中华护理杂志 ›› 2025, Vol. 60 ›› Issue (19): 2413-2418.DOI: 10.3761/j.issn.0254-1769.2025.19.017
蔡盛源, 褚君卿, 乔文博, 任雅钰, 翁美玲, 董真源, 周飞飞, 高春华(
)
收稿日期:2025-03-12
出版日期:2025-10-10
发布日期:2025-09-26
通讯作者:
高春华,E-mail:1194016@zju.edu.cn作者简介:蔡盛源:男,本科,护士,E-mail:2766220170@qq.com
基金资助:
CAI Shengyuan, CHU Junqing, QIAO Wenbo, REN Yayu, WENG Meiling, DONG Zhenyuan, ZHOU Feifei, GAO Chunhua(
)
Received:2025-03-12
Online:2025-10-10
Published:2025-09-26
摘要:
精确的活动剂量管理在ICU患者早期康复的临床实践中至关重要。目前尚缺乏早期活动剂量相关的临床实践指南,在一定程度上阻碍了ICU患者早期活动的实施与发展。该文围绕ICU患者早期活动剂量的定义、评估工具、实施现状及对未来护理的启示4个方面进行综述,旨在系统梳理ICU患者早期活动剂量的评估工具与干预策略,为优化早期活动方案提供参考。
蔡盛源, 褚君卿, 乔文博, 任雅钰, 翁美玲, 董真源, 周飞飞, 高春华. ICU患者早期活动剂量评估与实践的研究进展及护理启示[J]. 中华护理杂志, 2025, 60(19): 2413-2418.
CAI Shengyuan, CHU Junqing, QIAO Wenbo, REN Yayu, WENG Meiling, DONG Zhenyuan, ZHOU Feifei, GAO Chunhua. Research progress and nursing implications on the dose of early mobilization in ICU[J]. Chinese Journal of Nursing, 2025, 60(19): 2413-2418.
| [1] |
何曼曼, 江智霞, 王颖, 等. 成人ICU转出患者健康相关生活质量的研究进展[J]. 中华护理杂志, 2021, 56(1):148-154.
DOI |
|
He MM, Jiang ZX, Wang Y, et al. Research progress on health related quality of life in adult ICU discharged patients[J]. Chin J Nurs, 2021, 56(1):148-154.
DOI |
|
| [2] |
韦秀霞, 张秀伟, 彭剑英, 等. 国外ICU后综合征研究进展[J]. 中华护理杂志, 2016, 51(1):84-89.
DOI |
| Wei XX, Zhang XW, Peng JY, et al. Research progress on post ICU syndrome abroad[J]. Chin J Nurs, 2016, 51(1):84-89. | |
| [3] | Wang BL, He XQ, Tian SJ, et al. Influence of early multidisci plinary collaboration on prevention of ICU-acquired weakness in critically ill patients[J]. Dis Markers, 2022, 2022:3823368. |
| [4] | 高春华, 冯洁惠, 尹慧芳, 等. ICU机械通气患者早期运动方案的制订及安全管理[J]. 中华护理杂志, 2012, 47(9):810-812. |
| Gao CH, Feng JH, Yin HF, et al. Formulating the plan of early exercise and safety management of mechanically ventilated patients in ICU[J]. Chin J Nurs, 2012, 47(9):810-812. | |
| [5] | Study Investigators and the ANZICS Clinical Trials Group Team, Hodgson CL, Bailey M, et al. Early active mobilization during mechanical ventilation in the ICU[J]. N Engl J Med, 2022, 387(19):1747-1758. |
| [6] | Liu H, Tian YM, Jiang BT, et al. Early mobilisation practice in intensive care units:a large-scale cross-sectional survey in China[J]. Nurs Crit Care, 2023, 28(4):510-518. |
| [7] | Linke CA, Chapman LB, Berger LJ, et al. Early mobilization in the ICU:a collaborative,integrated approach[J]. Crit Care Ex-plor, 2020, 2(4):e0090. |
| [8] | Hodgson CL, Schaller SJ, Nydahl P, et al. Ten strategies to op-timize early mobilization and rehabilitation in intensive care[J]. Crit Care, 2021, 25(1):324. |
| [9] | 钟优, 顿耀山, 魏文哲, 等. 心血管运动医学指南[J]. 中国循环杂志, 2024, 39(10):937-955. |
| Zhong Y, Dun YS, Wei WZ, et al. Cardiovascular medicine of sports and exercise guidelines[J]. Chin Circ J, 2024, 39(10):937-955. | |
| [10] | Slade SC, Dionne CE, Underwood M, et al. Consensus on exer-cise reporting template(CERT):explanation and elaboration statement[J]. Br J Sports Med, 2016, 50(23):1428-1437. |
| [11] | Hoffman M, Clerckx B, Janssen K, et al. Early mobilization in clinical practice:the reliability and feasibility of the ‘start to move’ protocol[J]. Physiother Theory Pract, 2022, 38(7):908-918. |
| [12] | Major ME, Kwakman R, Kho ME, et al. Surviving critical ill-ness:what is next?An expert consensus statement on phy-sical rehabilitation after hospital discharge[J]. Crit Care, 2016, 20(1):354. |
| [13] |
Borg GA. Perceived exertion:a note on “history” and methods[J]. Med Sci Sports, 1973, 5(2):90-93.
