ICU患者早期离床活动安全评估工具的研究进展及护理启示

doi:10.3761/j.issn.2096-7446.2026.11.020

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (11): 1398-1402.doi: 10.3761/j.issn.2096-7446.2026.11.020

ICU患者早期离床活动安全评估工具的研究进展及护理启示

郭力华(), 褚君卿, 蔡盛源, 周飞飞, 姚丽萍, 詹慧伟, 乔文博, 任雅钰, 董真源, 高春华^*()

浙江大学医学院附属第一医院护理部杭州市 310003

收稿日期:2025-11-21 出版日期:2026-11-10 发布日期:2026-11-06
通讯作者: *高春华，E-mail：3175275116@qq.com
作者简介:郭力华：女，本科，主管护师，E-mail：409153011@qq.com
作者贡献声明
郭力华：论文撰写；褚君卿、高春华：论文选题、整体设计；蔡盛源、詹慧伟：文献检索；周飞飞、姚丽萍、董真源：专业指导；乔文博、任雅钰：论文修改
基金资助:
浙江省医药卫生科技计划项目(2025KY807)

Research progress and nursing implications of safety assessment tools for early mobilization in ICU patients

GUO Lihua(), CHU Junqing, CAI Shengyuan, ZHOU Feifei, YAO Liping, ZHAN Huiwei, QIAO Wenbo, REN Yayu, DONG Zhenyuan, GAO Chunhua^*()

Department of Nursing， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310003， China.

Received:2025-11-21 Online:2026-11-10 Published:2026-11-06
Contact: *GAO Chunhua，E-mail：3175275116@qq.com
Supported by:
Medical Science and Technology Project of Zhejiang Province(2025KY807)

摘要/Abstract

摘要：

ICU患者早期离床活动是指以“离床”为高阶目标的功能性活动，是重症康复的重要环节。该文综述了ICU患者早期离床活动安全评估相关工具的应用现状，包括安全性评估、神经功能配合度、肌力、动态平衡能力等，介绍了各工具的核心评估维度、临床适配场景及应用局限。根据工具应用现状提出针对性护理启示，为临床精准选择评估工具、构建标准化离床活动方案提供参考，但安全评估体系仍需进一步优化及完善。

关键词: 重症监护病房, 早期活动, 安全评估, 危重病护理, 综述文献专题

Abstract:

Early mobilization in ICU patients refers to functional activities aimed at “getting out of bed” as a high-level goal and is a crucial component of intensive care rehabilitation. This article reviews the current application status of safety assessment tools related to early mobilization in ICU patients，including safety assessment，neurological function cooperation，muscle strength，and dynamic balance ability. It introduces the core assessment dimensions，clinical application scenarios，and limitations of each tool. Based on the current application status of these tools，targeted nursing implications are proposed to provide a reference for the precise selection of assessment tools and the development of standardized mobilization protocols in clinical practice. However，the safety assessment system still requires further optimization and improvement.

Key words: Intensive Care Units, Early Mobilization, Safety Assessment, Critical Care Nursing, Review Literature as Topic

郭力华, 褚君卿, 蔡盛源, 周飞飞, 姚丽萍, 詹慧伟, 乔文博, 任雅钰, 董真源, 高春华. ICU患者早期离床活动安全评估工具的研究进展及护理启示[J]. 中华急危重症护理杂志, 2026, 7(11): 1398-1402.

GUO Lihua, CHU Junqing, CAI Shengyuan, ZHOU Feifei, YAO Liping, ZHAN Huiwei, QIAO Wenbo, REN Yayu, DONG Zhenyuan, GAO Chunhua. Research progress and nursing implications of safety assessment tools for early mobilization in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(11): 1398-1402.

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ICU患者早期离床活动安全评估工具的研究进展及护理启示

Research progress and nursing implications of safety assessment tools for early mobilization in ICU patients

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