Abstract：Objective To explore the application effect of hierarchical management in bedside wheelchair for severe pneumonia patients in ICU.Methods A total of 82 patients with severe pneumonia in our hospital from June 2017 to May 2018 were selected.According to the order of admission, the odd number of patients with severe pneumonia were treated as the experimental group, and the double number were the control group, 41 cases in each group.The experimental group was included in the study after using hierarchical classification criteria, the control group was included in the study after using nurses to evaluate their activity ability independently.The success rate of wheelchair, the effect of early exercise, the change of negative emotions and nursing satisfaction were observed in the two groups.Results The success rate of wheelchair in the experimental group was higher than that in the control group.The difference was statistically significant (χ2=5.51, P＜0.05).Barthel index score, quality of life scale (SAQ)-activity limitation score were compared with the control group at the time of transfer, there was no significant difference (P＞0.05).The Barthel index score and the SAQ-activity limitation score of the experimental group were higher than those of the control group at exit, and the differences were statistically significant (P＜0.05).The self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score of the experimental group compared with those of the control group at the time of transfer,there was no significant difference (P＞0.05).The SAS score and SDS score of the experimental group at exit were lower than those of the control group and the differences were statistically significant (P＜0.05).The total satisfaction of nursing in the experimental group was higher than that in the control group, the difference was statistically significant (χ2=3.90, P＜0.05).Conclusion The implementation of early activity programs such as bedside wheelchair can decrease the anxiety and depression of patients with severe pneumonia in ICU, and improve the early activity function of patients and raise the satisfaction of nursing, which is worth promoting.
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