银川市ICU患者早期活动实施现状及影响因素的调查研究

doi:10.3761/j.issn.2096-7446.2025.03.004

Abstract

Abstract:

Objective To investigate the status quo of early mobilization implementation in ICU patients in Yinchuan city and analyze its influencing factors. Methods A total of 222 patients from 25 adult ICUs in 6 hospitals in Yinchuan，Ningxia were selected as subjects on January 5，2024 by convenience sampling method. A self-designed questionnaire was used to investigate the prevalence of early mobilization of ICU patients for one day. Results The rate of early mobilization in ICU patients was 25.7%，and the implementation rate of activity level was 61.4%. The primary and secondary bedridden active and passive activities were the main mobilization levels. Binary logistic regression analysis showed that the availability of rehabilitation therapists，length of stay in ICU，use of vasoactive drugs and respiratory support were the main factors affecting the implementation of early mobilization in ICU patients. Conclusion The implementation rate of early mobilization in ICU patients in Yinchuan city is low，and the level of activity implementation is low. In the future，it is necessary to further explore the formulation of nursery-led early mobilization program and family members’ participation in early activities of patients，so as to provide reference for improving the implementation rate and implementation level of early mobilization in ICU patients.

Key words: ICU, Early Mobilization, Route Cause Analysis, Time-Point Prevalence, Nursing Care

YANG Xingyu, WANG Ning, LI Guifang, YANG Hongxiao, WANG Jincong, LI Jiaying, YANG Qiuyan. Investigation on the implemtation status and influencing factors of early mobilization in ICU patients in Yinchuan[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 283-289.

