目的 系统评价重症监护病房（intensive care unit,ICU）医务人员实施早期康复活动阻碍因素的质性研究，为ICU早期康复的开展提供依据。方法 检索PubMed、Web of Science、Embase、Medline、Cochrane Library、CINAHL、中国知网、万方、维普、SinoMed等数据库中关于ICU医务人员实施早期康复活动体验的质性研究。检索时限从建库至2023年4月。采用汇集性整合法进行Meta整合。结果 共纳入13篇文献，提取27个结果，归纳9个类别，3个整合结果：人员观念因素；实践因素；资源及管理因素。结论 诸多因素阻碍ICU医务人员早期康复活动的实施，未来应提高患者康复认知，构建个性化循证康复方案，统筹多学科团队协作及培训模式，合理增补资源及分配。

Objective To systematically evaluate the qualitative research on the obstacles of early rehabilitation activities for ICU medical staff,and to provide scientific basis for early rehabilitation in ICU. Methods The databases of PubMed,Web of Science,Embase,Medline,Cochrane Library,CINAHL,CNKI,Wanfang,VIP and SinoMed were searched to retrieve qualitative research on ICU medical staff’s experience of early rehabilitation activities.The retrieval time frame is from inception to April 2023.A Meta-synthesis was carried out using an aggregative integration method. Results A total of 13 articles were included and 27 results were extracted.These results were summarized into 9 categories and 3 themes.The 3 themes were personnel concept factor,practical factor and resource and management factor. Conclusions Many factors hinder the implementation of early rehabilitation activities among ICU medical staff.In the future,patients’ rehabilitation cognition should be improved; personalized evidence-based rehabilitation programs should be constructed; and multidisciplinary teamwork and training models should be coordinated; and resources should be reasonably supplemented and allocated.

R47

湖南省自然科学基金（2018JJ3369）