Current status and related factors of early mobility among ICU patients in Sichuan Province
10.3760/cma.j.cn115682-20191231-04852
- VernacularTitle:四川省ICU患者早期活动的实施现状调查及相关因素分析
- Author:
Wenyi XIE
1
;
Menghang WU
;
Li TANG
;
Yongming TIAN
Author Information
1. 四川大学华西医院呼吸与危重症医学科RICU，成都 610041；四川大学华西护理学院，成都 610041
- Keywords:
Intensive care unit;
Early mobility;
Survey and research
- From:
Chinese Journal of Modern Nursing
2020;26(18):2446-2451
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the popularization and practice ofearly mobility idea in Intensive Care Units (ICUs) in Sichuan Province.Methods:Based on literature review, we designed the Early Mobility Implementation Questionnaires for ICU patients by ourselves. We selected ICUs at 103 ClassⅡ Grade A and above hospitals in 18 cities, Sichuan Province, to carry out the survey.Results:There were statistical differences in different levels hospitals whether it was from an affiliated hospital of a university, with different numbers of beds and bed utilization rates ( P<0.05) . Among 70 ICUs that developed the early mobility, there were statistical differences in early mobility implementation of patients in the ICU whether to form a special team, whether to conduct a written evaluation for patients, whether to sign the early mobility informed consent and whether there was an emergency plan ( P<0.05) . Between ICUs with early mobility of ICU patients and standard plan, and ICUs without early mobility, single factor Logistic regression analysis showed that the influencing factors of early mobility implementation of ICU patients included the numbers of beds, nurse-bed ratios, bed utilization rates, equipping with rehabilitation therapists and respiratory therapists, implementing the daily interruption as well as sedation score with statistical differences ( P<0.05) ; between ICUs with early mobility of ICU patients and without standard plan, and ICUs without early mobility, the influencing factors of early mobility implementation of ICU patients included the nurse-bed ratios, equipping with rehabilitation therapists and respiratory therapists and implementing the daily interruption with statistical differences ( P<0.05) . Multivariate Logistic regression analysis indicated that the influencing factors of early mobility implementation with standard plan were the nurse-bed ratios, bed utilization rates, equipping with rehabilitation therapists and respiratory therapists with statistical differences ( P<0.05) ; the influencing factors of early mobility implementation without standard plan were the nurse-bed ratios, equipping with rehabilitation therapists and respiratory therapists with statistical differences ( P<0.05) . Conclusions:The implementation rate of early mobility in ICU is still insufficient in Sichuan Province, and implementation quality is no ideal. We should further explore the relevant issues, such as multidisciplinary cooperation as well as human resource allocation, and improve the early mobility forms, strengthen the evidence-based clinical practice and formulate a scheme suitable for China.
