综合监护室重症病人肢体活动分级护理路径的构建及应用

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LIBing'，MA Yanlan，ZHAO Hongyu’，HOUYunjing'，ZOU Guofen'，LU Cuiling'，WANGQian'，ZHUHongjuan'， TANG Sheng1*

1.The First Medical Center of ChinesePLA General Hospital，Beijing 100853 China；2.Health Service Training Centerof ChinesePLA General Hospital；3.Beijing Children's Hospital，Capital Medical University;4.The EighthMedical Centerof ChinesePLA General Hospital;5.The Sixth Medical Centerof ChinesePLA General Hospital;6.TheFourthMedical CenterofChinesePLAGeneralHospital

*Corresnonding Author TANG Sheng. E-mail： ts0o307@163.com

AbstractObjective：Toconstructagradedlibactivitynursingpathofiticallillpatients incomprehensiveintensivecaeuitandto exploreitspreliminaryapplicationefect.Metods：Basedontheconceptofearlyactivitiesorientedtowardsgoalsandaiteraturereview， expertconsultationswerecariedouttoconstructagradedlimbactivitiesnursingpathwayforcriticallyillpatients.FromFebaryto March2024，thispaasprelinarilpledmogritialyllpatitsbseratogrou）adiedtoegeralitsiveae unit（ICU）ofatertiarygradeAhospitalinBeijing.Itwasthencomparedwith18patients（ontrolgroup）hreceivedroutienusingcare fromDecemberO2toJanuaryO24，soastoevaluatethesafetyfeasibiltndefectivenessofthepathwayResults：Teedance rate of the expert meetings and the efective questionnaire recovery rate of the expert consultations Were both 100% .The expert authority coeficient was O.85.The importance scores and feasibility scores of each item were all >3.5 .The coefficient of variation was all <0.25 ，And the Kendall's coeficient of concordance was 0.5 64（P<0.001 0.The constructed graded limb activity nursing path for critically illpatientsiud3ist-elits，cod-eveitsnd4tdvelit.epreiryplicationultsowdtat noadverseeventsoccuredduringtheimplementationofthepathwayAndthedifereneinthesumoftheleftandrighthandgrip strengthsbeforeandaftertheimplementationof thepathwayintheobservationgroupwashigherthanthatinthecontrolgroup P= 0.005）.Cncusios：Teconstructedgradedlibactivitynursingpathfocriticallillpatits inthecomprehesiveintensivecarenit hasgoodsieilitisglallsbdIetdlrf application effect.

Keywordsinteseareit;exprtosi;alyoblatio;abilitioug;bmovent;gaddsig;det摘要目的：构建综合重症监护室（ICU）重症病人肢体活动分级护理路径并探讨其初步应用效果。（剩余13441字）