To construct an early rehabilitation nursing program for critically ill patients driven by digital twin technology and multi-dimensional assessment,and to verify its clinical value in improving muscle strength and ICU-acquired weakness(ICU-AW).
Early rehabilitation nursing program for critically ill patients driven by digital twin technology was developed using the modified Delphi method,establishing a 4-level intelligent rehabilitation plan centered on real-time Medical Research Council(MRC) muscle strength assessment scores.A total of 120 patients admitted to the emergency intensive care unit(EICU) of our hospital from January 2024 to March 2025 were randomly divided into an observation group and a control group,60 cases each.Patients in the control group received a graded rehabilitation plan based on the conventional care process,while those in the observation group received the early rehabilitation nursing program for critically ill patients driven by digital twin technology.The MRC score,Barthel Index,improvement rate of ICU-AW,mechanical ventilation time,oxygenation index,adverse event rate,and serum albumin level were compared between two groups.
After the intervention,the MRC score,Barthel Index,improvement rate of ICU-AW,oxygenation index,and serum albumin level in the observation group were better than those in the control group.The mechanical ventilation time was shorter.The adverse event rate was lower(all P<0.05).
The constructed early rehabilitation nursing program for critically ill patients driven by digital twin technology could achieve dynamic and precise intervention as well as intelligent early warning,improve the patient's muscle strength,reduce the risk of ICU-AW,and provide an intelligent solution for critically ill patients' rehabilitation.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |