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Effects of Nurse-Implemented Early Mobilization on Mechanically Ventilated Patient Outcomes
Yu-Chun Diao1, Meei-Fang Lou2, Jih-Shuin Jerng3
1Doctoral Student, Department of Nursing, National Taiwan University Hospital, School of Nursing, College of Medicine, National Taiwan University.
Clinical Nurse Specialist CNS
|December 9, 2025
Summary
Nurse-implemented early mobilization significantly boosts muscle strength and daily living activities in mechanically ventilated patients. This approach enhances recovery for this vulnerable group.
Area of Science:
- Critical Care Medicine
- Physical Therapy
- Nursing Science
Background:
- Mechanically ventilated patients often experience muscle weakness and functional decline.
- Early mobilization is crucial for improving outcomes in critically ill patients.
Purpose of the Study:
- To assess the impact of a 10-day nurse-implemented early mobilization protocol.
- To evaluate effects on muscle strength and activities of daily living (ADL) performance.
- To compare outcomes in mechanically ventilated patients receiving early mobilization versus standard care.
Main Methods:
- A quasi-experimental study with repeated measures was conducted.
- Fifty-three mechanically ventilated patients were divided into control (standard care) and intervention (early mobilization) groups.
- Muscle strength and ADL performance were assessed at baseline, postintervention, and 1-week follow-up.
Main Results:
- The intervention group showed significantly greater improvements in muscle strength and ADL performance compared to the control group (P<0.05).
- A higher percentage of patients in the intervention group achieved out-of-bed mobility.
- Significant gains were observed at both postintervention and 1-week follow-up points.
Conclusions:
- Nurse-implemented early mobilization exercises are effective in enhancing muscle strength and functional outcomes for mechanically ventilated patients.
- Integrating structured mobilization protocols into nursing care is a viable strategy for improving recovery in this patient population.
- Early mobilization by nurses can lead to better functional recovery and reduced disability.
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