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住院成人使用渗透重症监护病房活动能力评分的证据:一项范围综述。

Evidence of the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults: a scoping review.

作者信息

Lenard Maria Helena, Cechinel Clovis, Zomer Tissiane Bona, Rodrigues João Alberto Martins, Binotto Maria Angélica, Spoladore Rossana

机构信息

Universidade Federal do Paraná, Curitiba, PR, Brazil.

Hospital Municipal Zilda Arns, Curitiba, PR, Brazil.

出版信息

Rev Lat Am Enfermagem. 2025 May 2;33:e4542. doi: 10.1590/1518-8345.7491.4542. eCollection 2025.

DOI:10.1590/1518-8345.7491.4542
PMID:40332196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058116/
Abstract

to map the scientific literature regarding the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults. scoping review, structured according to the methodological guidelines of the Joanna Briggs Institute - Evidence Synthesis Groups, with searches in seven databases and gray literature. The studies were selected by two reviewers, using an instrument for data extraction. the analysis of the 29 selected studies showed a predominance of longitudinal studies (34.48%), conducted in Brazil (48.27%) in Intensive Care Units (29%), and published between 2020 and 2021 (48.24%). The studies demonstrated the use of the Perme Score for description and reliability of the instrument, translation and cultural adaptation, association between functional mobility, clinical characteristics and outcomes, mobility assessment after interventions, mobility assessment and potential barriers to mobilization, and use of the score for validation of other instruments and various clinical profiles. the Perme Score is an instrument capable of measuring physical mobility, including possible barriers to mobility, with potential for use in scenarios outside the Intensive Care Unit, in intervention studies for early mobilization and prediction of hospitalization outcomes.

摘要

梳理关于住院成人使用“珀尔密重症监护病房活动能力评分”的科学文献。采用乔安娜·布里格斯研究所循证综合小组的方法指南进行范围综述,检索七个数据库和灰色文献。由两名评审员使用数据提取工具筛选研究。对29项入选研究的分析表明,纵向研究占主导(34.48%),在巴西开展的研究占48.27%,在重症监护病房开展的研究占29%,发表于2020年至2021年的研究占48.24%。这些研究展示了珀尔密评分在仪器描述与可靠性、翻译与文化调适、功能活动能力与临床特征及结局之间的关联、干预后活动能力评估、活动能力评估与活动障碍、以及该评分用于其他仪器验证和各种临床概况方面的应用。珀尔密评分是一种能够测量身体活动能力的工具,包括活动能力的可能障碍,有潜力用于重症监护病房以外的场景、早期活动干预研究以及住院结局预测。

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Evidence of the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults: a scoping review.住院成人使用渗透重症监护病房活动能力评分的证据:一项范围综述。
Rev Lat Am Enfermagem. 2025 May 2;33:e4542. doi: 10.1590/1518-8345.7491.4542. eCollection 2025.
2
Perme Intensive Care Unit Mobility Score and ICU Mobility Scale: translation into Portuguese and cross-cultural adaptation for use in Brazil.Perme 重症监护病房活动能力评分和 ICU 活动量表:翻译为葡萄牙语并进行文化调适,以便在巴西使用。
J Bras Pneumol. 2016 Nov-Dec;42(6):429-434. doi: 10.1590/S1806-37562015000000301.
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Colomb Med (Cali). 2018 Dec 30;49(4):265-272. doi: 10.25100/cm.v49i3.4042.
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Can J Respir Ther. 2021 Nov 22;57:148-153. doi: 10.29390/cjrt-2021-018. eCollection 2021.
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Spanish version of the Perme Intensive Care Unit Mobility Score: Minimal detectable change and responsiveness.西班牙语版的 Perme 重症监护病房活动能力评分:最小可检测变化和反应性。
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Can J Respir Ther. 2023 Jul 28;59:167-174. doi: 10.29390/001c.84263. eCollection 2023.

本文引用的文献

1
Application of the Perme Score to assess mobility in patients with COVID-19 in inpatient units.应用Perme评分评估住院COVID-19患者的活动能力。
Can J Respir Ther. 2023 Jul 28;59:167-174. doi: 10.29390/001c.84263. eCollection 2023.
2
Muscle strength and mobility of individuals with COVID-19 compared with non-COVID-19 in intensive care.与重症监护病房中的非COVID-19患者相比,COVID-19患者的肌肉力量和活动能力。
Heart Lung. 2023 Nov-Dec;62:233-239. doi: 10.1016/j.hrtlng.2023.08.004. Epub 2023 Aug 19.
3
Longitudinal Assessment of Mobility and Self-care Among Critically Ill Older Adults. An Age-Friendly Health Systems Initiative Quality Improvement Study.
危重症老年患者的移动能力和自理能力的纵向评估。一项友好老年健康系统倡议的质量改进研究。
Dimens Crit Care Nurs. 2023;42(4):234-239. doi: 10.1097/DCC.0000000000000588.
4
Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery.心脏手术后患者 ICU 移动能力评分与住院时间的关系。
Colomb Med (Cali). 2022 Jul 30;53(3):e2005179. doi: 10.25100/cm.v53i3.5179. eCollection 2022 Jul-Sep.
5
Steps for Conducting a Scoping Review.进行范围综述的步骤。
J Grad Med Educ. 2022 Oct;14(5):565-567. doi: 10.4300/JGME-D-22-00621.1.
6
Analysis of mobility level of COVID-19 patients undergoing mechanical ventilation support: A single center, retrospective cohort study.对接受机械通气支持的 COVID-19 患者的活动能力水平进行分析:一项单中心、回顾性队列研究。
PLoS One. 2022 Aug 1;17(8):e0272373. doi: 10.1371/journal.pone.0272373. eCollection 2022.
7
Functional mobility effects of progressive early mobilization protocol on people with moderate-to-severe traumatic brain injury: A pre-post intervention study.渐进性早期活动方案对中重度创伤性脑损伤患者功能移动能力的影响:一项干预前后的研究。
NeuroRehabilitation. 2022;51(2):303-313. doi: 10.3233/NRE-220023.
8
Early Rehabilitation Index: translation and cross-cultural adaptation to Brazilian Portuguese; and Early Rehabilitation Barthel Index: validation for use in the intensive care unit.早期康复指数:翻译和跨文化适应到巴西葡萄牙语; 早期康复巴氏指数:在重症监护病房使用的验证。
Rev Bras Ter Intensiva. 2021 Oct 25;33(3):353-361. doi: 10.5935/0103-507X.20210051. eCollection 2021.
9
Impact of early ambulation on functionality in patients undergoing valve replacement surgery.早期活动对接受瓣膜置换手术患者功能的影响。
J Clin Transl Res. 2021 Nov 6;7(6):754-758. eCollection 2021 Dec 28.
10
Relationship between potential barriers to early mobilization in adult patients during intensive care stay using the Perme ICU Mobility score.使用Perme重症监护病房活动能力评分评估成年患者在重症监护期间早期活动潜在障碍之间的关系。
Can J Respir Ther. 2021 Nov 22;57:148-153. doi: 10.29390/cjrt-2021-018. eCollection 2021.