중환자 조기이동을 위한 간호사 주도형 중재와 간호사 참여형 다학제 중재의 효과 비교 : 체계적 문헌고찰 및 메타분석

Early mobilization in intensive care improves patient recovery, yet the comparative effects of nurse-led and nurse-involved approaches remain unclear. This study aimed to compare their effects on clinical outcomes in critically ill patients. A systematic review and meta-analysis was conducted. PubMed, Embase, CINAHL, and the Cochrane Library were searched using the keywords ‘critically ill patients’, ‘early mobilization’, ‘nurse-led’, ‘nurse involvement’, and ‘interventions’. Thirteen studies were included (7 nurse-led; 6 nurse-involved multidisciplinary interventions). Nurse-led interventions were favorably associated with reduced hospital stay (MD -4.68 days) and improved muscle strength (MD 10.90) in non-randomized studies. Nurse-involved multidisciplinary interventions more consistently reduced ventilator duration (RCT: MD -2.29 days; non-RCT: MD -5.25 days). Both approaches may support recovery in critically ill patients, but clearer nursing roles and standardized intervention components are needed for consistent implementation.