Figures/Tables 4

References 29

[1]	Zhang S, Han Y, Xiao Q, et al. Effectiveness of bundle inter-ventions on ICU delirium:a meta-analysis[J]. Crit Care Med, 2021, 49(2):335-346. doi: 10.1097/CCM.0000000000004773 pmid: 33332818
[2]	Vanhorebeek I, Latronico N, Van den Berghe G. ICU-acquired weakness[J]. Intensive Care Med, 2020, 46(4):637-653. doi: 10.1007/s00134-020-05944-4 pmid: 32076765
[3]	Sakuramoto H, Nakamura K, Ouchi A, et al. Current practice and barriers to the implementation of mobilization in ICUs in Japan:a multicenter prospective cohort study[J]. J Clin Med, 2023, 12(12):3955.
[4]	Joseph B, Steier L. Bioluminescence and ventilator-associated pneumonia caused by oral biofilm in ICU during COVID-19-Is there a possible relationship?[J]. Med Hypotheses, 2022, 159:110760.
[5]	Krewulak KD, Stelfox HT, Leigh JP, et al. Incidence and preva-lence of delirium subtypes in an adult ICU:a systematic review and meta-analysis[J]. Crit Care Med, 2018, 46(12):2029-2035. doi: 10.1097/CCM.0000000000003402 pmid: 30234569
[6]	Suvajdzic M, Bihorac A, Rashidi P, et al. Virtual reality and human consciousness:the use of immersive environments in delirium therapy[J]. Technoetic Arts, 2018, 16(1):75-83. doi: 10.1386/tear.16.1.75_1 pmid: 33082715
[7]	Dean EA, Biehl M, Bash K, et al. Neuropsychiatric assessment and management of the ICU survivor[J]. Cleve Clin J Med, 2021, 88(12):669-679.
[8]	张琦. 临床运动疗法学[M]. 2版. 北京: 华夏出版社, 2014.
	Zhang Q. Therapeutic exercise clinical applications[M]. 2nd ed. Beijing: Huaxia Publishing House, 2014.
[9]	汪璐璐, 徐凤玲, 刘钢, 等. 机械通气患者早期肺康复分级方案的构建与应用研究[J]. 中华护理杂志, 2020, 55(8):1125-1132. doi: 10.3761/j.issn.0254-1769.2020.08.001
	Wang LL, Xu FL, Liu G, et al. Construction and preliminary application of early pulmonary rehabilitation grading scheme for patients with mechanical ventilation[J]. Chin J Nurs, 2020, 55(8):1125-1132. doi: 10.3761/j.issn.0254-1769.2020.08.001
[10]	国家卫生健康委印发《关于加强重症医学医疗服务能力建设的意见》的通知[EB/OL].(2024-04-01)[2024-06-20]. https://www.gov.cn/zhengce/zhengceku/202405/content_6949429.htm.
	The National Health Commission issued a notice on the “Opinions on Strengthening the Capacity Building of Critical Care Medical Services”[EB/OL].(2024-04-01)[2024-06-20]. https://www.gov.cn/zhengce/zhengceku/202405/content_6949429. htm.
[11]	Timenetsky KT, Neto AS, Assunção MSC, et al. Mobilization practices in the ICU:a nationwide 1-day point-prevalence study in Brazil[J]. PLoS One, 2020, 15(4):e0230971.
[12]	田刻平, 余晓, 张小红, 等. ICU医护人员对机械通气患者早期活动认知、态度及临床实践现况调查[J]. 中国护理管理, 2017, 17(9):1204-1208.
	Tian KP, Yu X, Zhang XH, et al. Investigation of the cogni-tion,attitudes and clinical practice of ICU medical staff on the early mobilization of patients with mechanical ventilation[J]. Chin Nurs Manag, 2017, 17(9):1204-1208.
[13]	Capell EL, Tipping CJ, Hodgson CL. Barriers to implementing expert safety recommendations for early mobilisation in inten-sive care unit during mechanical ventilation:a prospective observational study[J]. Aust Crit Care, 2019, 32(3):185-190.
[14]	李桂芳, 贾雪萍, 杨红晓, 等. 早期目标导向活动对机械通气患者短期预后的应用研究[J]. 宁夏医学杂志, 2024, 46(3):222-225.
	Li GF, Jia XP, Yang HX, et al. The application of early goal-directed activities to the short-term prognosis of mechanically ventilated patients[J]. Ningxia Med J, 2024, 46(3):222-225.
[15]	Alqahtani JS, Alahamri MD, Alqahtani AS, et al. Early mobili-zation of mechanically ventilated ICU patients in Saudi Ara-bia:results of an ICU-wide national survey[J]. Heart Lung, 2022, 56:167-174. doi: 10.1016/j.hrtlng.2022.07.010 pmid: 35933889
[16]	Black C, Sanger H, Battle C, et al. Feasibility of mobilisation in ICU:a multi-centre point prevalence study of mobility practices in the UK[J]. Crit Care, 2023, 27(1):217.
[17]	谢汶倚, 吴孟航, 唐荔, 等. 四川省ICU患者早期活动的实施现状调查及相关因素分析[J]. 中华现代护理杂志, 2020, 26(18):2446-2451.
	Xie WY, Wu MH, Tang L, et al. Current status and related factors of early mobility among ICU patients in Sichuan Province[J]. Chin J Mod Nurs, 2020, 26(18):2446-2451.
[18]	吴巧媚, 张利娟, 郑静霞. 广东省62家三级甲等医院ICU康复护理现状调查[J]. 护理学报, 2017, 24(20):34-37.
	Wu QM, Zhang LJ, Zheng JX. Rehabilitation nursing in ICU in 62 class Ⅲ grade Ⅰ hospitals in Guangdong Province[J]. J Nurs China, 2017, 24(20):34-37.
[19]	姚丽, 尹瑞元, 杨丽平, 等. 医务人员对ICU早期康复认知、态度及临床实践的现状调查[J]. 中国护理管理, 2020, 20(10):1475-1481.
	Yao L, Yin RY, Yang LP, et al. Investigation of the current situation of medical staff’s cognition,attitude and clinical practice of early rehabilitation in ICU[J]. Chin Nurs Manag, 2020, 20(10):1475-1481.
[20]	Raurell-Torredà M, Arias-Rivera S, Martí JD, et al. Degree of implementation of preventive strategies for post-ICU syn-drome:multi-centre,observational study in Spain[J]. Enferm Intensiva, 2019, 30(2):59-71. doi: S1130-2399(18)30052-X pmid: 29960855
[21]	魏丽丽, 韩斌如. 以护士为主导的早期活动方案在机械通气患者中的应用研究[J]. 中华护理杂志, 2019, 54(12):1765-1770. doi: 10.3761/j.issn.0254-1769.2019.12.001
	Wei LL, Han BR. Application of nurse-led early activity procedure in patients with mechanical ventilation[J]. Chin J Nurs, 2019, 54(12):1765-1770. doi: 10.3761/j.issn.0254-1769.2019.12.001
[22]	Hickmann CE, Castanares-Zapatero D, Bialais E, et al. Teamwork enables high level of early mobilization in critically ill patients[J]. Ann Intensive Care, 2016, 6(1):80. doi: 10.1186/s13613-016-0184-y pmid: 27553652
[23]	唐彩云. 三级综合医院非术科平均住院日影响因素分析[J]. 当代医学, 2018, 24(22):110-113.
	Tang CY. AnaIysis of lnfluence Factors of average length of stay ln the internal medicine of general third ciass comprehensive hospital[J]. Contemp Med, 2018, 24(22):110-113.
[24]	李常鑫, 罗陈娟, 邓宇琴. ICU早期离床活动现状及影响因素分析[J]. 黑龙江医学, 2024, 48(1):68-71.
	Li CX, Luo CJ, Deng YQ. Analysis of the current situation and influencing factors of early bed leaving activities in ICU[J]. Heilongjiang Med J, 2024, 48(1):68-71.
[25]	倪莹莹, 王首红, 宋为群, 等. 神经重症康复中国专家共识(下)[J]. 中国康复医学杂志, 2018, 33(3):264-268.
	Ni YY, Wang SH, Song WQ, et al. Expert consensus on reha-bilitation of severe neuropathy in China(Ⅱ)[J]. Chin J Reha-bil Med, 2018, 33(3):264-268.
[26]	杨丽平. ICU患者早期活动现状及影响因素分析[D]. 兰州: 兰州大学, 2018.
	Yang LP. Analysis on the current situation and influencing factors of early activities of ICU patients[D]. Lanzhou: Lan-zhou University, 2018.
[27]	Sarfati C, Moore A, Pilorge C, et al. Efficacy of early passive tilting in minimizing ICU-acquired weakness:a randomized controlled trial[J]. J Crit Care, 2018, 46:37-43. doi: S0883-9441(18)30108-4 pmid: 29660670
[28]	Kwakman RCH, Voorn EL, Horn J, et al. Steps to recovery:body weight-supported treadmill training for critically ill patients:a randomized controlled trial[J]. J Crit Care, 2022, 69:154000.
[29]	Balas MC, Devlin JW, Verceles AC, et al. Adapting the ABCDEF bundle to meet the needs of patients requiring prolonged mechanical ventilation in the long-term acute care hospital setting:historical perspectives and practical implications[J]. Semin Respir Crit Care Med, 2016, 37(1):119-135.

