ICU获得性衰弱早期运动干预的最佳证据总结

doi:10.3761/j.issn.2096-7446.2022.04.005

Abstract

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

JI Yunlan, XU Xujuan, ZHOU Shuixin, XUE Huipin, WANG Lingli, ZHANG Jimei, ZHU Qin. Summary of the best evidence on early excercise for ICU-acquired weakness[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(4): 319-325.

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

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