ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 3: 379 - 384

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.03.022

综述

危重症患者坐立转换功能锻炼的研究进展

  • 许秀梅 ,
  • 王晨 ,
  • 王雅萍 ,
  • 张耀文 ,
  • 朱亚琴 ,
  • 肖佩华 ,
  • 李莉
展开
  • 1 苏州市第九人民医院重症医学科 苏州市 215200
    2 黎里镇金家坝卫生院 苏州市 215215
    3 苏州市第九人民医院护理部 苏州市 215200
许秀梅：女，硕士，护师，E-mail：2511491552@qq.com
*李莉，E-mail：954790758@qq.com

收稿日期: 2025-04-11

  网络出版日期: 2026-03-02

基金资助

南京医科大学教育研究课题(2023ZC117)

收起

Research progress on sit-to-stand transition functional training in critically ill patients

  • XU Xiumei ,
  • WANG Chen ,
  • WANG Yaping ,
  • ZHANG Yaowen ,
  • ZHU Yaqin ,
  • XIAO Peihua ,
  • LI Li
Expand
  • 1 Department of Critical Care Medicine， Suzhou Ninth People’s Hospital， Suzhou 215200， China
    2 Jinjia Ba Health Center， Lili Town， Suzhou 215215， China
    3 Nursing Department， Suzhou Ninth People’s Hospital， Suzhou 215200， China

Received date: 2025-04-11

  Online published: 2026-03-02

Supported by

Nanjing Medical University Education Research Project(2023ZC117)

Fold

摘要

坐立转换是危重症患者身体功能康复过程中的关键环节，其功能障碍严重影响患者的康复进程和预后。该文对坐立转换功能在危重症患者身体康复中的核心价值、危重症患者实施坐立转换功能锻炼前的系统评估、干预策略及效果评价等内容进行综述，旨在为危重症患者坐立转换功能锻炼的临床实践提供参考，目前坐立转换功能锻炼标准化方案有待构建和完善。

关键词： 危重病护理; 坐立转换; 身体锻炼; 综述文献专题

本文引用格式

许秀梅 , 王晨 , 王雅萍 , 张耀文 , 朱亚琴 , 肖佩华 , 李莉 . 危重症患者坐立转换功能锻炼的研究进展[J]. 中华急危重症护理杂志, 2026 , 7(3) : 379 -384 . DOI: 10.3761/j.issn.2096-7446.2026.03.022

Abstract

Sit-to-stand is a critical step in the physical rehabilitation process for critically ill patients，and its dysfunction severely affects the patient’s recovery process and prognosis. This article reviews the core value of sit-to-stand function in the physical rehabilitation of critically ill patients，systematic assessment of critically ill patients prior to implementing sit-to-stand function training，intervention strategies，and outcome evaluation，with the aim of providing reference for clinical practice in the function training for critically ill patients. Currently，standardized protocols for sit-to-stand training have yet to be developed and refined.

Key words： Critical Care Nursing; Sit-to-Stand; Exercise Movement Techniques; Review Literature as Topic

