Research progress in influencing factors of early rehabilitation among patients in ICU environment

doi:10.3969/j.issn.1674-8115.2022.01.018

Abstract

Abstract:

Bed rest and long-term immobilization are common phenomena among patients in intensive care unit (ICU), which can increase the risk of ICU-acquired weakness and other complications. Early rehabilitation is helpful to improve the physical function of ICU patients, reduce the occurrence of delirium and other psychological problems, and improve their quality of life, which is of great significance to promote their early return to family or society. This paper reviews the current situation and influencing factors of early rehabilitation in ICU environment.

Key words: intensive care unit, early rehabilitation, early mobilization, facilitator, barrier

CLC Number:

Fu YANG, Fang FANG, Lan CHEN, Qiuli WANG. Research progress in influencing factors of early rehabilitation among patients in ICU environment[J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2022, 42(1): 119-123.

TrendMD

References 41

1	FAN E, DEL SORBO L, GOLIGHER E C, et al. An official American thoracic society/European society of intensive care medicine/society of critical care medicine clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome[J]. Am J Respir Crit Care Med, 2017, 195(9): 1253-1263.
2	NYDAHL P, SRICHAROENCHAI T, CHANDRA S, et al. Safety of patient mobilization and rehabilitation in the intensive care unit. systematic review with meta-analysis[J]. Ann Am Thorac Soc, 2017, 14(5): 766-777.
3	MORANDI A, PIVA S, ELY E W, et al. Worldwide survey of the “assessing pain, both spontaneous awakening and breathing trials, choice of drugs, delirium monitoring/management, early exercise/mobility, and family empowerment” (ABCDEF) bundle[J]. Crit Care Med, 2017, 45(11): e1111-e1122.
4	TAITO S, SANUI M, YASUDA H, et al. Current rehabilitation practices in intensive care units: a preliminary survey by the Japanese Society of Education for Physicians and Trainees in Intensive Care (JSEPTIC) Clinical Trial Group[J]. J Intensive Care, 2016, 4: 66.
5	叶曼, 李乐之. 重症康复在ICU中的应用及启示[J]. 中国实用护理杂志, 2019, 35(9): 641-644.
6	HODGSON C, NEEDHAM D, HAINES K, et al. Feasibility and inter-rater reliability of the ICU Mobility Scale[J]. Heart Lung, 2014, 43(1): 19-24.
7	DAVIS J, CRAWFORD K, WIERMAN H, et al. Mobilization of ventilated older adults[J]. J Geriatr Phys Ther, 2013, 36(4): 162-168.
8	CAMERON S, BALL I, CEPINSKAS G, et al. Early mobilization in the critical care unit: a review of adult and pediatric literature[J]. J Crit Care, 2015, 30(4): 664-672.
9	MARRA A, ELY E W, PANDHARIPANDE P P, et al. The ABCDEF bundle in critical care[J]. Crit Care Clin, 2017, 33(2): 225-243.
10	BAKHRU R N, WIEBE D J, MCWILLIAMS D J, et al. An environmental scan for early mobilization practices in U.S. ICUs [J]. Crit Care Med, 2015, 43(11): 2360-2369.
11	BAKHRU R N, MCWILLIAMS D J, WIEBE D J, et al. Intensive care unit structure variation and implications for early mobilization practices: an international survey[J]. Ann Am Thorac Soc, 2016, 13(9): 1527-1537.
12	NYDAHL P, RUHL A P, BARTOSZEK G, et al. Early mobilization of mechanically ventilated patients: a 1-day point-prevalence study in Germany[J]. Crit Care Med, 2014, 42(5): 1178-1186.
13	FONTELA P, LISBOA T, FORGIARINI JUNIOR L, et al. Early mobilization in mechanically ventilated patients: a one-day prevalence point study in intensive care units in Brazil [J]. Crit Care, 2017, 21(Suppl 1): 289.
14	汪璐璐, 徐凤玲, 刘钢, 等. 机械通气患者早期肺康复分级方案的构建与应用研究[J]. 中华护理杂志, 2020, 55(8): 1125-1132.
15	黄海燕, 王小芳, 罗健, 等. ICU机械通气患者早期四级康复训练效果[J]. 护理学杂志, 2016, 31(15): 1-5.
16	杨富, 方芳, 陈兰, 等. 早期渐进式康复方案对SICU机械通气患者术后康复的影响[J]. 护士进修杂志, 2019, 34(16): 1502-1505.
17	DUBB R, NYDAHL P, HERMES C, et al. Barriers and strategies for early mobilization of patients in intensive care units[J]. Ann Am Thorac Soc, 2016, 13(5): 724-730.
18	LIN F, PHELAN S, CHABOYER W, et al. Early mobilisation of ventilated patients in the intensive care unit: a survey of critical care clinicians in an Australian tertiary hospital[J]. Aust Crit Care, 2020, 33(2): 130-136.
