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Effect of Early Mobility Protocol on Physical Function, Muscles Strength, and Delirium among Mechanically Ventilated Patients

Samar S. Amin, Naglaa M. El Mokadem, Nagwa M. Doha, Shaimaa E. Abdullah

Abstract


Background: Early MobilitypProtocol integrates evidence-based practice to improve physical function and muscle strength, decrease rates of delirium, and reduce intensive care unit and hospital stays. Aim: To examine the effectiveness of Early Mobility Protocol on physical function, muscle strength, and delirium among mechanically ventilated patients. Setting: Intensive care units at the Menoufia University Hospital, Shebin ElKoum, Menofia, Egypt. Sample: A convenient sample of 60 mechanically ventilated patients. Design: A quasi-experimental design was applied (study/control). Tools: (1) A demographic and clinical data sheet, (2) The Physical Function intensive care unit test-scored, (3) Medical Research Council Manual Muscle Testing scale, (4) Confusion Assessment Method in the intensive care unit), (5) Acute Physiology and Chronic Health Evaluation II, and (6) TheCharlson Comorbidity Index. Results: There was a statistically significant improvement in physical function in the study group (8.90±2.15) as compared with the control group (6.76±2.45) (p<0.001) post intervention. Also, majority of the study group experienced improvement in muscle strength (51.70±7.66) as compared with the control group (45.13±8.82) (p< 0.001) post intervention. Additionally, there was a highly statistically significant decrease in the mean days of delirium in the study group (2.73±1.78) as compared with the control group (3.90±2.11) (p<0.001) post intervention. Conclusion: Early Mobility Protocol has a positive effect on improving physical function and muscle strength and reducing rates of delirium among mechanically ventilated patients. Recommendation: Early mobility protocol should be incorporated as a regular practice in the intensive care units to enhance patient mobility and minimize the harmful adverse effects of immobility. 


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References


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