Português Assessment of prevalence and risk factors for early mobilization in an emergency hospital
Original article - e235562 - Published 2024 March 31
DOI:
https://doi.org/10.33233/rbfex.v23i1.5562Keywords:
early ambulation, hospitalization, limitation of mobilityAbstract
Introduction: An intensive care unit receives critically ill patients, which includes specific and comprehensive care. These users commonly remain confined to bed for a prolonged period of time, causing inactivity, immobility and severe osteomyoarticular dysfunction. Aim: To analyze the prevalence, degree of mobility and risk factors for early mobilization in patients that occurred on the seventh to the tenth day of hospitalization in the evaluated units. Methods: This is a cross-sectional analytical descriptive study. To carry out the research, a safety assessment, and the Johns Hopkins mobility scale were carried out, ending with the analysis of the mobility conduct carried out on the day of the assessment, both via medical records. Results: 100 patients were included (age: 58±18 years, sex: 65 male). Regarding the performance of early mobilization, only 27% could be described as such. Participants who were on external ventilation had a higher percentage of mobilization (63%), when compared to patients who were on invasive mechanical ventilation (33.3%). 73% of patients were classified as 1 (lying down) on the Johns Hopkins scale. The greater the number of risks, including sedation and orotracheal tube, the lower the mobilization rate. Conclusion: A significant percentage of patients were not mobilized. The greater the number of risks, the lower the mobilization rate. There was no difference in mobility rates, considering the different diagnoses. Therefore, a greater commitment to health education for rehabilitation professionals is necessary.
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Copyright (c) 2024 Maristela Lúcia Soares Campos, Érika Letícia Gomes Nunes, Letícia de Souza Pereira, Bruna Kelly Ferreira, Isadora Oliveira Freitas Barbosa , Jefferson Petto, Giulliano Gardenghi
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