ICU ICU ICU ICU ICU 143.

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ICU ICU 100 2 (APACHE ) 8 7d 5d ; 2 7 (P<0.01 P<0.05); 7 14 (P<0.01 P<0.05); 14 (P<0.05); (CD4/CD8) 3 7 14 (P<0.01); ICU (P<0.

1 ICU ICU (APACHE ) 8 7d 5d ; 2 7 (P<0.01 P<0.05); 7 14 (P<0.01 P<0.05); 14 (P<0.05); (CD4/CD8) (P<0.01); ICU (P<0.01) : ; ; Effect of early exercise on the rehabilitation of critically ill patients in the surgical intensive care unit/ye Xiang-hongJIANG Fang-zhengZHENG Tao-huaPENG Nan-haiLI Wei-qin//Chinese Journal of Nursing (2):143. Abstract Objective To evaluate the effects of bedside exercise therapeutic equipment in the rehabilitation of critically ill patients in the surgical intensive care unit (SICU). Methods One-hundred critically ill patients in SICU who were allowed to take functional exercise in bed were randomly divided into two groups. The patients' APACHE score were 8 and were expected to be in bed for more than seven days. The patients in the experimental group performed exercise using a self-designed bedside exercise therapeutic equipment and achieved to the target amount of exercise within five dayswhile the patients in the control group performed routine exercise. Results No significant differences were found in the body weight between the two groups before and after exercise(p>0.05). Compared with the control groupthe muscle content and skeleton muscle in the experimental group were significantly higher after taking exercise for 7 days(p<0.01 or P<0.05);the fat contentmoisture of trunk and limbs in the experimental group were significantly lower after taking exercise for 7 days and 14 days (P<0.01 or P<0.05); the serum albumin level in the experimental group was significantly higher after taking exercise for 14 days(p<0.05);the immunity index(cd4/cd8) in the experimental group started to increase since the third dayand increased markedly after taking exercise for 7 days and 14 days(p<0.01). Moreoverthe mechanical ventilation time and ICU stays in the experimental group were significantly shorter than those of the control group. Conclusion The bedside exercise therapeutic equipment can facilitate the patients to take active functional exercise in beds. It is simple to operate and easy to masterwhich saves the workload of nurses and helps to fasten the recovery of critically ill patients. Key words Exercise Movement Techniques; Rehabilitation; Critical Care First-author's address Nanjing General Hospital of Nanjing Military Command Nanjing210002China [1] ICU ICU [1-2] DOI: /j.issn ( : ); [3] ( : ) : : njzyantol@hotmail.com : icuyz@126.com

49 1 2014 49 2 2010 1 2 3 4 1 1.1 2011 2 2012 5 ICU 100 :1 18~75 (APACHE ) 8 ; 2 7d ;3 1.2.2 50 2 2 : 2 60~90 130~140 2 ICU 24~48h : 115 kj/(kg d) 0.25~0.39g/(kg d) 30 2 20~30min/ ; 2 15min 1.2 1.2.1 30 1.

2 ICU 100 :1 18~75 (APACHE ) 8 ; 2 7d ; : 2 60~90 130~140 2 ICU 24~48h : 115 kj/(kg d) 0.25~0.39g/(kg d) ~30min/ ; 2 15min ( 1) DVD ( S20) 70% 20% 180mmHg(1mmHg=0.133kPa) 20% DVD 4. 20~30min/ 2 /d 1.3 ( [1] 90% ) 5 10~15min (2 /d 4 ) 3~5min : (CD4/CD8) : ICU ; 3 : ; 2 ; : 1.4 SPSS x±s t 1 144

3 P< ; CD4/ APACHE ( 3) CD ICU ( 4) ( 2) ICU t (n=50) (n=50) ( ) ( ) 45.40± ± APACHE 14.52± ±4.13 (m) (kg) (kg/m 2 ) (g/l) 1.70± ± ± ± ± ± ± ±3.52 (g/l) ± ± ) χ 2 P ) ICU ICU [5] 2~3 [3] [6] [7] ICU 2 70% 20% 180mmHg 100mmHg 90% (n=50) (n=50) F F F (%x±s) 42.56± ± ±9.14 1) 44.01±8.69 1) 40.25± ± ± ± ) ± ± ±5.96 2) 24.88±5.90 1) 24.07± ± ± ± ) ± ± ±6.51 2) 12.68±6.54 1) 13.13± ± ± ± ) ± ± ±2.93 2) 14.80±2.57 1) 15.72± ± ± ± ) ± ± ±3.96 2) 12.78±3.90 1) 14.21± ± ± ± ) ) P<0.01;2) P<0.05;3)P<

