Original Research Article
Year: 2022 | Month: May | Volume: 12 | Issue: 5 | Pages: 82-89
DOI: https://doi.org/10.52403/ijhsr.20220511
Effect of Early vs Late Mobilization on the Length of ICU Stay among Critically Ill Patients
Ashadeep Kaur1, Monika Sharma2, Kapil Sharma3, Pramod Sood4
1Advance Nurse Practitioner, DMCH, Ludhiana, Punjab.
2Associate Professor, Deptt. of Medical Surgical Nursing, CON, DMCH, Ludhiana, Punjab.
3Associate Professor, Deptt. of Medical Surgical Nursing, CON, DMCH, Ludhiana, Punjab.
4Assistant Professor, Deptt. of Critical Care Medicine, DMCH, Ludhiana, Punjab.
Corresponding Author: Ashadeep Kaur
ABSTRACT
Background: Intensive care unit (ICU) acquired weakness is characterized by fatigue and profound neuromuscular weakness. Early Mobilization is an effective intervention in improving ICU acquired weakness and reducing length of ICU and hospital stay.
Objectives: To assess the effect of the early vs late mobilization on the length of ICU stay among critically ill patients in a view to formulate mobility protocol in critically ill patients.
Methods: A pre-experimental design was used for the study. 30 critically ill patients were selected by using purposive sampling technique and then allocation of subjects was done into experimental group1 (n1=15) and experimental group2 (n2=15). In experimental group1, early mobilization was done within the 5 days of admission in ICU. In experimental group2, late mobilization was done after the 5th day of admission in ICU. Data was collected by using patients profile and tool related to ICU stay with the help of interview method, observation, records and reports and bio- physiological measures and was analyzed with the use of descriptive and inferential statistics.
Results: Statistically significant results were found between experimental group1 and experimental group2 in patient’s total no. of ICU days till discharge (p= 0.000), total no. of ICU days post enrolment till discharge (p=0.011), first day when out of bed (p= 0.000) and first day of weaning from ventilator (p=0.000).
Conclusion: Early mobilization is effective in reducing the length of ICU stay in critically ill patients.
Key words: Early mobilization, late mobilization, critically ill patients, length of ICU stay .