Das Bijoy, Saha Sanchita, Kabir Feroz, Hossain Sazzad
Department of Physiotherapy, BRB Hospitals Limited, Dhaka, Bangladesh.
Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Mirpur, Dhaka, Bangladesh.
Indian J Crit Care Med. 2021 Apr;25(4):416-420. doi: 10.5005/jp-journals-10071-23789.
The main purpose of this study was to evaluate the effectiveness of graded early mobilization on psychomotor status and duration of ICU stay of patients with mechanical ventilation.
Quasi-experimental study. BRB Hospitals Limited, Dhaka, Bangladesh. A reputed 500-beddedgeneral hospital with 30 ICU beds. A total of 30 patients were selected as participants in the study from the hospital. 15 patients were included in the ICU treatment group and the remaining 15 were in the intervention group using the purposive sampling method. Functional independence measure (FIM) scale and 7 point generalized anxiety depression (GAD-7) scale. Graded early mobilization was provided as an intervention to all participants of the intervention group by a professionally qualified ICU physiotherapist for 10 sessions. Most of the patients received multiple sessions of intervention within a day.
In the control group mean FIM score was 17.40 (SD±4.88), and in the intervention group mean score was 65.70 (SD±12.18). The mean difference was statistically significant in the '' test (-value > 0.001). In the control group, the mean GAD-7 score was 19.50 (SD±2.71), and in the intervention group the mean GAD-7 score was 7.5 (SD±2.59). The mean difference was statistically significant in the '' test. (-value > 0.001). The mean length of ICU stay in the control group was 5.60 (SD±1.07) and in the intervention group it was 3.10 (SD±0.56). The mean difference was statistically significant in the '' test (-value > 0.001).
This research showed that graded early mobilization was highly effective to improve the motor and psychological status of mechanically ventilated patients and reduce their length of ICU stay.
Das B, Saha S, Kabir F, Hossain S. Effect of Graded Early Mobilization on Psychomotor Status and Length of Intensive Care Unit Stay in Mechanically Ventilated Patients. Indian J Crit Care Med 2021;25(4):416-420.
本研究的主要目的是评估分级早期活动对机械通气患者心理运动状况及重症监护病房（ICU）住院时间的有效性。
准实验研究。孟加拉国达卡的BRB医院有限公司。一家拥有500张床位的知名综合医院，设有30张ICU床位。从该医院共选取30例患者作为研究对象。采用目的抽样法，将15例患者纳入ICU治疗组，其余15例纳入干预组。使用功能独立性测量（FIM）量表和7点广泛性焦虑抑郁（GAD - 7）量表。由专业合格的ICU物理治疗师对干预组的所有参与者进行分级早期活动干预，共10次。大多数患者在一天内接受多次干预。
对照组FIM平均得分为17.40（标准差±4.88），干预组平均得分为65.70（标准差±12.18）。在“检验”中，平均差异具有统计学意义（ - 值>0.001）。对照组GAD - 7平均得分为19.50（标准差±2.71），干预组GAD - 7平均得分为7.5（标准差±2.59）。在“检验”中，平均差异具有统计学意义（ - 值>0.001）。对照组ICU平均住院时间为5.60（标准差±1.07），干预组为3.10（标准差±0.56）。在“检验”中，平均差异具有统计学意义（ - 值>0.001）。
本研究表明，分级早期活动对改善机械通气患者的运动和心理状况以及缩短其ICU住院时间非常有效。
Das B, Saha S, Kabir F, Hossain S. 分级早期活动对机械通气患者心理运动状况及重症监护病房住院时间的影响。《印度重症监护医学杂志》2021；25(4):416 - 420。