参考文献

[1] Ohtake PJ, Lee AC, Scott JC, et al. Physical impairments asso-ciated with post-intensive care syndrome:systematic review based on the World Health Organization’s international classi-fication of functioning,disability and health framework[J]. Phys Ther, 2018, 98(8):631-645.
[2] Siao SF, Wang TG, Ku SC, et al. Inability to sit-to-stand in medical ICUs survivors:when and why we should care[J]. Crit Care Med, 2024, 52(12):1828-1836.
[3] Thomas S, Burridge JH, Pohl M, et al. Recovery of sit-to-stand function in patients with intensive-care-unit-acquired muscle weakness:results from the general weakness syndrome therapy cohort study[J]. J Rehabil Med, 2016, 48(9):793-798.
[4] O’Grady HK, Edbrooke L, Farley C, et al. The sit-to-stand test as a patient-centered functional outcome for critical care re-search:a pooled analysis of five international rehabilitation studies[J]. Crit Care, 2022, 26(1):175.
[5] Mao YR, Wu XQ, Zhao JL, et al. The crucial changes of sit-to-stand phases in subacute stroke survivors identified by move-ment decomposition analysis[J]. Front Neurol, 2018, 9:185.
[6] 刘瑞平, 钱蕾, 刘燕燕, 等. 有跌倒史老年人坐立运动过程中的肌肉协同分析[J]. 中国临床解剖学杂志, 2024, 42(2):196-200.
  Liu RP, Qian L, Liu YY, et al. Muscle synergy analysis during the sit-to-stand movement in elderly individuals with a history of falling[J]. Chin J Clin Anat, 2024, 42(2):196-200.
[7] Schenkman M, Berger RA, Riley PO, et al. Whole-body move-ments during rising to standing from sitting[J]. Phys Ther, 1990, 70(10):638-648;discussion648-651.
[8] Hirschfeld H, Thorsteinsdottir M, Olsson E. Coordinated ground forces exerted by buttocks and feet are adequately program-med for weight transfer during sit-to-stand[J]. J Neurophysiol, 1999, 82(6):3021-3029.
[9] 江智霞, 林凤芝. ICU患者早期活动及其阻碍因素的研究进展[J]. 中华急危重症护理杂志, 2020, 1(6):508-511.
  Jiang ZX, Lin FZ. Research on early mobilization in ICU patients and analysis of barriers[J]. Chin J Emerg Crit Care Nurs, 2020, 1(6):508-511.
[10] 陈蒿, 罗旋, 余培琳, 等. 基于循证的ICU机械通气病人目标导向早期活动方案的构建[J]. 护理研究, 2024, 38(18):3209-3217.
  Chen H, Luo X, Yu PL, et al. Construction of evidence-based goal-directed early mobilization program for patients with mechanical ventilation in ICU[J]. Chin Nurs Res, 2024, 38(18):3209-3217.
[11] 成晶, 梁敏, 陈琼, 等. 渐进式早期活动方案在ICU机械通气患者中的应用[J]. 中国护理管理, 2024, 24(10):1481-1486.
  Cheng J, Liang M, Chen Q, et al. Implementation of the progressive early activity plan in ICU patients undergoing mechanical ventilation[J]. Chin Nurs Manag, 2024, 24(10):1481-1486.
[12] Schujmann DS, Teixeira Gomes T, Lunardi AC, et al. Impact of a progressive mobility program on the functional status,res-piratory,and muscular systems of ICU patients:a randomized and controlled trial[J]. Crit Care Med, 2020, 48(4):491-497.
[13] Hodgson CL, Stiller K, Needham DM, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults[J]. Crit Care, 2014, 18(6):658.
[14] 赵福华, 袁萍, 闫莉枞, 等. 早期目标导向活动方案在机械通气患者中的应用[J]. 中国护理管理, 2025, 25(4):529-534.
  Zhao FH, Yuan P, Yan LZ, et al. Application of early goal-directed mobilization protocol in mechanically ventilated patients[J]. Chin Nurs Manag, 2025, 25(4):529-534.
[15] De Melo TA, Silva Guimar?es F, Lapa E Silva JR. The five times sit-to-stand test:safety,validity and reliability with critical care survivors’s at ICU discharge[J]. Arch Physiother, 2022, 13(1):2.
[16] Egger M, Finsterh?lzl M, Buetikofer A, et al. Balance function in critical illness survivors and evaluation of psychometric properties of the Mini-BESTest[J]. Sci Rep, 2024, 14:12089.
