Effect of early off-bed mobility on delirium in mechanical ventilated patients in intensive care unit: a prospective randomized controlled study

• Published in: Zhonghua wei zhong bing ji jiu yi xue Vol. 33; no. 11; p. 1353
• Main Authors: Wu, Hualian, Gu, Tiantian, Chen, Miao, Li, Xiaojuan, Zhang, Xuning, Wang, Yong, Quan, Mingtao
• Format: Journal Article
• Language: Chinese
• Published: China 01.11.2021
• Subjects: Adult; Critical Illness; Delirium; Humans; Intensive Care Units; Prospective Studies; Respiration, Artificial - adverse effects
• ISSN: 2095-4352
• DOI: 10.3760/cma.j.cn121430-20210209-00238

To investigate the feasibility of early off-bed mobility in patients with mechanical ventilation and its effect on delirium and the duration of delirium in the intensive care unit (ICU). Adult patients who were admitted to ICU of the Affiliated Hospital of Zunyi Medical University from January 1st to December 31st 2020 for invasive mechanical ventilation and no early activity contraindication were selected. The patients were randomly divided into two groups. The experimental group conducted early off-bed mobility, such as using the shift machine off-bed sitting and walking aids to assist standing and walking, and the off-bed mobility is based on patient tolerance. The control group was given early bed activities, including conducting the joint range activity, limb movement, bed sitting, upper limb elastic belt movement, and lower limb cycling, once a day. Each joint moved 15-20 times, a total of 30 minutes. Both groups were treated with anti-infection, mechanical ventilation, analgesia and sedation, and nutri