Investigation on the implemtation status and influencing factors of early mobilization in ICU patients in Yinchuan

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 4

References 29

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	ZHU Dongping, SHAO Peng, QIAO Yuehua, WANG Haixia, ZHANG Weiying. Application and effect evaluation of relocation stress nursing program for family members of patients with severe traumatic brain injury transferred from ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 261-267.
[2]	ZHANG Zijing, ZHENG Jianhuang, CHEN Yuzhen, JIANG Zhizhao, KANG Zhenzhen, ZHANG Longyu. The application effect of acute gastrointestinal injury graded management scheme in mechanical ventilated patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 268-274.
[3]	HE Shasha, WANG Zhimin, JIANG Dandan, LIU Jing, TAN Caixia, ZOU Licheng. Construction and applicability analysis of whole-process nursing plan from pre-hospital first aid to in-hospital rehabilitation for emergency severe trauma patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 275-282.
[4]	CHEN Yi, FANG Yaping, MOU Junjie, AI Zhongping, SU Zhonglin, LIU Dan, ZHU Dairong, LIU Li, HUANG Yanfang. Development and testing the reliability and validity of the Knowledge，Attitude，and Practice（KAP） Questionnaire for the Nursing Care of Vasoactive Agents Infusions [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 317-322.
[5]	ZHOU Jun, LI Shuaini, ZHU Shengnan, ZHU Jihua. Postoperative care of children with end-stage heart failure undergoing the implantation of left ventricular assist devices [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 335-338.
[6]	SU Yichao, HU Xiaoli, LI Qiufang. Research progress and prospect of intestinal microecological adjustment strategies in early life of premature Infants [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 372-375.
[7]	YE Xianghong, YUAN Mengmei, CHEN Xinmei, PAN Lifei, ZHUANG Minling. Construction and effect evaluation of ICU delirium grading management plan based on combined delirium prediction models [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 133-138.
[8]	LI Xin, LI Zhangshuangzi, CUI Anni, XU Aoran, HAN Yaxian. Effectiveness of targeted temperature management in patients with cardiac arrest：an overview of systematic reviews [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 173-180.
[9]	MA Shilin, ZHENG Donglian, BAO Jintao, JI Shuangdui, HUANG Doudou, MI Guangli. The translation of Nurses’ Intuition Patient Deterioration Scale and its application in emergency patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 194-200.
[10]	YANG Jing, LIU Huan, DU Aiping, YIN Wanhong, TIAN Yongming. Nursing care of a patient with complex diffuse cervical arteriovenous malformation involving the airway causing difficulty in extubation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 207-209.
[11]	CHEN Xia, HUANG Aoli, ZHU Xujing, HU Min, YANG Qiaozhen, FENG JieHui. Perioperative evidence-based care practice for patients with implantable left ventricular assist devices [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 210-213.
[12]	HE Xiaodi, KONG Minjian, WANG Yike, CHEN Yuaner, LAN Meijuan. Research progress in the application of nutritional assessment and management in the treatment of patients with left ventricular assist device implantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 247-251.
[13]	LI Xiangyun, WANG Jie, LIU Chang, CHEN Jiaxin, JIN Lei, JIN Yi, CAO Xiuzhu, ZHAO Linfang. The comparison of blood collection via different peripheral venous catheters in surgical patients with obesity combined with metabolic syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 10-16.
[14]	JING Chenyang, JI Li, CHEN Shan, HE Guobao, WANG Tuohong, FAN Luo. The application of multidisciplinary team diagnosis and treatment model in emergency patients：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 114-119.
[15]	DENG Yuyang, DUAN Shijie, ZHANG Xiaoyan, LUO Lin, DING Lei, CHEN Shanshan. Research progress on fatigue management in patients with long COVID syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 120-123.