APPLICATION OF PHYSICAL THERAPY IN THE EARLY STAGES OF TREATMENT OF CRITICALLY ILL
DOI:
https://doi.org/10.32782/2522-1795.2024.18.2.5Keywords:
anesthesiology, intensive care, verticalization, mobilization, physical therapy, contractures, bedsores, swellingAbstract
Purpose. The purpose of this study was to conduct a statistical analysis of the effectiveness of physical therapy in reducing the frequency of concomitant complications and promoting the recovery of critically ill patients undergoing treatment in the departments of anesthesiology and intensive care with the need for continuous monitoring of objective vital signs. Materials. The study used physical therapy as part of the treatment process for critically ill patients to minimize the risk of developing associated complications. Based on the methods of pedagogical observation and assessment of the amplitude of movements and the condition of the skin, the development and progression of accompanying complications in such patients was analyzed. Using these data, statistical analysis was performed using McNemar’s test. Results. According to the results of the study, a significant positive effect of physical therapy on reducing the risk of occurrence and development of concomitant complications among patients of the departments of anesthesiology and intensive care unit was established. A comparative analysis between the main and control groups of patients shows a statistically significant reduction in the number of co-complications in the group where physical therapy was applied, while in the control group no significant changes in the regression of swelling, contractures, wounds, deformities and bedsores were observed. Conclusions. The findings of the study emphasize the critical role of physical therapy in a comprehensive approach to the treatment of critically ill patients in anesthesiology and intensive care units. The results indicate a significant reduction in the occurrence of co-complications in the group of patients where physical therapy was integrated, which indicates its effectiveness in the prevention and treatment of complications in the early stages of treatment of critically ill patients in the intensive care unit.
References
Clavet H., Hébert P., Fergusson D., Doucette S., Trudel G. (2010). Joint contractures in the intensive care unit: association with resource utilization and ambulatory status at discharge. The Bone and Joint Laboratory. University of Ottawa. Canada. Disability and Rehabilitation, 33 (2), 105–12. doi: 10.3109/09638288.2010.486468.
Morris P.E., et al. (2008). Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med, 36 (8), 2238–43. doi: 10.1097/CCM.0b013e318180b90e.
Nydahl P., Sricharoenchai T., Chandra S., Kundt F.S., Huang M., Fischill M., Needham D.M. (2017). Safety of patient mobilization and rehabilitation in the intensive care unit: systematic review with meta-analysis. Annals of the American Thoracic Society, 14 (5), 766–777.
Suesada M.M., Martins M.A., Carvalho C.R. (2007). Effect of short-term hospitalization on functional capacity in patients not restricted to bed. Am. J. Phys. Med. Rehabil, 86, 455–462.
Tipping C.J., Harrold M., Holland A., Romero L., Nisbet T., Hodgson C.L. (2017). The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Medicine, 43 (2), 171–183.
Tomasi C.D. et al. (2010). Beneficial effect of respiratory physiotherapy in critically ill patients ventilated for more than 48 hours: A randomized controlled trial. Intensive Care Medicine. Conference 23rd Annual Congress of the European Society of Intensive Care Medicine, ESICM Barcelona Spain. Date of publication: September.
Tran D.H., Maheshwari P., Nagaria Z., Patel H.Y., Verceles A.C. (2020). Ambulatory Status is Associated with Successful Discharge Home in Survivors of Critical Illness from COVID-19. Respiratory Care, 65 (8), 1168–1173.
Waldauf P., Jiroutkova K., Krajcova A., Puthucheary Z., Duska F. (2020). Effects of rehabilitation interventions on clinical outcomes in critically ill patients: systematic review and meta-analysis of randomized controlled trials. Critical Care Medicine, 48 (7), 1055–1065.
Zhang J., Zhao X., Wang A. (2019) Early rehabilitation to prevent post-intensive care syndrome in critical illness patients: Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. Chinese Critical Care Medicine, 31 (8), 1008–1012.
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