Best evidence summary for diaphragm rehabilitation in ICU patients with mechanical ventilation
10.3969/j.issn.1671-8348.2025.07.026
- VernacularTitle:ICU机械通气患者膈肌康复的最佳证据总结
- Author:
Dong XIANG
1
;
Yuanyuan MI
;
Wei WU
;
Xiaojie WU
;
Zhuoya ZHANG
;
Jun LEI
;
Yuanting HE
;
Haiyan HUANG
Author Information
1. 华中科技大学同济医学院附属协和医院重症医学科,武汉 430022;华中科技大学同济医学院护理学院,武汉 430030
- Keywords:
intensive care units;
diaphragm;
mechanical ventilation;
evidence summary;
rehabilitation
- From:
Chongqing Medicine
2025;54(7):1679-1685,1692
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the best evidence for diaphragm rehabilitation in mechanically ven-tilated ICU patients with ventilator-associated diaphragm dysfunction based on evidence-based methods.Meth-ods A systematic search was conducted across guideline websites,professional associations,and Chinese/English databases for evidence regarding diaphragm rehabilitation in mechanically ventilated ICU patients.The search timeframe spanned from database inception to December 31,2024.Two researchers independently per-formed quality assessment and synthesized the evidence.Results Twenty articles were included:2 clinical de-cisions,1 guideline,2 evidence summaries,3 systematic reviews,7 randomized controlled trials(RCT),and 5 expert consensuses/opinions.Twenty-seven pieces of evidence were formed across 6 themes:rehabilitation team,rehabilitation assessment,rehabilitation interventions,outcome evaluation,precautions,and education/training.Conclusion This study summarizes the best evidence for diaphragm rehabilitation in ICU mechani-cally ventilated patients.Healthcare professionals should implement diaphragm rehabilitation by integrating this evidence with specific clinical contexts to improve patient outcomes and enhance nursing quality.
