Abstract
Early mobilization (EM) is practiced for intensive care unit (ICU) patients in many hospitals in the Eastern Province in Saudi Arabia. Respiratory care professionals’ knowledge about using EM was, therefore, surveyed and investigated to improve and update its practice and ultimately to develop related regulations and policies. A survey including 156 respiratory care professionals was conducted using a validated questionnaire. The focus was on collecting information on participants’ relevant backgrounds and on proper use of EM. Knowledge and proper use of EM were calculated in relation to participants’ demographic and professional characteristics. The statistical analysis using analysis of variance and Student t-test showed that factors that affected knowledge of EM were the respiratory care professional’s age, gender, nationality, and years of experience in intensive care medicine. How many patients these professionals treated using EM also significantly correlated with their knowledge of EM. The survey showed the extent of respiratory care professionals’ knowledge about the proper use of EM. More importantly, the survey also identified important shortfalls in practice of some experienced medical practitioners.
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References
Pattanshetty RB, Gaude GS. Critical illness myopathy and poly-neuropathy – a challenge for physiotherapists in the intensive care units. Ind J Crit Care Med 2011;15;78–81.
Shanely RA, Zergeroglu MA, Lennon SL, Sugiura T, Yimlamai T, Enns D, et al. Mechanical ventilation-induced diaphragmatic atrophy is associated with oxidative injury and increased proteo-lytic activity. Am J Resp Crit Care Med 2002;166;1369–74.
De Jonghe B, Sharshar T, Lefaucheur J P, Authier FJ, Durand-Zaleski I, Boussarsar M, et al. Paresis acquired in the intensive care unit: a prospective multicenter study. JAMA 2002;288;2859–67.
Stevens RD, Dowdy DW, Michaels RK, Mendez-Tellez PA, Pronovost PJ, Needham DM. Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Med 2007;33;1876–91.
Ali NA, O’Brien Jr JM, Hoffmann S P, Phillips G, Garland A, Finley JC, et al. Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Resp Crit Care Med 2008;178;261–8.
Ambrosino N. Weaning and respiratory muscle dysfunction: the egg-chicken dilemma. Chest 2005;128;481–3.
Skinner EH, Berney S, Warrillow S, Denehy L. Rehabilitation and exercise prescription in Australian intensive care units. Physiotherapy 2008;94;220–9.
Nydahl P, Ruhl A P, Bartoszek G, Dubb R, Filipovic S, Flohr HJ, et al. Early mobilization of mechanically ventilated patients: a 1-day point-prevalence study in Germany. Crit Care Med 2014;42;1178–86.
Leong YL, Rasnah AR, Chong MC. Patient early mobilization: a Malaysia’s study of nursing practices. J Intens Crit Care. 2017;3;29.
Li Z, Peng X, Zhu B, Zhang Y, Xi X. Active mobilization for mechanically ventilated patients: a systematic review. Arch Phys Med Rehabil 2013;94;551–61.
Jolley SE, Regan-Baggs J, Dickson RP, Hough CL. Medical intensive care unit clinician attitudes and perceived barriers towards early mobilization of critically ill patients: a cross-sectional survey study. BMC Anesthesiol 2014;14;84.
Pawlik AJ. Early mobilization in the management of critical illness. Crit Care Nurs Clin North Am 2012;24;481–90.
Schweickert WD, Kress J P. Implementing early mobilization interventions in mechanically ventilated patients in the ICU. Chest 2011;140;1612–7.
Phelan S, Lin F, Mitchell M, Chaboyer W. Implementing early mobilisation in the intensive care unit: an integrative review. Int J Nurs Stud 2018;77;91–105.
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Qutub, H.O., Matani, A.S. & Farooqi, F.A. Survey of Respiratory Care Professionals’ Knowledge in Early Mobilization: A Pilot Study. J Epidemiol Glob Health 8, 208–212 (2018). https://doi.org/10.2991/j.jegh.2018.06.100
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DOI: https://doi.org/10.2991/j.jegh.2018.06.100