ICU护士对患者实施早期活动的障碍因素：质性研究的Meta整合

doi:10.3969/j.issn.1006-9143.2025.03.009

天津护理 ›› 2025, Vol. 33 ›› Issue (3): 295-300.DOI: 10.3969/j.issn.1006-9143.2025.03.009

ICU护士对患者实施早期活动的障碍因素：质性研究的Meta整合

徐丽娜郭筱彤法天锷

（天津市胸科医院，天津 300222）

出版日期:2025-06-28 发布日期:2025-06-23
基金资助:
天津市护理学会科研青年项目（tjhlky2023QN07）

Barriers to early mobilization of patients as perceived by ICU nurses: a meta-synthesis of qualitative studies

XU Lina, GUO Xiaotong, FA Tian′e

(Tianjin Chest Hospital, Tianjin 300222)

Online:2025-06-28 Published:2025-06-23

摘要/Abstract

摘要： 目的：系统评价ICU护士对患者实施早期活动障碍因素的质性研究，探讨ICU护士实施早期活动中面临的问题并分析原因，为制定针对性的干预方案提供循证依据。方法：计算机检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方医学数据库、维普数据库中有关ICU护士对患者实施早期活动障碍的质性研究，检索年限为建库至2024年12月31日。采用澳大利亚循证卫生保健中心质性研究质量评价标准评价文献质量，采用汇集性整合方法进行整合。结果：共纳入10篇文献，归纳成8个类别，并综合成3个整合结果。分别为有关早期活动的组织结构与方案标准不完善、ICU护士实施早期活动能力不足且有身心负担、早期活动过程中缺乏患者配合和家属支持。结论：ICU护士实施早期活动存在多方面障碍因素，护理管理者及护理人员应针对障碍因素制定干预方案，推动早期活动在ICU患者中的应用。

关键词: 早期活动, ICU, 护士, 障碍因素, 质性研究, Meta整合

Abstract: Objective: To systematically integrate the qualitative researches on the barriers to early mobilization of ICU nurses, explore the problems and analyze the reasons in the implementation of early mobilization, and provide evidence based basis for formulating targeted intervention programs. Methods: The databases of PubMed, Web of Science, Embase, Cochrane Library, CNKI, Wanfang and VIP were searched from the inception to December 31, 2024 to collect qualitative studies on early mobilization barriers implemented by ICU nurses. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia and the results were synthesized. Results: A total of 10 articles were included, which were summarized into 8 categories and synthesized into 3 integrated results including inadequate organizational structure and program standards related to early mobilization, insufficient ability to implement early mobilization and physical and mental burden of ICU nurses facing, lack of patients′ cooperation and family support during early activities. Conclusion: There are many barriers to the implementation of early mobilization in ICU nurses. Nursing managers and nursing staff should formulate intervention programs according to the barriers and promote the application of early mobilization in ICU patients.

Key words: Early mobilization, Intensive care units, Nurses, Barriers, Qualitative research, Meta integration

徐丽娜郭筱彤法天锷. ICU护士对患者实施早期活动的障碍因素：质性研究的Meta整合[J]. 天津护理, 2025, 33(3): 295-300.

XU Lina, GUO Xiaotong, FA Tian′e. Barriers to early mobilization of patients as perceived by ICU nurses: a meta-synthesis of qualitative studies[J]. Tianjin Journal of Nursing, 2025, 33(3): 295-300.

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ICU护士对患者实施早期活动的障碍因素：质性研究的Meta整合

Barriers to early mobilization of patients as perceived by ICU nurses: a meta-synthesis of qualitative studies

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