19	BROCK C, MARZANO V, GREEN M, et al. Defining new barriers to mobilisation in a highly active intensive care unit: have we found the ceiling? An observational study[J]. Heart Lung, 2018, 47(4): 380-385.
20	PARRY S M, REMEDIOS L, DENEHY L, et al. What factors affect implementation of early rehabilitation into intensive care unit practice? A qualitative study with clinicians[J]. J Crit Care, 2017, 38: 137-143.
21	LIU K, OGURA T, TAKAHASHI K, et al. The safety of a novel early mobilization protocol conducted by ICU physicians: a prospective observational study[J]. J Intensive Care, 2018, 6: 10.
22	HARROLD M E, SALISBURY L G, WEBB S A, et al. Early mobilisation in intensive care units in Australia and Scotland: a prospective, observational cohort study examining mobilisation practises and barriers[J]. Crit Care, 2015, 19: 336.
23	KNOTT A, STEVENSON M, HARLOW S K. Benchmarking rehabilitation practice in the intensive care unit[J]. J Intensive Care Soc, 2015, 16(1): 24-30.
24	KOO K K, CHOONG K, COOK D J, et al. Early mobilization of critically ill adults: a survey of knowledge, perceptions and practices of Canadian physicians and physiotherapists[J]. CMAJ Open, 2016, 4(3): E448-E454.
25	HODGSON C L, STILLER K, NEEDHAM D M, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults[J]. Crit Care, 2014, 18(6): 658.
26	CAPELL E L, TIPPING C J, HODGSON C L. Barriers to implementing expert safety recommendations for early mobilisation in intensive care unit during mechanical ventilation: a prospective observational study[J]. Aust Crit Care, 2019, 32(3): 185-190.
27	HONIDEN S, CONNORS G R. Barriers and challenges to the successful implementation of an intensive care unit mobility program: understanding systems and human factors in search for practical solutions[J]. Clin Chest Med, 2015, 36(3): 431-440.
28	BARBER E A, EVERARD T, HOLLAND A E, et al. Barriers and facilitators to early mobilisation in intensive care: a qualitative study[J]. Aust Crit Care, 2015, 28(4): 177-182; quiz183.
29	KRUPP A E, EHLENBACH W J, KING B. Factors nurses in the intensive care unit consider when making decisions about patient mobility[J]. Am J Crit Care, 2019, 28(4): 281-289.
30	KIM C, KIM S, YANG J, et al. Nurses' perceived barriers and educational needs for early mobilisation of critical ill patients[J]. Aust Crit Care, 2019, 32(6): 451-457.
31	GOODSON C M, FRIEDMAN L A, MANTHEIY E, et al. Perceived barriers to mobility in a medical ICU: the patient mobilization attitudes & beliefs survey for the ICU[J]. J Intensive Care Med, 2020, 35(10): 1026-1031.
32	杨晶, 郑晓娜. ICU护士对患者早期活动的信念和态度现状调查[J]. 护理管理杂志, 2017, 17(10): 720-722.
33	田刻平, 余晓, 张小红, 等. ICU医护人员对机械通气患者早期活动认知、态度及临床实践现况调查[J]. 中国护理管理, 2017, 17(9): 1204-1208.
34	查丽玲, 周松, 王建宁. ICU护士对患者早期活动认知和行为的调查研究[J]. 中华护理杂志, 2018, 53(2): 221-225.
35	PHELAN S, LIN F, MITCHELL M, et al. Implementing early mobilisation in the intensive care unit: an integrative review[J]. Int J Nurs Stud, 2018, 77: 91-105.
36	MCWILLIAMS D, SNELSON C, GODDARD H, et al. Introducing early and structured rehabilitation in critical care: a quality improvement project[J]. Intensive Crit Care Nurs, 2019, 53: 79-83.
37	HUNTER O O, GEORGE E L, REN D, et al. Overcoming nursing barriers to intensive care unit early mobilisation: a quality improvement project[J]. Intensive Crit Care Nurs, 2017, 40: 44-50.
38	ANEKWE D E, MILNER S C, BUSSIÈRES A, et al. Intensive care unit clinicians identify many barriers to, and facilitators of, early mobilisation: a qualitative study using the Theoretical Domains Framework[J]. J Physiother, 2020, 66(2): 120-127.
39	AQUIM E E, BERNARDO W M, BUZZINI R F, et al. Brazilian guidelines for early mobilization in intensive care unit[J]. Rev Bras Ter Intensiva, 2019, 31(4): 434-443.
40	LANG J K, PAYKEL M S, HAINES K J, et al. Clinical practice guidelines for early mobilization in the ICU: a systematic review[J]. Crit Care Med, 2020, 48(11): e1121-e1128.
41	TAITO S, SHIME N, YASUDA H, et al. Out-of-bed mobilization of patients undergoing mechanical ventilation with orotracheal tubes: a survey study[J]. J Crit Care, 2018, 47: 173-177.