4 (x±s) ICU (d) (kg) (g/l) CD4/CD ±11.30 (n=50) ± ± ± ± ± ± ± ±3.40 1) 34.28± ± ±0.59 1) 1.87±0.51 2) 2.18±0.43 2) 0.84±0.52 Chris [1] (n=50) ± ± ± ± ± ±0.46 [11] ± ± ±0.51 F F F ) ) ) ) P<0.05;2) P<0.01;3)P<0.05 [8] IgG 4 n 50 2 ICU ICU (d) 9.32±3.30 1) ±4.30 t χ P (d) (d) 7.92± ±2.91 1) 9.02± ± ) P<0.01;2) P<0.05 (%) 2 2) DVD ICU CD4/CD ICU ( ) ( ) 7 [8] ICU 3.2 ICU? Lee [9] [1] Chris BBeatrix CChristophe Ret al. Early exercise in critically ill patients enhances short- term functional recovery [J]. Crit Care Med20099(37): [2] Polly BGeorge ETVicki JS. Early activity is feasible and safe in respiratory failure patients[j].crit Care Costill [10] Med200735(1): [3] [J] (1):

16 4 ; ; Experiences of patients' self care after coronary stent implantation during transitional period:a qualitative study/wu QingXUE Xiao-lingYANG Xiao-fangMA Fang-qinLU Jue//Chinese Journal of

5 16 4 ; ; Experiences of patients' self care after coronary stent implantation during transitional period:a qualitative study/wu QingXUE Xiao-lingYANG Xiao-fangMA Fang-qinLU Jue//Chinese Journal of Nursing (2):147. Abstract Objective To understand the experiences of patients' self care after coronary stent implantation during transitional period. Methods The phenomenological methodology was used in the study. Sixteen patients after coronary stent implantation were interviewed. Results Four themes were extracted:selfcare deficiency during transition periodexpecting support and care from family and societypoor compliance after discharge and desire to achieve self-worth. Conclusion Medical staff and institutions should provide professional guidance for the patients after coronary stent implantation to improve their self-care efficacy. Key words Coronary Disease; Self Care; Qualitative Research First-author s address The First Affiliated of School UniversitySuzhou215006China : 3 [1] [2] 2~3 DOI: /j.issn : ( ); ( ) : xuexiaolin@sohu.com : qwu@suda.edu.cn [4]. [8]. mtor/p70s6k 1 [J] (1): [5] Gruther WBenesch TZorn Cet al. Muscle wasting in intensive care patients:ultrasound observation of the M. quadriceps femoris muscle layer[j]. J Rehabil Med200840(3): [6] Bailey PThomsen GESpuhler VJet al. Early activity is feasible and safe in respiratory failure patients[j].crit Care Med (1): [7] Gosselink RBott JJohnson Met al. Physiotherapy for adult patients with critical illness:recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients[J].Intensive Care Medicine200834(19): [3]!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! [J] (24): [9] Lee IM. Dose-response relation between physical activity and fitness:even a little is good;more is better[j]. JAMA (19): [10] Costill DLWilmore JH.Physiology of sport and exercise [J]. Applied PhysiologyNutritionand Metabolism (1): [11]. [J] (8): ( ) 147

prolonged bed rest and inactivity EARLY REHABILITATION IN THE ICU:

prolonged bed rest and inactivity EARLY REHABILITATION IN THE ICU: Mortality and ARDS EARLY REHABILITATION IN THE ICU: MOVE IT or LOSE IT Progress of Intensive Care Medicine has resulted in significantly improved survival of cri:cally ill pa:ents. Rik Gosselink Dept Rehabilita>on