Knowledge and care practice of physical therapists in pediatric intensive care units on early mobilization: cross-sectional study

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.v11i4.3918

Keywords:

Critical care, Pediatric Intensive Care Units, Exercise, Early walking

Abstract

INTRODUCTION: Early mobilization (MP) can be defined as sufficient physical activity to promote physiological improvements and reduce your hospital stay. Practice with children is still a challenge. OBJECTIVE: To evaluate the knowledge of physical therapists working in pediatric intensive care units (PICUs), as well as to verify the clinical practice regarding PM in critical pediatric patients.  MATERIAL AND METHODS: Observational, transversal, and descriptive survey study, through an online questionnaire. The variables studied in this research were related to three domains, professional profile, professional knowledge about the existing scientific evidence about the benefits of PM, and the research participant's perception of the importance of PM in these patients and the barriers experienced by him. RESULTS: 42 responses were considered in the collection of results; 92.9% were female, 45.2% had more than 10 years of training in physical therapy, and 42.8% worked for 5 to 10 years in a pediatric ICU. Regarding the practice of early mobilization, 88.1% said they believe that the studies suggest benefits, and 7.1% that there is no scientific evidence to support its performance. All professionals reported using PM in their care routine. CONCLUSION: It can be seen that, in this observed sample, all professionals perform the practice of PM in their care routine and that the lack of knowledge of the multidisciplinary team is considered as the main barrier to performance.

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References

Santos LJ, Silveira FS, Müller FF, Araújo HD, Comerlato JB, Silva MC, et al. Functional assessment of inpatients in the Intensive Care Unit of the University Hospital of Canoas. Fisioter Pesqui. 2017;24(4):437–43. https://doi.org/10.1590/1809-2950/17720924042017

Choong K, Foster G, Fraser DD, Hutchison JS, Joffe AR, Jouvet PA, et al. Acute rehabilitation practices in critically ill children: A multicenter study. Pediatr Crit Care Med. 2014;15(6):e270-9. https://doi.org/10.1097/pcc.0000000000000160

Guedes LPCM, Oliveira MLC, Carvalho GA. Deleterious effects of prolonged bed rest on the body systems of the elderly - a review. Rev Bras Geriatr Gerontol. 2018;21(4):499–506. https://doi.org/10.1590/1981-22562018021.170167

Cameron S, Ball I, Cepinskas G, Choong K, Doherty TJ, Ellis CG, et al. Early mobilization in the critical care unit: A review of adult and pediatric literature. J Crit Care. 2015;30(4):664–72. http://dx.doi.org/10.1016/j.jcrc.2015.03.032

Abdulsatar F, Walker RG, Timmons BW, Choong K. “Wii-Hab” in critically ill children: A pilot trial. J Pediatr Rehabil Med. 2013;6(4):193–204. https://doi.org/10.3233/prm-130260

Piva TC, Ferrari RS, Schaan CW. Early mobilization protocols for critically ill pediatric patients: Systematic review. Rev Bras Ter Intensiva. 2019;31(2):248–57. https://doi.org/10.5935/0103-507x.20190038

Joyce CL, Taipe C, Sobin B, Spadaro M, Gutwirth B, Elgin L, et al. Provider Beliefs Regarding Early Mobilization in the Pediatric Intensive Care Unit. J Pediatr Nurs. 2018;38:15–9. https://doi.org/10.1016/j.pedn.2017.10.003

Betters KA, Hebbar KB, Farthing D, Griego B, Easley T, Turman H, et al. Development and implementation of an early mobility program for mechanically ventilated pediatric patients. J Crit Care. 2017;41:303–8. https://doi.org/10.1016/j.jcrc.2017.08.004

Choong K, Chacon M, Walker R, Al-Harbi S, Clark H, Al-Mahr G, et al. In-Bed Mobilization in Critically Ill Children: A Safety and Feasibility Trial. J Pediatr Intensive Care. 2015;4(4):225–34. https://doi.org/10.1055/s-0035-1563545

Walker TC, Kudchadkar SR. Early mobilization in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):308–13. https://dx.doi.org/10.21037%2Ftp.2018.09.02

Engel HJ, Needham DM, Morris PE, Gropper MA. ICU early mobilization: From recommendation to implementation at three medical centers. Crit Care Med. 2013;41(9 Suppl.1):69–80. https://doi.org/10.1097/ccm.0b013e3182a240d5

Cuello-Garcia CA, Mai SHC, Simpson R, Al-Harbi S, Choong K. Early Mobilization in Critically Ill Children: A Systematic Review. J Pediatr. 2018;203:25-33.e6. https://doi.org/10.1016/j.jpeds.2018.07.037

Choong K, Awladthani S, Khawaji A, Clark H, Borhan A, Cheng J, et al. Early Exercise in Critically Ill Youth and Children, a Preliminary Evaluation: The wEECYCLE Pilot Trial. Pediatr Crit Care Med. 2017;18(11):e546–54. https://doi.org/10.1097/pcc.0000000000001329

Tsuboi N, Nozaki H, Ishida Y, Kanazawa I, Inamoto M, Hayashi K, et al. Early Mobilization after Pediatric Liver Transplantation. J Pediatr Intensive Care. 2017;06(03):199–205. https://doi.org/10.1097/pcc.0000000000001815

Fagundes BDS, Garcia CSNB, Werner J. Early mobilization in critically ill pediatric patient: knowledge and perception of the multidisciplinary team of a university hospital. Fisioter Bras. 2019;19(6):812. https://doi.org/10.33233/fb.v19i6.2502

Choong K, Koo KKY, Clark H, Chu R, Thabane L, Burns KEA, et al. Early mobilization in critically Ill children: A survey of canadian practice. Crit Care Med. 2013;41(7):1745–53. https://doi.org/10.1097/ccm.0b013e318287f592

Wieczorek B, Ascenzi J, Kim Y, Lenker H, Potter C, Shata NJ, et al. PICU Up!: Impact of a Quality Improvement Intervention to Promote Early Mobilization in Critically Ill Children. Pediatr Crit Care Med. 2016;17(12):e559–66. https://doi.org/10.1097/pcc.0000000000000983

Ferreira LL. Functional evaluation scales in intensive care: literature review. Rev Aten Saúde [Internet]. 2018;16(2359–4330):108–14. Available from: https://seer.uscs.edu.br/index.php/revista_ciencias_saude/article/view/5191

Pereira GA, Schaan CW, Ferrari RS. Functional evaluation of pediatric patients after discharge from the intensive care unit using the Functional Status Scale. Rev Bras Ter Intensiva. 2017;29(4):460–5. https://doi.org/10.5935/0103-507x.20170066

Published

10/28/2021

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Section

Original Articles

How to Cite

1.
Rabelo de Brito E, de Oliveira Pereira T, Magalhães Novais MC, de Britto Andrade MC, Falcão dos Santos Albergaria T. Knowledge and care practice of physical therapists in pediatric intensive care units on early mobilization: cross-sectional study. Rev Pesq Fisio [Internet]. 2021 Oct. 28 [cited 2024 Aug. 24];11(4):647-56. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/3918