探索约旦成人重症监护病房的早期活动实践：一项横断面调查。

Exploring Early Mobilization Practices in Adult Intensive Care Units in Jordan: A Cross-Sectional Survey.

作者信息

Wshah Adnan, Obaidat Sakher, Shallan Amjad I, Muhsen Ahmad, Bin Sheeha Bodor, Alkasassbeh Asmaa, Wshah Shadi, Al Hadidi Abdel Razzaq Bassam, Altaim Thamer A, Sawafta Batul, Alqallab Salsabeel

机构信息

Department of Physical Therapy, Faculty of Applied Medical Sciences, The Hashemite University, Zarqa, Jordan.

Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.

出版信息

J Multidiscip Healthc. 2025 Jun 28;18:3749-3761. doi: 10.2147/JMDH.S524236. eCollection 2025.

DOI:10.2147/JMDH.S524236

PMID:40612892

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12222626/

Abstract

BACKGROUND

Prolonged immobilization in critically ill patients in the intensive care unit (ICU) is associated with adverse health outcomes, such as ICU-acquired weakness (ICU-AW), pressure ulcers, and decreased cardiopulmonary function. Early mobilization has been shown to be an important intervention to mitigate these effects; however, there is limited information regarding its implementation in ICUs in Jordan. This study aimed to explore early mobilization practices in adult ICUs in Jordan and identify common strategies employed by healthcare professionals.

METHODS

An observational, cross-sectional survey was conducted among healthcare professionals working in various ICUs across Jordan. A structured online questionnaire collected data on participants' demographics, patient selection criteria for early mobilization, and early mobilization practices. Descriptive and inferential statistics (Kruskal‒Wallis, Mann‒Whitney, Chi‒square, and Fisher's exact tests) were used, with significance at p < 0.05.

RESULTS

A total of 200 surveys were completed, primarily from physiotherapists (34.5%) and nurses (21%). The most common early mobilization strategies reported were positioning (19.3%), active mobilization (14.4%), and passive mobilization (13.1%). The majority of respondents combined early mobilization with secretion drainage activities. Respiratory stability was the most frequently cited criterion for determining patient eligibility. A significant proportion of respondents (36%) reported the absence of standardized protocols for early mobilization in their ICUs.

CONCLUSION

Early mobilization is recognized among healthcare professionals in Jordan as an essential practice in ICUs, but there are variations in its implementation and a lack of standardized protocols. These findings highlight the need for clear guidelines and training initiatives to support consistent practice. Future research should investigate barriers to early mobilization, particularly in high-risk populations, to improve outcomes in critically ill patients.

摘要

背景

重症监护病房（ICU）中危重病患者的长期制动与不良健康后果相关，如ICU获得性肌无力（ICU - AW）、压疮和心肺功能下降。早期活动已被证明是减轻这些影响的重要干预措施；然而，关于其在约旦ICU中的实施情况的信息有限。本研究旨在探讨约旦成人ICU中的早期活动实践，并确定医疗保健专业人员采用的常见策略。

方法

对约旦各地不同ICU工作的医疗保健专业人员进行了一项观察性横断面调查。一份结构化在线问卷收集了关于参与者的人口统计学数据、早期活动的患者选择标准和早期活动实践的数据。使用描述性和推断性统计（Kruskal - Wallis检验、Mann - Whitney检验、卡方检验和Fisher精确检验），p < 0.05具有统计学意义。

结果

共完成了200份调查问卷，主要来自物理治疗师（34.5%）和护士（21%）。报告的最常见早期活动策略是体位摆放（19.3%）、主动活动（14.4%）和被动活动（13.1%）。大多数受访者将早期活动与分泌物引流活动相结合。呼吸稳定性是确定患者是否适合早期活动最常提及的标准。相当比例的受访者（36%）报告其所在ICU没有早期活动的标准化方案。