Construction and application of a graded early mobility path for critically ill adult patients
10.3761/j.issn.0254-1769.2025.17.009
- VernacularTitle:ICU患者早期活动分级实施路径的构建及初步验证
- Author:
Bing LI
1
;
Sheng TANG
;
Yanlan MA
;
Lingyu SHEN
;
Qinghua ZHAO
;
Ping LUO
;
Mengjie BI
Author Information
1. 100853 北京市 解放军第一医学中心口腔科
- Publication Type:Journal Article
- Keywords:
Intensive Care Units;
Delphi Technique;
Early Mobility;
Rehabilitation Nursing;
Breathing Exercises;
Limb Movements;
Ambulation
- From:
Chinese Journal of Nursing
2025;60(17):2102-2110
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a graded early mobility implementation pathway for critically ill adult patients in tertiary hospitals in Beijing and to preliminarily validate its feasibility and effectiveness.Methods Based on the"goal-directed"early mobility concept,a graded early mobility implementation pathway for critically ill patients was developed through evidence synthesis and the Delphi method,consisting of 3 components:patient inclusion,mobility implementation,and mobility evaluation.Using convenience sampling,patients meeting inclusion criteria in the general ICU of a tertiary hospital in Beijing from October 2024 to January 2025 were selected as participants.Among them,25 patients admitted from December 2024 to January 2025 were assigned to an experimental group and received early mobility interventions following the developed pathway.25 patients admitted from October to November 2024 served as a control group and received routine ICU mobility care.Outcomes including diaphragm excursion,muscle strength,ICU length of stay,and adverse events were compared between the 2 groups.Results The graded early mobility pathway achieved an implementation rate of 70.05％in the experimental group,significantly higher than it in the control group(P＜0.001),without increasing adverse events.Post-intervention diaphragm excursion in the experimental group was significantly greater than that in the control group(P=0.018).Conclusion The developed graded early mobility implementation pathway for ICU patients demonstrates scientific rigor and clinical practicality.It provides a reference for the widespread and effective implementation of early mobility in ICUs,standardizing its clinical application.
