临床与病理杂志2024，Vol.44Issue(11)：1550-1559,10.DOI:10.11817/j.issn.2095-6959.2024.240556
ICU机械通气患者早期活动真实体验质性研究的Meta整合
Meta-integration of a qualitative study on the lived experience of early mobilization in mechanical ventilated ICU patients
摘要
Abstract
Objective:Patients in the Intensive Care Unit(ICU)receiving mechanical ventilation are at high risk for complications such as muscle atrophy and functional decline due to prolonged bed rest and sedation.Early mobilization is a safe and feasible rehabilitation strategy that positively impacts muscle strength,physical function,duration of mechanical ventilation,and ICU length of stay.This study aims to conduct a Meta-integration of qualitative research exploring the lived experiences of early mobilization among mechanically ventilated ICU patients. Methods:A comprehensive literature search was performed in Web of Science,PubMed,CINAHL,Embase,The Cochrane Library,PsycINFO,Ovid,Medline,CNKI,Wanfang Database,VIP Database,and Chinese Biomedical Literature Database from database inception to May 2024.After quality appraisal of included studies,the pooled Meta-integration approach from the Joanna Briggs Institute(JBI)was used to synthesize the findings. Results:A total of 10 qualitative studies were included,from which 51 key findings were extracted.These were categorized into 10 new categories and further synthesized into 3 overarching themes:Pleasurable experiences,harsh challenges,and unmet multidimensional needs. Conclusion:Mechanically ventilated ICU patients experience both positive and negative feelings during early mobilization.They express a strong need for interaction among healthcare providers and patients,professional clinical support,and family involvement.关键词
重症监护室/机械通气/早期活动/真实体验/质性研究/Meta整合Key words
Intensive Care Unit/mechanical ventilation/early mobilization/lived experience/qualitative research/Meta-integration引用本文复制引用
邹静怡,孙晓,姜金霞,刘树炀,许金玲,夏天娇,王冶金..ICU机械通气患者早期活动真实体验质性研究的Meta整合[J].临床与病理杂志,2024,44(11):1550-1559,10.基金项目
国家自然科学基金(72104181) （72104181）
上海申康医院发展中心医企融合创新支撑技能培训专项(SHDC2023CRS002).This work was supported by the National Natural Science Foundation(72104181)and the Shanghai Shenkang Hospital Development Centre Healthcare Enterprise Integration Innovation Support Skills Training Special Project(SHDC2023CRS002),China. （SHDC2023CRS002）
