{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:14:01Z","timestamp":1790723641566,"version":"4.1.0"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T00:00:00Z","timestamp":1749340800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T00:00:00Z","timestamp":1749340800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004775","name":"natural science foundation of gansu province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004775","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>This study aims to explore the experiences of mechanically ventilated ICU patients receiving early active mobilization, with a focus on their perceptions, emotions, and psychological impacts to inform nursing practices. A qualitative approach using semi-structured interviews and thematic content analysis was employed, with interviews conducted face-to-face between March and December 2021 across 5 comprehensive hospitals. Data from 14 patients were analyzed using Colaizzi\u2019s 7-step method, revealing 3 main themes: (1) Significant physical discomfort, including feelings of weakness, foreign body sensation, pain, and fatigue; (2) Complex psychological experiences, with perceived benefits, negative self-perception, and diverse emotional responses; and (3) Expectations for treatment, such as a desire for family support, rehabilitation goals, and humanized care. The study found that mechanically ventilated ICU patients undergoing early active mobilization experienced significant physical discomfort, complex psychological responses, and had specific expectations for treatment, highlighting the need for holistic nursing practices that address these aspects.<\/jats:p>","DOI":"10.1177\/00469580251344165","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T03:03:08Z","timestamp":1750820588000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Early Active Mobilization of Mechanically Ventilated Patients in the ICU: A Qualitative Study on Patient Experience"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2471-4445","authenticated-orcid":false,"given":"Xiaomeng","family":"Han","sequence":"first","affiliation":[{"name":"School of Nursing, Lanzhou University, Lanzhou, Gansu, P.R. China"},{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9180-7556","authenticated-orcid":false,"given":"Qian","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University, Lanzhou, Gansu, P.R. China"},{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengyang","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University, Lanzhou, Gansu, P.R. China"},{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donghui","family":"Jia","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University, Lanzhou, Gansu, P.R. China"},{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Cheng","sequence":"additional","affiliation":[{"name":"Nursing Department, Changzhi People\u2019s Hospital, Changzhi, Shanxi, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caiyun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiajia","family":"Kong","sequence":"additional","affiliation":[{"name":"Heart Center,Chao-yang Hospital, Capital Medical University, Beijing, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University, Lanzhou, Gansu, P.R. China"},{"name":"Department of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000006400"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000004574"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000004382"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223185"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irac008"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06283-0"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103708"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07888"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026348"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.04.119"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/160940690400300104"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.21972"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000000388"},{"key":"e_1_3_3_15_2","volume-title":"Qualitative Research Methods and Social Science Research","author":"Chen X.","year":"2000","unstructured":"Chen X. Qualitative Research Methods and Social Science Research. Educational Science Press; 2000."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16110"},{"key":"e_1_3_3_18_2","first-page":"48","volume-title":"Existential Phenomenological Alternatives for Psychology","author":"Colaizzi PF.","year":"1978","unstructured":"Colaizzi PF. Existential Phenomenological Alternatives for Psychology. Oxford University Press; 1978:48-71."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4685-4"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2020.01.003"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103064"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2017468"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12407"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2020.1799460"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-32-9705-0_17"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12705"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/psy.0000000000000626"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002997"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16950"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2018.09.002"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12377"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.09.018"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000002169"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201710-2032CI"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103846"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2020.02.005"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-04129-3"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733017703701"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2020.102893"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b822"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2023932"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-019-2327-7"},{"issue":"5","key":"e_1_3_3_43_2","first-page":"4884","article-title":"Influence of humanized care on self-efficacy, sleep and quality of life of patients in cardiovascular surgery intensive care unit","volume":"13","author":"Zeng Z","year":"2021","unstructured":"Zeng Z, Guan Y. Influence of humanized care on self-efficacy, sleep and quality of life of patients in cardiovascular surgery intensive care unit. Am J Transl Res. 2021;13(5):4884-4891.","journal-title":"Am J Transl Res"}],"updated-by":[{"DOI":"10.1177\/00469580261450809","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000}}],"container-title":["INQUIRY: The Journal of Health Care Organization, Provision, and Financing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580251344165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00469580251344165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580251344165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:10:21Z","timestamp":1777461021000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00469580251344165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,8]]},"references-count":42,"alternative-id":["10.1177\/00469580251344165"],"URL":"https:\/\/doi.org\/10.1177\/00469580251344165","relation":{},"ISSN":["0046-9580","1945-7243"],"issn-type":[{"value":"0046-9580","type":"print"},{"value":"1945-7243","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,8]]},"article-number":"00469580251344165"}}