Study on the correlation of stage early upright mobilization in critical patients and enteral nutrition-related tolerance

Abstract

Objective To explore the correlation of stage early upright mobilization in critical patients and enteral nutrition-related tolerance. Methods A total of 50 critically patients with continuous enteral nutrition who admitted in ICU from October 2016 to July 2017 were randomized into two groups; the control group (receiving routine functional exercise in bed) and the observation group (stage early upright mobilization) 25 cases in each group, the correlation of nutrition-related tolerance, the length of target feeding time and incidence of catheter related adverse events were compared. Results There was no statistically significant difference in the incidence of reflux of stomach, aspiration, diarrhea and catheter related adverse events in this two group patients during enteral nutrition (P > 0.05), while the times of interrupting enteral nutrition in the observation group (0) was lower than that of the control group (20.83%, 5/24), with a statistically significant difference (χ2=4.922, P=0.035). The length of target feeding time was shortened, (3.04 ± 0.66) d in the control group, (3.57 ± 0.83) d in the observation group,with a statistically significant difference (t=2.409, P=0.025). Conclusions Stage early upright mobilization in critical patients is safe and feasible, it can improve the feeding tolerance and shorten the length of target feeding time to promote the early recovery of the patient′s disease. Key words: Critical illness; Early mobilization; Enteral nutrition; Tolerance