PMID |
| [14] | Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory,musculoskeletal,and neuromotor fitness in apparently healthy adults:guidance for prescribing exercise[J]. Med Sci Sports Exerc, 2011, 43(7):1334-1359. |
| [15] | Liu HC, Yang WP, Liu HY, et al. A meta-analysis of the cri-terion-related validity of Session-RPE scales in adolescent athletes[J]. BMC Sports Sci Med Rehabil, 2023, 15(1):101. |
| [16] |
Fragala-Pinkham M, O’Neil ME, Lennon N, et al. Validity of the OMNI rating of Perceived Exertion Scale for children and adolescents with cerebral palsy[J]. Dev Med Child Neurol, 2015, 57(8):748-753.
DOI PMID |
| [17] | Gauthier N, Reynolds L, Curran T, et al. FORCE risk stratifi-cation tool for pediatric cardiac rehabilitation and fitness programs[J]. Pediatr Cardiol, 2023, 44(6):1302-1310. |
| [18] | McBride MG, Burstein DS, Edelson JB, et al. Cardiopulmonary rehabilitation in pediatric patients with congenital and acqui-red heart disease[J]. J Cardiopulm Rehabil Prev, 2020, 40(6):370-377. |
| [19] |
Herrmann SD, Willis EA, Ainsworth BE, et al. 2024 adult com-pendium of physical activities:a third update of the energy costs of human activities[J]. J Sport Health Sci, 2024, 13(1):6-12.
DOI PMID |
| [20] | Shimizu N, Kanai M, Ota T. Oxygen consumption and meta-bolic equivalents during physical activities in stroke:a syste-matic review[J]. Physiother Res Int, 2025, 30(2):e70029. |
| [21] |
Tipping CJ, Bailey MJ, Bellomo R, et al. The ICU Mobility Scale has construct and predictive validity and is responsive. A multicenter observational study[J]. Ann Am Thorac Soc, 2016, 13(6):887-893.
DOI PMID |
| [22] |
Kasotakis G, Schmidt U, Perry D, et al. The Surgical Intensive Care Unit Optimal Mobility Score predicts mortality and length of stay[J]. Crit Care Med, 2012, 40(4):1122-1128.
DOI PMID |
| [23] | 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. |
| [24] |
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.
DOI PMID |
| [25] | 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. |
| [26] | Mart MF, Wesley Ely E. Early mobilization in the ICU and diabetes:a bittersweet concoction?[J]. Am J Respir Crit Care Med, 2024, 210(6):703-705. |
| [27] | Mou C, Wang ZH, Ke ZF. Association between physical acti-vity and multimorbidity:a population-based cohort study[J]. Arch Public Health, 2025, 83(1):71. |
| [28] | Broadley T, Serpa Neto A, Bailey M, et al. Adverse events during and after early mobilisation:a post hoc analysis of the TEAM trial[J]. Aust Crit Care, 2025, 38(3):101156. |
| [29] | Serpa Neto A, Bailey M, Seller D, et al. Impact of high-dose early mobilization on outcomes for patients with diabetes:a secondary analysis of the TEAM trial[J]. Am J Respir Crit Care Med, 2024, 210(6):779-787. |
| [30] |
Bernhardt J, Churilov L, Ellery F, et al. Prespecified dose-res-ponse analysis for A Very Early Rehabilitation Trial(AVERT)[J]. Neurology, 2016, 86(23):2138-2145.
DOI PMID |
| [31] | Paton M, Lane R, Paul E, et al. Mobilization during critical illness:a higher level of mobilization improves health status at 6 months,a secondary analysis of a prospective cohort study[J]. Crit Care Med, 2021, 49(9):e860-e869. |
| [32] | Cuthbertson BH. The faltering evidence base for early reha-bilitation[J]. Am J Respir Crit Care Med, 2023, 208(1):7-8. |
| [33] |
van Delft LM, Valkenet K, Slooter AC, et al. Family participa-tion in physiotherapy-related tasks of critically ill patients:a mixed methods systematic review[J]. J Crit Care, 2021, 62:49-57.
DOI PMID |
| [34] | Fuest KE, Ulm B, Daum N, et al. Clustering of critically ill patients using an individualized learning approach enables dose optimization of mobilization in the ICU[J]. Crit Care, 2023, 27(1):1. |
| [35] | Prabhu RKR, Swaminathan N, Harvey LA. Passive movements for the treatment and prevention of contractures[J]. Cochrane Database Syst Rev, 2013, 2013(12):CD009331. |
| [36] |
Kamdar BB, Kadden DJ, Vangala S, et al. Feasibility of con-tinuous actigraphy in patients in a medical intensive care unit[J]. Am J Crit Care, 2017, 26(4):329-335.
DOI PMID |
| [37] |
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.
DOI |
|
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.
DOI |
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