Evidence summary of early mobilization in awake patients on extracorporeal membrane oxygenation
10.3761/j.issn.0254-1769.2024.03.014
- VernacularTitle:体外膜肺氧合清醒患者早期活动的最佳证据总结
- Author:
Jiangshuyuan LIANG
1
;
Fei ZENG
;
Meijuan LAN
;
Peipei GU
;
Lingyun CAI
;
Luyao GUO
;
Yan ZHU
;
Ge GUO
Author Information
1. 310000 杭州市 浙江大学医学院附属第二医院护理部
- Keywords:
Extracorporeal Membrane Oxygenation;
Awake;
Early Mobilization;
Nursing;
Evidence Summary
- From:
Chinese Journal of Nursing
2024;59(3):345-352
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarize the best evidence of early mobilization in awake patients on extracorporeal membrane oxygenation,and to provide a reference for clinical practice.Methods UpToDate,BMJ Best Practice,Registered Nurses'Association of Ontario,National Guideline Clearinghouse,National Institute for Health and Care Excellence,Yimaitong,Joanna Briggs Institute Library,Cochrane Library,CINAHL,PubMed,SinoMed,CNKI,Wanfang Database,Vip Database and Extracorporeal Life Support Organization Website were researched to collect the literature,including clinical guidelines,expert consensuses,evidence summaries,systematic reviews,and well-designed original studies.The time limit for retrieval was until June 2023.The quality of literature and the level of evidence were evaluated by the evaluation criteria and evidence grading system of J BI Evidence-Based Health Care Center.Results 14 pieces of the literature were included,including 2 clinical guidelines,4 expert consensuses,5 systematic reviews,2 cohort studies and 1 case series.Totally 33 pieces of evidence were summarized,covering 7 aspects:adaptation conditions for the implementation of awake ECMO,team composition,comprehensive assessment,pre-mobilization preparation,mobilization content,prevention and control of adverse events,and effect evaluation.Conclusion The study summarizes the best evidence of early mobilization in awake patients on extracorporeal membrane oxygenation.It is suggested that medical institutions establish a professional team for the early mobilization of awake ECMO patients,apply the best evidence to standardize the early mobilization process,and formulate an individualized mobilization program.
