Abstract：【Objective】To investigate the application effect of evidence-based specialist nurse guidance on early respiratory muscle training in patients with mechanical ventilation in intensive care unit (ICU). 【Methods】A total of 160 patients with mechanical ventilation in ICU who were treated in Henan Provincial People's Hospital from April 2023 to June 2024 were selected. Among them, 80 patients with mechanical ventilation in ICU who underwent routine rehabilitation training from April 2023 to October 2023 were included in Group B. From February 2024 to June 2024, 80 patients with mechanical ventilation in ICU who implemented early respiratory muscle training under the guidance of evidence-based specialist nurses were included in group A. The recovery status, respiratory muscle function [maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP)], grip strength, muscle strength classification score, disease severity, the occurrence of adverse events, and mechanical ventilation withdrawal were compared in the two groups.【Results】The mechanical ventilation time, ICU stay and total hospital stay in group A were shorter than those in group B (P<0.05). After the intervention, MEP, MIP, grip strength and MRC muscle strength rating in group A were higher than those in group B (P<0.05), acute physiological and chronic health status Ⅱ (APACHEⅡ) scores were lower than those in group B (P<0.05). The incidence of acquired asthenia, respiratory related pneumonia and delirium in ICU in group A was lower than that in group B, and the success rate of mechanical ventilation withdrawal was higher than that in group B (P<0.05). 【Conclusion】Early respiratory muscle training guided by evidence-based specialist nurses can improve the respiratory muscle function, enhance the muscle strength of patients with mechanical ventilation in ICU, reduce the risk of adverse events of mechanical ventilation, and promote the recovery of patients.
刘翠翠, 邢焕民, 赵珊珊, 朱世超. 循证化专科护士指导早期呼吸肌训练在ICU机械通气患者中的应用效果*[J]. 医学临床研究, 2025, 42(4): 571-574.
LIU Cuicui, XING Huanmin, ZHAO Shanshan, et al. Application Effect of Evidence-Based Specialist Nurse Guidance on Early Respiratory Muscle Training in Patients with Mechanical Ventilation in ICU. JOURNAL OF CLINICAL RESEARCH, 2025, 42(4): 571-574.
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2025, Vol. 42 
