ICU护士实施患者早期活动护理体验与需求的Meta整合  

Experiences and needs of ICU nurses implementing early mobilization:a Meta-synthesis

作　　者：阮旭 刘倩 孙尚雪 李阳洋 高芳 周淼 彭飞 RUAN Xu;LIU Qian;SUN Shangxue;LI Yangyang;GAO Fang;ZHOU Miao;PENG Fei(Nursing Department,The Second Affiliated Hospital of Naval Medical University,Shanghai,200001,China)

机构地区：[1]海军军医大学第二附属医院护理处,上海市200001 [2]湖州师范学院护理学院 [3]苏州大学护理学院

出　　处：《中国护理管理》2024年第8期1215-1220,共6页Chinese Nursing Management

基　　金：海军军医大学深蓝护理科研PI项目(2022KYP07);上海申康医院发展中心重症医学技术规范化管理和推广项目(SHDC22022224)。

摘　　要：目的:系统整合ICU护士实施患者早期活动护理的体验和内心需求,为制定ICU患者早期活动方案提供参考。方法:检索国内外数据库中关于ICU护士实施患者早期活动的质性研究,检索时限从建库至2023年10月,运用汇集性整合法进行整合。结果:共纳入13篇文献,分析形成9个类别,整合为3个整合结果,包括护士实施患者早期活动面临的问题和挑战,护士实施患者早期活动的促进因素,护士对实施患者早期活动的需求。结论:护理管理者应重视ICU护士在实施患者早期活动中所遇到的障碍,减轻护士身心压力,引入科学的早期活动流程、开展相关培训,建立多学科团队,同时提供与开发个性化康复设备,为患者早期活动的广泛开展奠定坚实的基础。Objective:To systematically integrate ICU nurses'experiences and needs in implementing early mobilization,providing reference for the development of early mobilization plans for ICU patients.Methods:Qualitative studies on ICU nurses'implementation of early mobilization in domestic and international databases were searched,with a search time frame from the construction of the database to October 2023.The integration was performed using the Meta integration method.Results:A total of 13 articles were included in this study,which were analyzed and categorized into nine groups,ultimately resulting in three integration:problems and challenges faced by nurses implementing early mobilization;positive factors for nurses implementing early mobilization;needs of nurses implementing early mobilization.Conclusion:Nursing administrators should pay attention to the barriers encountered by ICU nurses in implementing early mobilization,while focusing on reducing nurses'physical and mental stress.It is essential to introduce scientific early mobilization processes,conduct relevant training,and establish a multidisciplinary team,as well as provide and develop personalized rehabilitation equipment to lay a solid foundation for the widespread implementation of early mobilization practices.

关 键 词：ICU护士 早期活动 体验 需求 Meta整合 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]