护理研究2026，Vol.40Issue(1)：1-8,8.DOI:10.12102/j.issn.1009-6493.2026.01.001
《ICU病人体位管理与早期活动指南》解读
Interpretation of the"Guideline on positioning and early mobilisation in the critically ill by an expert panel"
摘要
Abstract
Objective:To systematically interpret the"Guideline on positioning and early mobilisation in the critically ill by an expert panel".Methods:The development background,evidence quality,and key recommendations of the guideline were systematically reviewed.The focus was placed on interpreting the core recommendations regarding positioning and early mobilisation,and clinical practice considerations aligned with China's national context were proposed accordingly.Results:The guideline put forward 46 recommendations,encompassing 23 on positioning management,19 on early mobilisation,4 on assistive devices,and 2 on neuromuscular electrical stimulation.Key recommendations included:head-of-bed elevation≥40° for intubated patients;early initiation of prone positioning ventilation(for at least 12 hours)in ARDS patients with PaO₂/FiO₂<150 mmHg;and commencement of early mobilisation within 72 hours of ICU admission.Conclusions:This guideline provides an evidence-based foundation for positioning management and early mobilisation in ICU patients.It is recommended to enhance healthcare staff training,establish multidisciplinary collaboration mechanisms,and improve assessment and monitoring systems to ensure standardized implementation.关键词
重症监护室/体位管理/俯卧位/早期活动/指南/解读Key words
intensive care units/positioning management/prone position/early mobilisation/guideline/interpretation引用本文复制引用
CAI Jing,XIE Lingli,ZHANG Hui,ZHANG Xinyue,SUN Hong,SUN Jianhua..《ICU病人体位管理与早期活动指南》解读[J].护理研究,2026,40(1):1-8,8.基金项目
中央高水平医院临床科研项目,编号:2025-PUMCH-A-068 （）
协和人才培育支持计划C类项目,编号:UBJ10777 （）