[17] Parry SM, Denehy L, Beach LJ, et al. Functional outcomes in ICU-what should we be using?-an observational study[J]. Crit Care, 2015, 19(1):127.
[18] 何玲英, 黄丽华, 张月丽. 佩尔梅危重患者活动评分量表的汉化及信效度检测[J]. 护理与康复, 2017, 16(11):1144-1148.
  He LY, Huang LH, Zhang YL. Chinesization on Perme Inten-sive Care Unit Mobility Scale and assessment on its reliabi-lity and validity[J]. J Nurs Rehabil, 2017, 16(11):1144-1148.
[19] 吴雨晨. 切尔西物理功能评估量表的汉化与临床应用[D]. 兰州: 兰州大学, 2020.
  Wu YC. Sinicization and clinical application of Chelsea Physical Function Assessment Scale[D]. Lanzhou: Lanzhou Uni-versity, 2020.
[20] 刘明月, 方芳, 杨富. ICU患者早期康复评估工具的临床应用进展[J]. 中国康复医学杂志, 2024, 39(2):299-303.
  Liu MY, Fang F, Yang F. Clinical application progress on early rehabilitation assessment tools in ICU patients[J]. Chin J Rehabil Med, 2024, 39(2):299-303.
[21] Wu TT, Su QP, Xiong J, et al. Reliability and validity of the Chinese version of the Functional Status Score for the ICU(FSS-ICU) after translation and cross-cultural adaptation[J]. Disabil Rehabil, 2025, 47(5):1324-1331.
[22] 刘明月, 方芳, 赵丽莉. ICU患者身体功能测试评分量表的汉化及信效度检验[J]. 中华现代护理杂志, 2022, 28(26):3530-3534.
  Liu MY, Fang F, Zhao LL. The Chinese version of the Physical Function Intensive Care Test Score and its reliability and validity[J]. Chin J Mod Nurs, 2022, 28(26):3530-3534.
[23] Reid JC, Clarke F, Cook DJ, et al. Feasibility,reliability,respon-siveness,and validity of the patient-reported functional scale for the intensive care unit:a pilot study[J]. J Intensive Care Med, 2020, 35(12):1396-1404.
[24] 吕露露, 张雪静. 三级医院ICU重症患者早期活动现状及障碍因素调查[J]. 护理学杂志, 2020, 35(10):31-34.
  Lü LL, Zhang XJ. Early mobilization of critically ill patients in the ICU of tertiary hospitals and its barriers[J]. J Nurs Sci, 2020, 35(10):31-34.
[25] Jayachandran B, Venkatesan K, Tan SBC, et al. Feasibility of combining functional mobilisation with resistance and endu-rance training for mechanically ventilated patients in inten-sive care unit setting-a pilot study[J]. J Clin Med, 2024, 13(8):2412.
[26] Campos DR, Bueno TBC, Anjos JSGG, et al. Early neuromus-cular electrical stimulation in addition to early mobilization improves functional status and decreases hospitalization days of critically ill patients[J]. Crit Care Med, 2022, 50(7):1116-1126.
[27] 范定容, 周恒宇, 蔡莹, 等. 神经肌肉电刺激对急性重症胰腺炎合并ARDS患者肌肉力量改善效果评估[J]. 陆军军医大学学报, 2024, 46(22):2539-2546.
  Fan DR, Zhou HY, Cai Y, et al. Efficacy assessment for NMES in improving muscle strength in patients with SAP complicated by ARDS[J]. J Army Med Univ, 2024, 46(22):2539-2546.
[28] 李若祎. 超早期床旁功率自行车活动对机械通气患者ICU获得性衰弱的预防效果研究[D]. 北京: 北京协和医学院, 2021.
  LI RY. Effect of very early bedside cycling exercise on ICU-acquired weakness in critically ill patients with mechanical ventilation[D]. Beijing: Peking Union Medical College, 2021.
[29] Suzuki G, Kanayama H, Arai Y, et al. Early mobilization using a mobile patient lift in the ICU:a randomized controlled trial[J]. Crit Care Med, 2024, 52(6):920-929.
[30] 王文巧, 赵红梅. 重症监护病房康复智慧化平台[J]. 中华结核和呼吸杂志, 2023, 46(11):1051-1054.
  Wang WQ, Zhao HM. Intelligent rehabilitation platform in in-tensive care unit[J]. Chin J Tubere Respir Dis, 2023, 46(11):1051-1054.
[31] 夏艳玲, 潘文彦, 赵洋洋, 等. 虚拟现实技术在ICU患者早期活动中的应用研究[J]. 中华护理杂志, 2023, 58(9):1050-1055.
  Xia YL, Pan WY, Zhao YY, et al. Application of virtual reality technology in early activities of ICU patients[J]. Chin J Nurs, 2023, 58(9):1050-1055.
Options
文章导航

/

〈 〉