کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2706224 1144801 2011 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Early Mobilization in Critically Ill Patients: Patients' Mobilization Level Depends on Health Care Provider's Profession
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Early Mobilization in Critically Ill Patients: Patients' Mobilization Level Depends on Health Care Provider's Profession
چکیده انگلیسی

ObjectiveTo evaluate whether the level of mobilization achieved and the barriers for progressing to the next mobilization level differ between nurses and physical therapists.DesignProspective, observational study.SettingTwenty-bed surgical intensive care unit (SICU) of the Massachusetts General Hospital.ParticipantsSixty-three critically ill patients.MethodsPhysical therapists and nurses performed 179 mobilization therapies with 63 patients.Outcome MeasurementMobilization was defined as the process of enhancing mobility in the SICU, including bed mobility, edge of bed activities, transfers out of bed to a chair, and gait training; the mobilization level was measured on the SICU optimal mobilization scale, a 5-point (0-4) numerical rating scale.ResultsPatients' level of mobilization achieved by physical therapists was significantly higher compared with that achieved by nurses (2.3 ± 1.2 mean ± SD versus 1.2 ± 1.2, respectively P < .0001). Different barriers for mobilization were identified by physical therapists and nurses: hemodynamic instability (26% versus 12%, P = .03) and renal replacement therapy (12% versus 1%, P = .03) were barriers rated higher by nurses, whereas neurologic impairment was rated higher by physical therapists providers (18% versus 38%, P = .002). No mobilization-associated adverse events were observed in this study.ConclusionsThis study showed that physical therapists mobilize their critically ill patients to higher levels compared with nurses. Nurse and physical therapists identify different barriers for mobilization. Routine involvement of physical therapists in directing mobilization treatment may promote early mobilization of critically ill patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: PM&R - Volume 3, Issue 4, April 2011, Pages 307–313
نویسندگان
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