Principals of Implementing Early Mobilization in Patients in Intensive Care Units
DOI:
https://doi.org/10.59585/ijhs.v2i3.437Keywords:
Implementation Principles, Early Mobilization, Patients, Investigational Treatment Units, HospitalsAbstract
Early mobilization is a series of light activities carried out after surgery starting in bed until being able to get out of bed, mobilize to the bathroom and walk out of the bathroom. Advances in intensive care allow more patients to survive acute critical illness. The use of mechanical ventilation is one of the advances in the care of critically ill patients that can have a negative impact on long-term use. The aim is to provide information about the benefits and application of early mobilization in patients undergoing treatment in the ICU and using mechanical ventilation. Results: early mobilization has an effect on physiological responses, reduces delirium scores, reduces the length of use of mechanical ventilation, reduces length of stay in the ICU and hospital and reduces treatment costs, and prevents VAP. One of the obstacles to early mobilization is the mindset of ICU staff. The conclusion is that early mobilization is one of the items for ICU patients and what hinders its implementation is the mindset of the ICU staff.
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References
Ananda. (2021). Implementation of Early Mobilization in the Wound Healing Process in Patients with Post-Appendectomy Operations in Metro Cities. jurnal.akperdharmawacana.ac.id 1(4).
Astuti. (2021). Early Mobilization and Post-Episiotomy Wound Healing Rates in Post-Partum Mothers.
Arlinda, S. (2023). Quality of Health Services for Askes Participants Seen in Terms of Excellent Service in the Inpatient Unit of Kalimantan Hospital. Barongko: Journal of Health Sciences, 2(1), 80–94. https://doi.org/10.59585/bajik.v2i1.213
Ambrosino, N., Venturelli, E., Vagheggini, G., & Clini, E. (2012).
Amidei, C., & Sole, M. Lou. (2013). Physiological Responses to passive exercise in Adults Receiving Mechanical Ventilation. American Journal of Critical Care, 22(4), 337–348.
Avila, A.C., Serón, P., Fan, E., Gaete, M., & Mickan, S. (2015). Effect of Early Rehabilitation during Intensive Care Unit Stay on Functional Status: Systematic Review and Meta-Analysis. PLOS ONE, 10(7). Reply, MC, Devlin, JW, Verceles, AC.
Citrawati. (2021). The Relationship between Knowledge Level and Mother's Attitude in Early Mobilization after Cesarean Sect.Jurnal.Payungnegeri.Ac.Id.
Balas, M.C., Vasilevskis, E.E., Boehm, L., Pun, B.T., Olsen, K.M., Peitz, G.J., & Ely, E.W. (2012). Critical Care Nurses' Role in Implementing the “ABCDE Bundle” Into Practice. Critical Care Nurse, 32(2), 35–47.
Bassett, R.D., Vollman, K.M., Brandwene, L., & Murray, T. (2012). Integrating a multidisciplinary mobility program into intensive care practice (IMMPTP): a multicentre collaborative. Intensive Crit Care Nurs, 28(2),88–97.
Bassi, G.L., & Torres, A. (2011). Ventilator-associated pneumonia: role of positioning. Lippincott Williams & Wilkins, 17, 57–63.
Cameron, S., Ball, I., Cepinskas, G., Choong, K., Doherty, T. J., Ellis, C. G. , … Fraser, D. D. (2015). Early mobilization in the critical care unit: A review of adult and pediatric literature. Journal of Critical Care, 30(4), 664–672.
Castro, E., Turcinovic, M., Platz, J., & Law,
I. (2015). Early Mobilization: Changing the Mindset. Critical Care Nurse, 35(4), e1–e6.
Catchpole, M., Foster, G. P., & Manolopoulos, K. (2015). Addressing Cognition and Communication Within the Context of Early Mobilization in the Intensive Care Unit.
Fraser, D., Spiva, L., Forman, W., & Hallen, C. (2015). Original Research: Implementation of an Early Mobility Program in an ICU. American Journal of Nursing, 115(12), 49–58.
Herlina. (2013). The Effect of Aclapping, Vibration and Suction on Tidal Volume in Pneumonia Patients Using Ventilators in the ICU Room at RSPAD Gatot Soebroto DITKESAD Jakarta 2011.
Herawati. (2021). Relationship between level of knowledge and early mobilization activities in post-cesarean section patients. Jurnal.Usahidsolo.Ac.Id, 1(4).
Kahn, J.M., Benson, N.M., Appleby, D., Carson, S.S., & Iwashyna, T.J. (2010). Long-term acute care hospital utilization after critical illness. JAMA, 22, 2253–2259.
Kahn, JM, Le, TM, Angus, DC, Cox, CE, Hough, CL, White, DB, … Carson, SS (2015). The Epidemiology of Chronic Critical Illness in the United States. Critical Care Medicine, 43(2), 282 – 287.
Koukourikos, K., Tsaloglidou, A., & Kourkouta, L. (2014). Muscle atrophy in intensive care unit patients. Acta Informatica Medica, 22(6), 406–410.
Loss, SH, Oliveira, RP de, Maccari, J.G., Savi, A., Boniatti, MM, Hetzel,
M. P., Teixeira, C. (2015). The reality of patients requiring prolonged mechanical ventilation: a multicenter study. Science Research, 27(1).
