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 >

2022 , Vol. 3 >Issue 4: 319 - 325

DOI: https://doi.org/10.3761/j.issn.2096-7446.2022.04.005

早期康复护理专题

ICU获得性衰弱早期运动干预的最佳证据总结

  • 吉云兰 ,
  • 徐旭娟 ,
  • 周水鑫 ,
  • 薛慧萍 ,
  • 王伶俐 ,
  • 张季梅 ,
  • 朱琴
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  • 226001 南通市 南通大学附属医院急诊重症医学科
吉云兰：女,硕士,副主任护师,E-mail：845217496@qq.com

收稿日期: 2022-03-16

  网络出版日期: 2022-07-07

基金资助

南通市市级科技计划（指导性）项目（NO.MSZ20028）

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Summary of the best evidence on early excercise for ICU-acquired weakness

  • JI Yunlan ,
  • XU Xujuan ,
  • ZHOU Shuixin ,
  • XUE Huipin ,
  • WANG Lingli ,
  • ZHANG Jimei ,
  • ZHU Qin
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Received date: 2022-03-16

  Online published: 2022-07-07

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摘要

目的 总结ICU获得性衰弱（intensive care unit acquired weakness,ICU-AW）早期运动干预的最佳证据。方法 计算机检索UpToDate、乔安娜布里格斯研究所（Joanna Briggs Institution,JBI）循证卫生保健中心数据库、BMJ Best Practice、美国指南网、英国国家卫生与临床优化研究所、苏格兰院际指南网、加拿大安大略注册护士协会、Cochrane Library、Embase、PubMed、OVID、CINAHL、中国生物医学文献数据库、中国知网、万方数据库、维普数据库关于ICU-AW早期运动干预的文献,包括指南、系统评价、最佳实践信息册、证据总结、专家共识,检索时限为建库至2021年10月,并对纳入文献进行质量评价。结果 共纳入相关文献10篇,包括4篇指南、3篇专家共识、1篇最佳实践建议、2篇系统综述。最终形成25条最佳证据,包括评估、多学科合作、适应证、禁忌证、干预前准备、干预方案、安全监测及干预后评价8个方面。结论 该研究为ICU-AW早期运动干预提供了循证依据,在临床应用中还需结合患者情况及专业判断,合理应用证据,从而有效预防ICU-AW,改善患者预后。

关键词： 重症监护病房; ICU获得性衰弱; 早期运动; 循证护理学

本文引用格式

吉云兰 , 徐旭娟 , 周水鑫 , 薛慧萍 , 王伶俐 , 张季梅 , 朱琴 . ICU获得性衰弱早期运动干预的最佳证据总结[J]. 中华急危重症护理杂志, 2022 , 3(4) : 319 -325 . DOI: 10.3761/j.issn.2096-7446.2022.04.005

Abstract

Objective To summarize the best evidence of early exercise intervention for ICU acquired weakness （ICU-AW）. Methods A computer search was performed on UpToDate,Joanna Briggs Institution（JBI） Database of Evidence-Based Health Care Centre,BMJ Best Practice,US Guidelines Network,National Institute for Health and Clinical Excellence（NICE）,Scottish Inter-hospital Guidelines Network,Ontario Registered Nurses Association,Coch-rane Library,Embase,PubMed,OVID,CINAHL,Chinese Biomedical Literature Database,CNKI,Wanfang Database and VIP Database on early ICU-AW exercise intervention,including guidelines,systematic reviews,best practice information volume,evidence summary,expert consensus. The retrieval period was from the database establishment to October 2021,and the quality of the included literature were evaluated. Results A total of 10 related literature were included,including 4 guidelines,3 expert consensus,1 best practice recommendation,and 2 systematic reviews. Finally,25 best evidences were formed,including evaluation,multidisciplinary cooperation,indications,contraindications,pre-intervention preparation,intervention plan,safety monitoring and post-intervention evaluation. Conclusion This study provides an evidence for early ICU-AW exercise intervention. In clinical application,reasonable application of evidence should be combined with patient situation and professional judgment,so as to effectively prevent ICU-AW and improve the prognosis of patients.

Key words： Intensive Care Units; ICU-acquired Weakness; Early Mobilization; Evidence-based Nursing

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