Construction of pulmonary physiotherapy for mechanically ventilated patients guided by electrical impedance tomography
GU Hongjun
ZHANG Yan
MENG Meng
ZHANG Han
SHEN Bo
YANG Qingyun
ZHAO Ying
WEN Ruoxuan
MA Yanlan
Abstract：Objective To construct an electrical impedance tomography(EIT)-guided pulmonary physiotherapy for mechanically ven-tilated patients,standardize individualized pulmonary physiotherapy for mechanically ventilated patients,improve the effect of airway clearance and promote the rapid recovery of mechanically ventilated patients.Methods Based on evidence-based nursing methods,domestic and for-eign literature was retrieved and evidence was summarized.A group discussion was conducted to formulate the first draft of the EIT-guided pulmonary physiotherapy program for patients with mechanical ventilation.The Delphi method was used to conduct two rounds of expert consul-tation,and the plan was screened and adjusted according to expert opinions.Results The expert authority coefficient of the two rounds of cor-respondence consultation was 0.954,the Kendall's harmony coefficients of the importance of the indicators were 0.349 and 0.354(P＜0.001),and the Kendall's harmony coefficients of the feasibility of the indicators were 0.351 and 0.178(P＜0.001).Finally,a pulmonary physiotherapy program was constructed,including 4 first level items(screening object,physiotherapy,safety management,effect evaluation),11 second level items and 53 tertiary items.Conclusion The EIT-guided pulmonary physiotherapy scheme for patients with mechanical ventilation estab-lished in the study is detailed,scientific,practical and innovative,which provides a basis for standardized implementation of individualized pulmonary physiotherapy for mechanically ventilated patients.
Keywords：electrical impedance tomographylungphysical therapymechanical ventilationnursing
Publication Date：2025-04-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 312-317 )