[1]	Yi-jun HOU, Yun XIE, Tao WANG, Pei-jie HUANG. Analysis of clinical characteristics of 283 maternal near miss admitted to intensive care unit [J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2021, 41(5): 632-636.
[2]	Zhi-shan WU, Run HUANG, Li-ping LIANG, Yu-ting ZHU, Qiao-mu ZHENG, Li-ping JIANG. Characteristics and influencing factors of postoperative delirium among elderly patients in intensive care unit [J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2021, 41(12): 1580-1586.
[3]	HUANG Ting-ting, LI Yan, ZHANG Yue-man, ZHOU Na-ying, FAN Ren-hui, LI Pei-ying. Two-photon in vivo imaging of blood brain barrier injury in the ultra-early stage of cerebral ischemic stroke [J]. , 2019, 39(9): 998-.
[4]	HUANG Xin-xin1, DING Jie2, HAN Lu2, YU Lu1, ZHU De-sheng2, GUAN Yang-tai1, 2. Correlation between blood-brain barrier permeability and physical disability in patients with neuromyelitis optica spectrum disorders [J]. , 2018, 38(5): 520-.
[5]	TONG Xing-yu, YOU Sha-sha, CAO Hui-min, HE Bin. Clinical research progress of humidified high-flow nasal cannula therapy in pediatric patients [J]. , 2018, 38(5): 565-.
[6]	LUO Meng-yun, LIANG Hui-gang, DONG Yuan-yuan, MO Dan-dan, DONG Wei, ZHANG Yi3, WANG Yue, CAI Yong, ZHANG Zhi-ruo . Investigating predictors of the 641 elders’ willingness to enroll in nursing homes in Shanghai [J]. , 2017, 37(05): 679-.
[7]	NING Wei, LIAO Xiao-gang, LIU Ya-ping. Correlation between reproductive toxicity of cadmium and structure and function of blood-testis barrier [J]. , 2015, 35(6): 915-.
[8]	HE Duo-qi, ZHANG Xi-qiang, YUN Hui-bin, et al. Effects of nasojejunal nutrition enhanced by glutamine on intestinal mucosal barrier and immune function of old patients with severe traumatic brain injury [J]. , 2015, 35(5): 785-.
[9]	ZHANG Zhi-wei, WANG Xia, WANG Jian-ning, et al. Study on correlation of moral distress and professional burnout of nurses in intensive care unit [J]. , 2014, 34(7): 1073-.
[10]	WANG Xin-lin, GENG Zhi. Advances of intracerebral neuron damage after status epilepticus [J]. , 2013, 33(12): 1673-.
[11]	YIN Na, YOU Xin-min. Distribution and antibacterial resistance of pathogens in surgical intensive care unit [J]. , 2010, 30(4): 478-.
[12]	WANG Shu-yun, GE Qin-min. Clinical analysis of lower respiratory tract fungal infection in patients with mechanical ventilation in emergency intensive care unit [J]. , 2009, 29(8): 975-.