Treatise
Based on the theory of treating impotence alone with Yang Ming to explore the intervention of finger-pressing therapy on ICU-acquired weakness in critically ill children
Liang Yuanqing, Zheng Yuting, Wang Chengcheng, Xu Bo, Zhou Lin, Zhang Guilan
Published 2023-09-01
Cite as Chin J Prac Nurs, 2023, 39(25): 1935-1941. DOI: 10.3760/cma.j.cn211501-20220902-02772
Abstract
ObjectiveTo explore the clinical feasibility of finger-pressing therapy based on the theory of treating impotence alone with Yang Ming to reduce incidence of ICU acquired weakness (ICU-AW) in critically ill children and provide a feasible nursing plan for ICU acquired asthenia in critically ill children.
MethodsA quasi-experimental study was conducted. A total of 73 critically ill children were admitted to the PICU of Kunming Children′s Hospital from January 1 to April 30, 2021. According to the random number table, the subjects were divided into the observation group (37 cases) and the control group (36 cases). Children in the control group received routine PICU nursing. The children in the observation group were treated with PICU routine nursing and finger-pressing therapy based on the theory of treating impotence alone with Yang Ming. The two groups were compared in terms of limb muscle strength score (MRC-Score), incidence of ICU-AW, basic activities of life (Barthel Index, BI), limb muscle thickness.
ResultsAfter intervention, the MRC-Score of the observation group was 50 (46, 52) points, which was higher than 46 (40, 48) points of the control group, and the difference between the two groups was statistically significant (Z=-3.70, P<0.05). The incidence of ICU-AW in the observation group was 32.43% (12/37), and the incidence of ICU-AW in the control group was 72.22% (26/36). The difference between the two groups was statistically significant (χ2=11.58, P<0.05). The BI score of the observation group was 63 (50, 70), which was higher than 44 (40,60) of the control group, and the difference between the two groups was statistically significant (Z=-3.94, P<0.05). The reduction degree of quadriceps femoris thickness in the observation group at D3-D1 was (-0.381 ± 0.131) cm, which was lower than (-0.762 ± 0.182) cm in the control group, and the difference between the two groups was statistically significant (t=10.29, P<0.05).
ConclusionsThe application of finger-pressing therapy guided by theory of treating impotence alone with Yang Ming in the early rehabilitation of critically ill children can enhance muscle strength, prevent muscle atrophy and reduce the incidence of ICU-AW in critically ill children.
Key words:
Rehabilitation nursing; Early intervention; Finger-pressing therapy; Critically ill children; ICU acquired weakness
Contributor Information
Liang Yuanqing
PICU, Kunming Children′s Hospital, Kunming 650103, China
Zheng Yuting
PICU, Kunming Children′s Hospital, Kunming 650103, China
Wang Chengcheng
PICU, Kunming Children′s Hospital, Kunming 650103, China
Xu Bo
PICU, Kunming Children′s Hospital, Kunming 650103, China
Zhou Lin
PICU, Kunming Children′s Hospital, Kunming 650103, China
Zhang Guilan
Nursing Department, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming 650500, China