Morris, P., & Ely, E. W. (2016). Adapting the ABCDEF Bundle to Meet the Needs of Patients Requiring Prolonged Mechanical Ventilation in the Long-Term Acute Care Hospital Setting: Historical Perspectives and Practical Implications. Crit Care Med, 37, 119–135.
Pharmacological and Nonpharmacological Management of Delirium in Critically Ill Patients. Neurotherapeutics, 9(1), 58–75.
Hunter, A., Johnson, L., Willis, W., & Coustasse, A. (2014). Early Mobilization in ICU Patients. Marshall Digital Scholar.
ICU Liberation. (2016). Early Mobility and Exercise. Retrieved May 30, 2016, from.
Margareta, RE (2023). Overview of the Oral Glucose Tolerance Test Examination in Pregnant Women in the Second and Third Trimesters. Barongko: Journal of Health Sciences, 1(3), 152–162. https://doi.org/10.59585/bajik.v1i3.112
Natamiharja L, Hayana NB. Tooth Abrasion Based on Age, Education, Toothbrushing Behavior among Mothers in Air Jamban Village, Mandau District, Duri-Riau. Dentika Dental Journal. 2009 ;14 (1): 43-7.
Neto, RCP, Kawaguchi, YMF, Hirota, AS, Fu, C., Tanaka, C., Caruso, P., … Carvalho, CRR (2013). Very Early Passive Cycling Exercise in Mechanically Ventilated Critically Ill Patients: Physiological and Safety Aspects - A Case Series. PLOS ONE, 8(9), 1–8.
Okawa K, Ichinohe T, Kaneko Y. Anxiety may increase pain during dental treatment, Bull Tokyo Dent Coll; August 2005: 46(3): 51-2.
Ramli, R., Mainassy, MC, Leli, L., Saad, R., Jariyah, A., Putra, ES, & Hasibuan, ER (2024). 4 Pillars of Balanced Nutrition with Nutritional Status in the Use of Simple Food Ingredients. Social Friends: Journal of Community Service, 2(2), 212–220. https://doi.org/10.59585/sosisabdimas.v2i2.313
Rambing M. Description of the Level of Knowledge of High School Students Regarding Tooth Extraction in Tomohon City. THESIS. PSKG Sam Ratulangi University. Manado. 2012,
RISKESDAS. Basic Health Research Results Report. Basic Health Research Results Report. 2007.
Rehabilitation, weaning and physical therapy strategies in chronically ill patients. Eur Respir, 39(487-492).
Ronnebaum, J. A., Weir, J. P., & Hilsalbeck, T. A. (2012). Earlier Mobilization Reduces the Length of Stay in the Intensive Care Unit. Journal of Acute Care Physical Therapy, 3(2), 204–210.
Srianingsih, S., Wijaya, A., Pannyiwi, R., Anto, S., Muhajrin, M., & Rauf, NI (2022). Family Nursing Care with Environmental Health Problems. Barongko: Journal of Health Sciences, 1(1), 53 –56. https://doi.org/10.59585/bajik.v1i1.41
Situmorang. (2021). The Relationship between Patient Motivation and the Implementation of Early Mobilization After Cesarean Section at the Poresa Regional General Hospital. Ejournal.Ikabina.Ac.Id, 4(2).
Susanti, R., Imran, A., Briliannita, A., Akbar, A., Yermi, Y., B, M., Pannyiwi, R., & Rasyid, D. (2023). Counseling on clean and healthy living behavior in Minasatene District, Pangkajene Islands Regency. Social Friends: Journal of Community Service, 1(3), 92–98. https://doi.org/10.59585/sosisabdimas.v1i3.70
Tumanggor. (2021). The Relationship between Knowledge and Attitudes with Early Mobilization Behavior in Post Sectio Caesarea Mothers in the Midwifery Inpatient Room at H Abdul Manap Regional Hospital, City. Ji.Unbari.Ac.Id, 21(3), 2549–4236.
Urden, L.D., Stacy, K.M., & Lough, M.E. (2014). Critical Care Nursing: Diagnosis and Management (Seventh). Canada: ELSEVIER MOSBY.
Vanderbilt University Medical Center. (2013). Early Mobility and Exercise. Retrieved May 28, 2016, from http://www.icudelirium.org/earlymob ility.html
Vollman, K. M., & Bassett, R. (2014). Transforming the culture: The key to hardwiring early mobility and safe patient handling.
Winkelman, C., Johnson, K.D., Hejal, R., Gordon, N.H., Rowbottom, J., Daly, J. , … Levine, A.D. (2012). Examining the positive effects of exercise in intubated adults in ICU: A prospective repeated measures clinical study. Intensive and Critical Care Nursing, 28(6), 307–318.
Wiguna A I. 2011. Relationship between attitudes and public knowledge regarding tooth extraction. THESIS. Hasanuddin University FKG; Makassar.
Wahidah, W. (2023). The Relationship between Knowledge and Motivation of Students on Efforts to Prevent Cervical Cancer at Stikes Yahya Bima. Barongko: Journal of Health Sciences, 2(1), 18–27. https://doi.org/10.59585/bajik.v2i1.125
Yuliana RC, et al. Survey of Community Treatment Patterns Using Traditional Medicines Made from Plant Ingredients in Oku District, 2006. h. 61.
Juliana. (2021). The Effect of Early Mobilization on Wound Healing and Increasing Activity in Post-Laparotomy Patients.
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