Siesage Katinka, Schandl Anna, Johansson Matheo, Nygren-Bonnier Malin, Karlsson Emelie, Joelsson-Alm Eva
Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Department of Anesthesiology and Intensive Care, Södersjukhuset, Stockholm, Sweden.
Disabil Rehabil. 2025 May;47(9):2297-2303. doi: 10.1080/09638288.2024.2392036. Epub 2024 Aug 19.
To describe experiences of the ward nurse in relation to extended physiotherapy and mobilising of post-ICU patients.
Individual semi-structured interviews were conducted with 17 registered nurses working on surgical wards in a Swedish regional hospital. Qualitative content analysis was used to analyse the data. The study was reported according to the consolidated criteria for reporting qualitative research (COREQ).
The study findings are presented in three categories: challenges to mobilising post-ICU patients, shared responsibility facilitates mobilisation, and extended physiotherapy is beneficial for patients' wellbeing. Nurses stated that they lacked knowledge and skills to perform the safe mobilisation of post-ICU patients due to their complex medical history and needs. Collaboration with physiotherapists was perceived to facilitate mobilisation and to be beneficial for patients' wellbeing outcome.
The study indicates that post-ICU patients are at risk of remaining immobilised because ward nurses find mobilisation too complex to conduct without support from physiotherapists. Shared responsibility through multi-professional teamwork regarding patient rehabilitation is perceived as contributing the knowledge required to achieve safe mobilisation that enhances autonomy and physical ability in post-ICU patients.
描述病房护士在重症监护病房（ICU）后患者的长期物理治疗和活动方面的经验。
对瑞典一家地区医院外科病房的17名注册护士进行了个人半结构化访谈。采用定性内容分析法对数据进行分析。本研究按照定性研究报告的综合标准（COREQ）进行报告。
研究结果分为三类呈现：ICU后患者活动的挑战、共同责任促进活动、长期物理治疗有利于患者的健康。护士们表示，由于ICU后患者复杂的病史和需求，他们缺乏对这些患者进行安全活动的知识和技能。与物理治疗师的合作被认为有助于促进活动，并有利于患者的健康结果。
该研究表明，ICU后患者存在保持不动的风险，因为病房护士发现，在没有物理治疗师支持的情况下，活动过于复杂而无法进行。通过多专业团队合作对患者康复承担共同责任，被认为有助于获得实现安全活动所需的知识，从而增强ICU后患者的自主性和身体能力。
