期刊文献+

ICU患者早期活动有效性及安全性影响的系统评价再评价 预览 被引量:1

Effectiveness and Safety of Early Mobilization in ICU:An Overview of Systematic Reviews
在线阅读 下载PDF
分享 导出
摘要 目的探讨ICU患者早期活动的有效性及安全性,为护理人员临床决策提供证据支持。方法计算机检索Cochrane library、CINAHL、PubMed、EMBASE、中国知网、中国生物医学文献数据库、万方数据等,收集ICU患者早期活动相关的系统评价,由2名研究者按纳入与排除标准筛选文献及提取资料。纳入系统评价的方法学质量采用AMSTAR工具进行评价,采用肌力、ICU住院时间、总住院时间、生活质量及功能活动状态作为主要指标对早期活动的有效性进行再评价,通过患者不良反应或安全事件的发生进行早期活动的安全性评价。结果共纳入10篇系统评价。方法学质量评价显示仅有1项研究满足AMSTAR的11个评价条目,其余研究均在不同方面存在缺陷;ICU患者早期活动发生不良事件的概率很低,应用安全性良好,可改善患者肌力、住院时间、生活质量及功能活动状态等。结论 ICU患者进行早期活动安全有效,但该结论的可靠性仍需大样本、高质量的研究进一步证实。 Objective To explore the effectiveness and safety of early mobilization for patients in ICU,so as to provide evidence support for clinical decision-making by nurses.Methods Cochrane library、CINAHL、PubMed、EMBASE、CNKI、CBM and Wanfang Database were searched to obtain the relevant literature.AMSTAR tool was used to assess the methodological quality of the included studies,the effectiveness of early mobilization was evaluated through muscle strength,days of ICU stay,total days of hosptial stay,quality of life and functional status was evaluated via the occurrence of patients’ adverse reaction.ResultsTen systematic reviews were included.The methodological quality evaluation showed that only 1study met the 11 evaluation items of AMSTAR.Early mobilization was safe for patients in ICU,which brought low probability of adverse events,and improved the clinical outcomes such as muscle strength,time of hospitalization,quality of life and functional status.Conclusions Early activity in ICU patients is safe and effective,but large sample and high-quality researches are needed to confirm the results.
作者 王玉梅 黄海燕 熊莉娟 喻姣花 李凌 官春燕 米元元 李鑫 WANG Yumei;HUANG Haiyan;XIONG Lijuan;YU Jiaohua;LI Ling;GUAN Chunyan;MI Yuanyuan;LI Xin(Department of General Medicine,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China;ICU,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology;Nursing Department,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology;Otorhinolaryngology Surgery,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology)
出处 《解放军护理杂志》 CSCD 北大核心 2019年第1期22-26,共5页 Nursing Journal of Chinese People's Liberation Army
基金 湖北省自然科学基金(2016CFB677) 中华护理学会立项科研课题(zhky201703).
关键词 ICU 早期活动 系统评价 META分析 ICU early mobilization systematic review meta-analysis
作者简介 王玉梅,护师,硕士,主要从事临床护理工作;通信作者:黄海燕,Email:xhicuhhy@163.com
  • 相关文献

参考文献10

二级参考文献125

共引文献130

同被引文献14

引证文献1

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