护理研究2026，Vol.40Issue(9)：1439-1447,9.DOI:10.12102/j.issn.1009-6493.2026.09.003
安徽省30个重症监护室ECMO病人肺康复实施现状及影响因素
Current status and influencing factors of pulmonary rehabilitation implementation for ECMO patients in 30 ICU units in Anhui province
摘要
Abstract
Objective:To investigate the current status of pulmonary rehabilitation implementation for patients undergoing extracorporeal membrane oxygenation(ECMO)in 30 intensive care units(ICU)in Anhui province,and to analyze its influencing factors.Methods:In December 2024,30 ICU units from 29 hospitals in Anhui Province were selected.A self-designed questionnaire on the current status of pulmonary rehabilitation implementation for ECMO patients was used for the survey.Results:Among the 30 ICU units,24(80.00%)conducted systematic assessments before initiating ECMO pulmonary rehabilitation.The assessment and implementation personnel were primarily ICU physicians,nurses,and respiratory therapists.Basic pulmonary rehabilitation techniques were widely applied;however,participation by rehabilitation therapists was insufficient,and the application of advanced techniques was limited.Overall,the standards for the implementation process were incomplete.Besides basic pulmonary rehabilitation,13 ICU units(43.33%)implemented pulmonary rehabilitation during ECMO support.There were statistically significant differences between ICU units implementing pulmonary rehabilitation and those not implementing pulmonary rehabilitation in terms of the number of ECMO cases performed in the past year,availability of rehabilitation therapists,pulmonary rehabilitation implementation protocols,and presence of emergency response plans for pulmonary rehabilitation(P<0.05).Reasons for not implementing pulmonary rehabilitation during ECMO included insufficient experience(100.00%),safety concerns(88.24%),prioritizing treatment over rehabilitation(70.59%),and lack of an implementation team(58.82%).Conclusions:Pulmonary rehabilitation for ECMO patients in tertiary hospitals in Anhui province has achieved a certain foundation.However,further improvements are needed in resource allocation,multidisciplinary collaboration,process standardization,and family involvement to enhance the implementation rate and level of pulmonary rehabilitation for ECMO patients.关键词
体外膜肺氧合/重症监护室/肺康复/影响因素/康复治疗/重症护理Key words
extracorporeal membrane oxygenation(ECMO)/intensive care unit(ICU)/pulmonary rehabilitation/influencing factors/rehabilitation therapy/critical care引用本文复制引用
赵亚男,葛书唱,杨文宇,童玲,徐杰,李亚军..安徽省30个重症监护室ECMO病人肺康复实施现状及影响因素[J].护理研究,2026,40(9):1439-1447,9.基金项目
安徽省教育厅高校科研项目(人文社会科学类),编号:2024AH052829 （人文社会科学类）
安徽省"江淮名医培育工程"第一届卫生健康骨干人才 （）
