Management of early mobilization in intensive care units:a multicenter cross-sectional study

作     者：Yan-Ping Zhu Li-Xia Xia Guo-Hong Li 

作者机构：Intensive Care Units Zhongda Hospital Southeast University Department of Nursing Jiangsu Provincial Hospital Department of Nursing Zhongda HospitalSoutheast University 

出 版 物：《Frontiers of Nursing》 (护理前沿（英文）)

年 卷 期：2018年第5卷第4期

页      面：291-299页

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 0401[教育学-教育学] 1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：early mobilization critical care critically ill patients management clinical practice 

摘      要：Objective: The aim of this study was to assess the management of early mobilization(EM) in Chinese intensive care units(ICUs).Methods: This survey used a cross-sectional, observational design. A total of 65 tertiary and secondary hospitals were enrolled by convenience sampling and investigated using self-designed questionnaires.Results: We identified 69 ICUs in Jiangsu, China(response rate: 94.2%). 74.2%(1,004/1,353) of the nurses and nursing managers from 65 ICUs reported mobility practice. For the mobility level, 98.1%(1,327) reported use of in-bed exercise, 5.7%(77) sitting on a side of bed, 21.7%(294) transfer to chair, and 2.4%(33) walking. The most frequently reported barriers to early mobility were unplanned extubation, nursing resource, and absence of physical therapist. Nurses educational backgrounds, nursing experience, the lack of nursing resources, absence of physician, and the weakness of patient were the factors that influenced ICU early rehabilitation(P0.01).Conclusions: Although implementation rates for EM in critically ill patients are high, the activity level is generally poor in most of the involved ICUs.