1. Effect of Sitting Baduanjin exercise on early rehabilitation of sepsis patients with non-invasive ventilation : a randomized controlled trial.
- Author
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Chen, Ming-Gui, Wang, Fangfang, Huang, Lixia, Qi, Tingjie, Guo, Hanhua, Zeng, Rui-Xiang, Li, Xiaoyan, Chen, Haizhen, Zhang, Min-Zhou, Guo, Liheng, and Zhang, Xiaoxuan
- Subjects
PNEUMONIA-related mortality ,COST control ,REPEATED measures design ,EARLY medical intervention ,RESEARCH funding ,ACADEMIC medical centers ,T-test (Statistics) ,HEALTH status indicators ,EXERCISE therapy ,STATISTICAL sampling ,QUESTIONNAIRES ,KRUSKAL-Wallis Test ,FISHER exact test ,HOSPITAL care ,TREATMENT effectiveness ,RANDOMIZED controlled trials ,TREATMENT duration ,DESCRIPTIVE statistics ,CHI-squared test ,MANN Whitney U Test ,HEART failure ,HOSPITAL mortality ,MUSCLE strength ,SITTING position ,SEPSIS ,ARTIFICIAL respiration ,INTENSIVE care units ,ANALYSIS of variance ,LENGTH of stay in hospitals ,BARTHEL Index ,COMPARATIVE studies ,PSYCHOLOGICAL tests ,DATA analysis software ,CONFIDENCE intervals ,ACTIVITIES of daily living ,RANGE of motion of joints ,APACHE (Disease classification system) ,MEDICAL care costs - Abstract
Background: For patients with sepsis receiving non-invasive ventilation (NIV), early rehabilitation is crucial. The Sitting Baduanjin (SBE) is an efficient early rehabilitation exercise suitable for bed patients. There is no consensus about the effect of SBE on the early rehabilitation of septic patients with NIV. This study focused on how the SBE affected the early rehabilitation of sepsis patients with NIV. Methods: 96 sepsis patients with NIV were randomly assigned to either an Baduanjin group that received the SBE based on the routine rehabilitation exercise (n = 48) or a control group (n = 48) that received routine rehabilitation exercise. The primary outcome was the Medical Research Council(MRC)score, and the Barthel Index score, the duration of NIV, length of ICU stay, length of total stay, hospitalization expense as secondary outcomes. Results: A total of 245 sepsis patients were screened, with 96 randomly assigned. The study was completed by 90 patients out of the 96 participants.Results revealed that the MRC score increased in both groups, but the improvement of muscle strength in Baduanjin group was more obvious, with statistical significance (p < 0.001).There was statistically significantly difference between the two groups in Barthel Index at the day of transfer out of ICU(P = 0.028).The patients in the Baduanjin group had an average reduction of 24.09 h in the duration of NIV and 3.35 days in total length of hospital stay compared with the control group (p < 0.05).Of note, the Baduanjin group had significantly reduction the total hospitalization expense. No serious adverse events occurred during the intervention period. Conclusions: In patients with sepsis, the SBE appears to improve muscle strength and activities of daily living (ADL), and lowed the duration of NIV, the length of the total stay, and the hospitalization expense. Trial registration: The study registered on the Chinese Clinical Trial Registry (www.chictr.org.cn), Clinical Trials identifier ChiCTR1800015011 (28/02/2018). [ABSTRACT FROM AUTHOR]
- Published
- 2024
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