肌肉力量对危重症成年患者早期活动能力的影响：系统文献综述
Influence of muscle strength on early mobility in critically ill adult patients: Systematic literature review.
作者信息
Roberson Audrey R, Starkweather Angela, Grossman Catherine, Acevedo Edmund, Salyer Jeanne
机构信息
School of Nursing, Department of Adult Health and Nursing Services, Virginia Commonwealth University, Richmond, VA, USA.
Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, Storrs, CT, USA.
出版信息
Heart Lung. 2018 Jan-Feb;47(1):1-9. doi: 10.1016/j.hrtlng.2017.10.003.
BACKGROUND
Muscle strength may be one indicator of readiness to mobilize that can be used to guide decisions regarding early mobility efforts and to progressively advance mobilization.
OBJECTIVES
To provide a synthesis of current measures of muscle strength in the assessment of early mobilization in critically ill adult patients who are receiving MV therapy.
METHODS
Research studies conducted between 2000-2015 were identified using PubMed, CINHAL, MEDLINE, and the Cochrane Database of Systematic Reviews databases using the search terms "muscle strength", "intensive care", "mechanical ventilation" and "muscle weakness".
RESULTS
Nine articles used manual muscle testing, the Medical Research Council scale and/or hand-held dynamometer to provide objective measures for assessing muscle strength in the critically ill adult patient population.
CONCLUSIONS
Further research is needed to examine the application of standardized measures of muscle strength for guiding decisions regarding early and progressive advancement of mobility goals in adult ICU patients on MV.
背景
肌肉力量可能是判断是否适合进行活动的一个指标，可用于指导有关早期活动努力的决策，并逐步推进活动。
目的
综合目前在评估接受机械通气治疗的成年危重症患者早期活动时的肌肉力量测量方法。
方法
利用PubMed、CINHAL、MEDLINE和Cochrane系统评价数据库，通过搜索词“肌肉力量”“重症监护”“机械通气”和“肌肉无力”，检索2000年至2015年间开展的研究。
结果
9篇文章使用徒手肌力测试、医学研究委员会量表和/或手持测力计，为评估成年危重症患者的肌肉力量提供客观测量方法。
结论
需要进一步研究，以检验标准化肌肉力量测量方法在指导成年机械通气重症监护病房患者早期及逐步推进活动目标决策中的应用。
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