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Advisor(s)
Abstract(s)
A imobilidade prolongada associada ao internamento em unidades de
cuidados intensivos acarreta inúmeras complicações para o doente crítico. A fraqueza
muscular adquirida em cuidados intensivos condiciona a recuperação do doente, aumenta
a sua permanência em unidade de cuidados intensivos e consequentemente atrasa a sua
alta hospitalar, tendo um grande impacto na qualidade de vida futura dos doentes e suas
famílias. Os enfermeiros especialistas em enfermagem de reabilitação, desempenham um
papel fundamental na implementação de programas de mobilização precoce nas unidades
de cuidados intensivos , prevenindo e tratando complicações decorrentes da imobilidade
prolongada.
Objetivo: Mapear os estudos que demonstrem que os programas de mobilização precoce
melhoram a funcionalidade, previnem e reduzem o delírium , diminuem o tempo de
internamento e que atuem na prevenção ,redução e tratamento da fraqueza muscular
adquirida em cuidados intensivos .
Métodos: Scoping review com base nos princípios preconizados pelo Joanna Briggs
Institute. A pesquisa foi realizada nas bases de dados: Pub med, Scopus ,B.ON. A
literatura cinzenta foi pesquisada no Repositório Científico de Acesso Aberto de
Portugal. Foram considerados estudos que abordavam programas de mobilização
precoce em contexto de unidades de cuidados intensivos com impacto na fraqueza
muscular adquirida ,na força muscular , no delirium e no tempo de permanência em
unidade de cuidados intensivos . Foram incluídos estudos em português, inglês e
espanhol, com limite temporal de 5 anos .
Resultados: Foram identificados 709 artigos sendo 13 incluídos nesta revisão.
Identificaram-se estudos em que a mobilização precoce tem impacto na diminuição
da fraqueza muscular adquirida , na redução do tempo de internamento e na prevenção e
tratamento do delirium.
Conclusão: Os programas de mobilização precoce podem promover ganhos em força
muscular, melhorar a funcionalidade dos doentes , reduzir a incidência de delirium e
diminuir o tempo de internamento em unidades de cuidados intensivos.
Prolonged immobility associated with admission to intensive care units leads to numerous complications for critically ill patients. Intensive care unit-acquired muscle weakness hinders patient recovery prolongs their stay in the intensive care unit, and consequently delays hospital discharge, significantly impacting the future quality of life of both patients and their families. Specialist rehabilitation nurses play a key role in implementing early mobilization programs in intensive care units, helping to prevent and treat complications resulting from prolonged immobility. Aim: Map studies that demonstrate that early mobilization programs improve functionality, prevent and reduce delirium, shorten the length of hospital stay, and contribute to the prevention, reduction, and treatment of intensive care unit-acquired muscle weakness. Methods: Scoping review based on the principles advocated by the Joanna Briggs Institute. The search was conducted in the following databases: PubMed, Scopus, and B.ON. Grey literature was searched in the Scientific Repository of Open Access of Portugal . Studies addressing early mobilization programs in the context of intensive care units with an impact on ICU-acquired weakness, muscle strength, delirium, and length of stay in the intensive care unit were considered. Studies in Portuguese, English, and Spanish were included, with a time limit of 5 years. Results: A total of 709 articles were identified, with 13 included in this review. Studies were identified where early mobilization has an impact on reducing ICU-acquired weakness, decreasing length of stay, and preventing and treating delirium. Conclusion: Early mobilization programs can promote gains in muscle strength, improve patient functionality, reduce the incidence of delirium, and decrease length of stay in intensive care units.
Prolonged immobility associated with admission to intensive care units leads to numerous complications for critically ill patients. Intensive care unit-acquired muscle weakness hinders patient recovery prolongs their stay in the intensive care unit, and consequently delays hospital discharge, significantly impacting the future quality of life of both patients and their families. Specialist rehabilitation nurses play a key role in implementing early mobilization programs in intensive care units, helping to prevent and treat complications resulting from prolonged immobility. Aim: Map studies that demonstrate that early mobilization programs improve functionality, prevent and reduce delirium, shorten the length of hospital stay, and contribute to the prevention, reduction, and treatment of intensive care unit-acquired muscle weakness. Methods: Scoping review based on the principles advocated by the Joanna Briggs Institute. The search was conducted in the following databases: PubMed, Scopus, and B.ON. Grey literature was searched in the Scientific Repository of Open Access of Portugal . Studies addressing early mobilization programs in the context of intensive care units with an impact on ICU-acquired weakness, muscle strength, delirium, and length of stay in the intensive care unit were considered. Studies in Portuguese, English, and Spanish were included, with a time limit of 5 years. Results: A total of 709 articles were identified, with 13 included in this review. Studies were identified where early mobilization has an impact on reducing ICU-acquired weakness, decreasing length of stay, and preventing and treating delirium. Conclusion: Early mobilization programs can promote gains in muscle strength, improve patient functionality, reduce the incidence of delirium, and decrease length of stay in intensive care units.
Description
Keywords
Enfermagem Cuidados intensivos Mobilização precoce