DOI:10.16295/j.cnki.0257-358x.2018.07.009.
[19] 黄梅英,林兰,林艳萍,等.指压穴位刺激配合肢体功能锻炼预防ICU获得性衰弱的效果研究[J].齐齐哈尔医学院学报,2016,37(13):1664-1666.
[20] 刘艳辉.ICU获得性肌无力应用胰岛素强化治疗的疗效观察[J].中国疗养学,2018,27(4):420-422.DOI:10.13517/j.cnki.ccm.2018.04.037.
[21] GIRBES A R,BEISHUIZEN A.Insulin therapy on intensive care should not be too intensive[J].Nederlands Tijdschrift Voor Geneeskunde,2009,153(1):A609.
[22] LISTED N.Introduction:the American Diabetes Association's(ADA) evidence-based practice guidelines,standards,and related recommendations and documents for diabetes care[J].Diabetes Care,2012,35(Suppl 1):S1-S2.DOI:10.2337/dc12-s001.
[23] COMPTON F,AHLBORN R,WEIDEHOFF T.Nurse-directed blood glucose management in a medical Intensive Care Unit[J].Critical Care Nurse,2017,37(3):30-40.DOI:10.4037/ccn2017922.
[24] 朱全伟,张泓.早期肠内营养对危重症患者免疫状态的影响[J].中国急救医学,2016,36(8):736-739.DOI:10.3969/j.issn.1002-1949.2016.08.015.
[25] 郑秋兰,张传来,范定容.ICU患者肠内营养相关性腹泻护理的研究进展[J].护理管理杂志,2017,17(9):640-643.
[26] 祝晓迎,刘蕾,何海燕,等.国内外ICU谵妄预防管理现状及对我国的启示[J].护理管理杂志,2017,17(4):260-263.
[27] 陈泓伯,刘俊,陈利钦,等.每日唤醒在ICU机械通气镇静患者中应用效果的meta分析[J].中华护理杂志,2014,49(9):1029-1034.DOI:10.3761/j.issn.0254-1769.2014.09.001.
[28] SKILLE O.Vibro Acoustic Therapy[J].Music Therapy,1989,8(1):61-77.DOI:10.1093/mt/8.1.61.
[29] 魏育林.来吧,我们一起听音乐[J].生命世界,2006(7):68-73.
[30] LATRONICO N,HERRIDGE M,HOPKINS R O,et al.The ICM research agenda on intensive care unit-acquired weakness[J].Intensive Care Medicine,2017,43(5):1-12.DOI:10.1007/s00134-017-4757-5.
[31] 张霞,江智霞,肖政,等.ICU获得性衰弱危险因素Meta分析[J].中国实用护理杂志,2016,32(5):390-394.DOI:10.3760/cma.j.issn.1672-7088.2016.05.020.
[32] 钟文,谢春光,高泓,等.糖尿病与肌少症关系研究新进展[J].中国糖尿病杂志,2017,25(7):662-665.DOI:10.3969/j.issn.1006-6187.2017.07.019.
[33] HERMANS G,BERGHE G V D.Clinical review:intensive care unit acquired weakness[J].Critical Care,2015,19(1):274.DOI:10.1186/s13054-015-0993-7.
[34] WEI X,DAY A G,OUELLETTE-KUNTZ H,et al.The association between nutritional adequacy and long-term outcomes in critically ill patients requiring prolonged mechanical ventilation:a multicenter cohort study[J].Critical Care Medicine,2015,43(8):1569-1579.DOI:10.1097/CCM.0000000000001000.
[35] PATEL B K,POHLMAN A S,HALL J B,et al.Impact of early mobilization on glycemic control and ICU-acquired weakness in critically ill patients who are mechanically ventilated[J].Chest,2014,146(3):583-589.DOI:10.1378/chest.13-2046.
[36] CASAER M P.Muscle weakness and nutrition therapy in ICU[J].Current Opinion in Clinical Nutrition & Metabolic Care,2015,18(2):162-168.DOI:10.1097/MCO.0000000000000150.
[37] 张霞,郝巍巍,郑喜兰,等.强化胰岛素治疗对ICU获得性衰弱的干预效果Meta分析[J].重庆医学,2016,45(11):1531-1533.DOI:10.3969/j.issn.1671-8348.2016.11.027.
[38] ANASTASOPOULOS D,KEFALIAKOS A,MICHALOPOULOS A.Is plasma calcium concentration implicated in the development of critical illness polyneuropathy and myopathy?[J].Critical Care,2011,15(5):R247.DOI:10.1186/cc10505.
[39] 陈舟匀,张其霞,戴震宇,等.血乳酸水平应用于ICU获得性衰弱的早期预测[J].温州医科大学学报,2017,47(1):71-73.DOI:10.3969/j.issn.2095-9400.2017.01.016.
[40] 谢云,王瑞兰.ICU获得性肌病的临床研究进展[J/OL].中华肺部疾病杂志(电子版),2015,8(1):84-85.DOI:10.3877/cma.j.issn.1674-6902.2015.01.025.
[41] 张莹,米元元.早期康复干预在预防ICU获得性衰弱中的研究进展[J].解放军护理杂志,2017,34(8):48-51.DOI:10.3969/j.issn.1008-9993.2017.08.010.
[42] 殷竞争,王雪晶,丁雪冰,等.ICU获得性衰竭及防治[J].中国实用神经疾病杂志,2014,17(23):47-49.DOI:10.3969/j.issn.1673-5110.2014.23.022.
[43] HERRIDGE M S,CHEUNG A M,TANSEY C M,et al.One-year outcomes in survivors of the acute respiratory distress syndrome[J].The New England Journal of Medicine,2003,348(8):683-693.
[44] 董小余,盛苗苗,方少样.ICU获得性衰弱对重症患者近远期预后的影响[J].护士进修杂志,2017,32(22):2025-2027.DOI:10.16821/j.cnki.hsjx.2017.22.004.
