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Interpretation of the "Guideline on positioning and early mobilisation in the critically ill by an expert panel"
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Jing CAI, Lingli XIE, Hui ZHANG, Xinyue ZHANG, Hong SUN, Jianhua SUN
Chinese Nursing Research | 2026, 40(1) : 1 - 8
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Chinese Nursing Research | 2026, 40(1): 1-8
• Guideline and Consensus •
Interpretation of the "Guideline on positioning and early mobilisation in the critically ill by an expert panel"
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Jing CAI, Lingli XIE, Hui ZHANG, Xinyue ZHANG, Hong SUN, Jianhua SUN
Affiliations
  • 1Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730 China
Published: 2026-01-10 doi: 10.12102/j.issn.1009-6493.2026.01.001
Outline
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Objective

To systematically interpret the "Guideline on positioning and early mobilisation in the critically ill by an expert panel".

Methods

The development background,evidence quality,and key recommendations of the guideline were systematically reviewed.The focus was placed on interpreting the core recommendations regarding positioning and early mobilisation,and clinical practice considerations aligned with China's national context were proposed accordingly.

Results

The guideline put forward 46 recommendations,encompassing 23 on positioning management,19 on early mobilisation,4 on assistive devices,and 2 on neuromuscular electrical stimulation.Key recommendations included:head-of-bed elevation≥40° for intubated patients;early initiation of prone positioning ventilation(for at least 12 hours) in ARDS patients with PaO₂/FiO₂<150 mmHg;and commencement of early mobilisation within 72 hours of ICU admission.

Conclusions

This guideline provides an evidence-based foundation for positioning management and early mobilisation in ICU patients.It is recommended to enhance healthcare staff training,establish multidisciplinary collaboration mechanisms,and improve assessment and monitoring systems to ensure standardized implementation.

intensive care units  /  positioning management  /  prone position  /  early mobilisation  /  guideline  /  interpretation
蔡晶, 谢铃莉, 张慧, 张馨月, 孙红, 孙建华. 《ICU病人体位管理与早期活动指南》解读. 护理研究, 2026 , 40 (1) : 1 -8 . DOI: 10.12102/j.issn.1009-6493.2026.01.001
Jing CAI, Lingli XIE, Hui ZHANG, Xinyue ZHANG, Hong SUN, Jianhua SUN. Interpretation of the "Guideline on positioning and early mobilisation in the critically ill by an expert panel"[J]. Chinese Nursing Research, 2026 , 40 (1) : 1 -8 . DOI: 10.12102/j.issn.1009-6493.2026.01.001
Year 2026 volume 40 Issue 1
78
31
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.01.001
  • Receive Date:2025-08-27
  • Online Date:2026-10-28
  • Published:2026-01-10
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History
  • Received:2025-08-27
  • Revised:2025-11-02
Affiliations
    1Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730 China

Corresponding:

SUN Jianhua, E-mail:
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小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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