三级医院ICU重症患者早期活动现状及障碍因素调查
作者:
作者单位:

作者简介:

女,硕士,护师

通讯作者:

基金项目:


Early mobilization of critically ill patients in the ICU of tertiary hospitals and its barriers
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 了解ICU护士对重症患者实施早期活动现状,并分析影响其实施的障碍因素,为促进ICU重症患者早期活动提供参考。方法 采用自行设计的问卷对48所三级医院的921名ICU护士进行调查。结果 91.53% ICU护士对重症患者实施过早期活动,活动形式以床上被动活动(65.37%)和床上坐起(64.82%)为主;63.08%护士接受过早期活动方面的培训和教育,53.42%护士表示无多学科团队支持与指导早期活动的实践。缺乏时间、存在医疗纠纷、缺乏医嘱和知情同意书等是护士个人层面主要的障碍因素;人力、设备与培训资源的缺乏是组织方面主要的障碍因素;病情不稳定是患者层面最重要的障碍因素。结论 ICU护士对重症患者实施早期活动现状不理想,活动形式单一,影响ICU重症患者早期活动的障碍因素较多。应加强ICU早期活动文化的建设,完善资源配置,构建早期活动流程,推动重症患者早期活动的开展,改善重症患者的预后。

    Abstract:

    Objective To understand early mobilization status of critically ill patients implemented by ICU nurses, and to analyze the perceived barriers of the implementation, so as to provide reference for promoting early mobilization of ICU critically ill patients. Methods A total of 921 ICU nurses from 48 tertiary hospitals were investigated using a self-designed questionnaire.Results Totally 91.53% ICU nurses had carried out early mobilization for critically ill patients, the major forms of mobilization were passive activity in bed (65.37%) and sitting up in bed (64.82%); and 63.08% nurses had received early mobilization related training and education, 53.42% stated that there was no multidisciplinary team supporting and guiding the practice of early mobilization. Lack of time, medical disputes, lack of physicians′ order and informed consent were the main barriers of nurses′ individual level; lack of the resources of human, equipment and training were the major organizational barriers; and unstable medical condition was the most important barrier of patients′ level. Conclusion The implementation of early mobilization for critically ill patients by ICU nurses is not good, the mobilization form is not diverse, and some barriers influence early mobilization. It is necessary to strengthen the construction of early mobilization culture, optimize resource allocation and establish early mobilization procedure to promote early mobilization for critically ill patients, then to improve their prognosis.

    参考文献
    相似文献
    引证文献
引用本文

吕露露,张雪静.三级医院ICU重症患者早期活动现状及障碍因素调查[J].护理学杂志,2020,35(10):31-34

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2019-12-01
  • 最后修改日期:2020-01-17
  • 录用日期:
  • 在线发布日期: 2022-08-31