Early functional exercise to prevent adult ICU acquired weakness：a system review

doi:10.3761/j.issn.0254-1769.2021.08.024

Abstract

Abstract:

ICU acquired weakness affects the recovery of critically ill patients and the quality of life after discharge. Early functional exercise can reduce the incidence of ICU acquired weakness and promote the recovery of patients. In this article,the necessity of early functional exercise for ICU patients is described firstly. Secondly,the assessment of early functional exercise is also summarized,including the specific contents of the initial and continuous assessment of early functional exercise. Besides,the current status and problems of the research on the implementation of early functional exercise,including progressive functional exercise and goal-oriented functional exercise,are reviewed. Lastly,the impediments to the implementation of early functional exercise are analyzed,and the corresponding countermeasures are proposed. The purpose of this study is to provide a reference for clinical and nursing staff to implement early functional exercise effectively and safely.

Key words: Critical Illness, Frailty, Functional Exercise, Muscular Atrophy, Nursing Care, Review

摘要：

ICU获得性衰弱影响危重症患者病情恢复及出院后的生活质量,早期功能锻炼能降低ICU患者获得性衰弱发生率,促进其康复。该文阐述了ICU患者早期功能锻炼的必要性;总结了早期功能锻炼的评估,包括初始评估、持续评估的具体内容;综述了早期功能锻炼实施方案,包括渐进式功能锻炼、目标导向功能锻炼的研究现状;分析了早期功能锻炼的阻碍因素,并提出相应对策,旨在为ICU医护人员有效、安全地开展早期功能锻炼提供参考。

关键词: 危重病, 衰弱, 功能锻炼, 肌萎缩, 护理, 综述

XU Lu,JIANG Zhixia,LU Xin,WANG Ying,ZHANG Fang. Early functional exercise to prevent adult ICU acquired weakness：a system review[J]. Chinese Journal of Nursing, 2021, 56(8): 1267-1271.

胥露,江智霞,鲁鑫,王颖,张芳. 早期功能锻炼预防ICU获得性衰弱的研究进展[J]. 中华护理杂志, 2021, 56(8): 1267-1271.

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