Chinese Journal of Emergency and Critical Care Nursing >
Application of ceiling lifts in early mobilization for ventilated ICU patients
Objective To evaluate the effects of ceiling lifts on early mobilization in ventilated ICU patients. Methods A total of 104 ventilated patients admitted to the ICU of a tertiary class A hospital in Hangzhou from March 2023 to November 2023 were enrolled and randomized into the experimental group（n=52） and the control group（n=52）. The experimental group received ceiling lift-based early mobilization，while the control group received conventional early mobilization. Outcomes were compared between the two groups，including initiation time to first bedside sitting and standing，average daily mobilization dosage，incidence of ICU-acquired weakness，duration of mechanical ventilation，length of ICU stay，safety，as well as patients’ and nurses’ experiences with early mobilization. Results Compared with the control group，the experimental group showed significantly earlier first bedside sitting and standing，higher average daily mobilization dosage，lower ICU-acquired weakness incidence，and greater satisfaction among patients and nurses（all P<0.05）. No significant differences were observed in duration of mechanical ventilation，length of ICU stay，or early mobilization-related adverse events（P>0.05）. Conclusion Ceiling lifts facilitate earlier out-of-bed mobilization，increase daily mobilization dosage，reduce ICU-acquired weakness，and improve satisfaction among patients and nurses，offering a novel strategy for high-quality rehabilitation in ventilated ICU patients.
CHEN Xiangping , ZHU Mingyue , GONG Xiaoyan , LAO Yuewen , CHEN Li , SUI Weijing , ZHUANG Yiyu . Application of ceiling lifts in early mobilization for ventilated ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(12) : 1496 -1502 . DOI: 10.3761/j.issn.2096-7446.2025.12.016
| [1] | Fazzini B, M?rkl T, Costas C, et al. The rate and assessment of muscle wasting during critical illness:a systematic review and meta-analysis[J]. Crit Care, 2023, 27(1):2. |
| [2] | Yu LR, Jia WJ, Tian WM, et al. Optimal timing for early mobi-lization initiatives in intensive care unit patients:a systematic review and network meta-analysis[J]. Intensive Crit Care Nurs, 2024,82:103607. |
| [3] | Scheffenbichler FT, Teja B, Wongtangman K, et al. Effects of the level and duration of mobilization therapy in the surgical ICU on the loss of the ability to live independently:an inter-national prospective cohort study[J]. Crit Care Med, 2021, 49(3):e247-e257. |
| [4] | Watanabe S, Morita Y, Suzuki S, et al. Effects of the intensity and activity time of early rehabilitation on activities of daily living dependence in mechanically ventilated patients[J]. Prog Rehabil Med, 2021,6:20210054. |
| [5] | 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. | |
| [6] | Fontela PC, Forgiarini LA Jr, Friedman G. Clinical attitudes and perceived barriers to early mobilization of critically ill patients in adult intensive care units[J]. Rev Bras Ter Inten-siva, 2018, 30(2):187-194. |
| [7] | Yun J, Baek Y, Yun R, et al. A multicenter survey identifying the status of early rehabilitation in intensive care units in Korea[J]. Ann Phys Rehabil Med, 2025, 68(2):101908. |
| [8] | 吴弦光, 陈迪, 荀芳, 等. 发展康复事业促进实现“健康中国2030”目标[J]. 中国康复理论与实践, 2022, 28(1):6-14. |
| Wu XG, Chen D, Xun F, et al. Development of rehabilitation undertakings to achieve the “Healthy China 2030” goals[J]. Chin J Rehabil Theory Pract, 2022, 28(1):6-14. | |
| [9] | 杨玉洁, 李若祎, 李尊柱, 等. 患者安全搬运和移动计划在ICU患者早期活动中的应用进展[J]. 中国护理管理, 2021, 21(4):628-632. |
| Yang YJ, Li RY, Li ZZ, et al. Progress in the application of the SPHM program in the early mobility of ICU patients[J]. Chin Nurs Manag, 2021, 21(4):628-632. | |
| [10] | McWilliams D, Atkins G, Hodson J, et al. The Sara Combili-zerR as an early mobilisation aid for critically ill patients:a prospective before and after study[J]. Aust Crit Care, 2017, 30(4):189-195. |
| [11] | Hodgson C, Needham D, Haines K, et al. Feasibility and inter-rater reliability of the ICU mobility scale[J]. Heart Lung, 2014, 43(1):19-24. |
| [12] | 丁楠楠, 姚丽, 张志刚, 等. ICU机械通气患者早期目标导向康复锻炼安全标准的系统评价[J]. 中华危重病急救医学, 2019(1):91-97. |
| Ding NN, Yao L, Zhang ZG, et al. Safety criteria for early goal-oriented rehabilition exercise in patients undergoing mechanical ventilation in intensive care unit:a systematic review[J]. Chin Crit Care Med, 2019(1):91-97. | |
| [13] | Abdul Halim NSS, Ripin ZM, Ridzwan MIZ. Effects of patient transfer devices on the risk of work-related musculoskeletal disorders:a systematic review[J]. Int J Occup Saf Ergon, 2023, 29(2):494-514. |
| [14] | 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. |
| [15] | 张川林, 张泽菊, 米洁, 等. ICU活动量表的汉化及信效度研究[J]. 护理学杂志, 2019, 34(10):46-48. |
| Zhang CL, Zhang ZJ, Mi J, et al. Translation of the ICU mobility scale into Chinese and validation[J]. J Nurs Sci, 2019, 34(10):46-48. | |
| [16] | Paternostro-Sluga T, Grim-Stieger M, Posch M, et al. Reliability and validity of the Medical Research Council(MRC) scale and a modified scale for testing muscle strength in patients with radial palsy[J]. J Rehabil Med, 2008, 40(8):665-671. |
| [17] | Kindred JH, Finetto C, Cash JJ, et al. Standing neurophysiolo-gical assessment of lower extremity muscles post-stroke[J]. J Vis Exp, 2021(173):10.3791/62601. |
| [18] | González-Seguel F, Letelier-Bernal R. Early mobilization dose reporting in randomized clinical trials with patients who were mechanically ventilated:a scoping review[J]. Phys Ther, 2024, 104(6):pzae048. |
| [19] | Parry SM, Knight LD, Connolly B, et al. Factors influencing physical activity and rehabilitation in survivors of critical illness:a systematic review of quantitative and qualitative studies[J]. Intensive Care Med, 2017, 43(4):531-542. |
| [20] | Nordon-Craft A, Moss M. The future for early mobilization clinical trials? lessons from the business world with hype curves and shrinking the change strategies[J]. Crit Care Med, 2024, 52(6):987-989. |
| [21] | 亚洲急危重症协会中国腹腔重症协作组. 重症急性胰腺炎镇痛治疗中国专家共识(2022版)[J]. 中华消化外科杂志, 2022, 21(12):1499-1509. |
| Chinese Abdominal Intensive Care Association of Asia Emergency and Critical Care Medicine Society. Chinese expert consensus on analgesic treatment of severe acute pancreatitis (2022 edition)[J]. Chin J Dig Surg, 2022, 21(12):1499-1509. | |
| [22] | Kayser SA, Wiggermann NE, Kumpar D. Factors associated with safe patient handling practice in acute care and its relation-ship with patient mobilization:a cross-sectional study[J]. Int J Nurs Stud, 2020,104:103508. |
| [23] | Rice MS, Woolley SM, Waters TR. Comparison of required operating forces between floor-based and overhead-mounted patient lifting devices[J]. Ergonomics, 2009, 52(1):112-120. |
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