关键词: 早期活动；ICU患者；障碍；影响因素

Abstract: Objective: To identify the barriers and influencing factors of early mobilization in ICU patients, and aim to provide clinical reference for the establishment of early mobilization program. Methods: A convenienced sample of 290 patients were selected in ICU from a Level-3 Hospital in Lanzhou, and identified the barriers of early mobilization and its influencing factors by a self-designed early mobilization records. Results: The main barriers of the early mobilization in ICU patients with mechanical ventilation were tracheal intubation, sedation, and the main barriers of those without mechanical ventilation were lacking of physician support and instability of the circulatory system. The logistic regression showed that the related factors of early mobilization included the stays in ICU, muscle strength and duration of mechanical ventilation. Conclusion: There were many obstacles to early mobilization and the influencing factors of barriers was limited. It is necessary to know more about the influencing factors, and pay more attention to the barriers of the early mobilization of ICU patients.

Key words: early mobilization; ICU patients; barriers; influential factors