PURPOSE To determine the level of recall, satisfaction, and perceived benefits of early mobility (EM) among ventilated cancer patients after extubation in the intensive care unit (ICU). METHODS A survey of patients' perceptions and recollections of EM was administered within 72 h of extubation. Data on recall of EM participation, activities achieved, adequacy of staffing and rest periods, strength to participate, activity level of difficulty, satisfaction with staff instructions, breathing management, and overall rating of the experience were analyzed. The Confusion Assessment Method for ICU (CAM-ICU) was used for delirium screening. RESULTS Fifty-four patients comprised the study group. Nearly 90% reported satisfaction with instructions, staffing, rest periods, and breathing management during EM. Participants indicated that EM maintained their strength (67%) and gave them control over their recovery (61%); a minority felt optimistic (37%) and safe (22%). Patients who achieved more sessions and "out-of-bed" exercises had better recall of actual activities compared with those who exercised in bed. Overall, patients with CAM-ICU-positive results (33%) performed less physical and occupational therapy exercises. CONCLUSIONS Ventilated cancer patients reported an overall positive EM experience, but factual memory impairment of EM activities was common. These findings highlight the needs and the importance of shaping strategies to deliver a more patient focused EM experience.

中文翻译：

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对重症监护病房中通风性癌症患者的观点和早期活动记忆的初步调查。

目的确定在重症监护病房（ICU）拔管后通气的癌症患者中早期移动（EM）的召回率，满意度和可感知的收益水平。方法在拔管后72小时内对患者的感知和EM回忆进行调查。分析了有关EM参与召回，完成的活动，人员配备和休息时间，参与强度，活动难度，对员工指示的满意度，呼吸管理以及经验的总体评分等方面的数据。ICU的混淆评估方法（CAM-ICU）用于del妄筛查。结果研究组共有54名患者。接近90％的人对EM期间的指导，人员配备，休息时间和呼吸管理表示满意。参与者指出，EM保持了自己的力量（67％），并控制了他们的康复（61％）；少数人感到乐观（37％）和安全（22％）。与卧床锻炼的患者相比，完成更多锻炼和“卧床锻炼”的患者对实际活动的记忆力更好。总体而言，CAM-ICU阳性结果的患者（33％）进行的物理和职业治疗锻炼较少。结论通风良好的癌症患者报告总体上具有良好的EM经历，但实际记忆障碍是EM活动的普遍表现。这些发现强调了制定策略以提供更多以患者为中心的EM体验的需求和重要性。