Fisioterapia em pacientes críticos adultos: recomendações do Departamento de Fisioterapia da Associação de Medicina Intensiva Brasileira

França, Eduardo; Ferrari, Francimar; Fernandes, Patrícia; Cavalcanti, Renata Veiga Andersen; Duarte, Antônio Carlos Magalhães; Martinez, Bruno Prata; Aquim, Esperidião Elias; Damasceno, Marta Cristina Paulete

doi:10.1590/s0103-507x2012000100003

Cited by 113 publications

(107 citation statements)

References 87 publications

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“…Thus, knowledge of body positions that favor lung function can be used as a therapeutic measure, aiming at improving lung volume, oxygenation, and respiratory mechanics and minimizing disturbances produced by major surgical procedures, with reduced incidence of atelectasis and prevention of pulmonary complications [19][20][21].…”

Section: Procedurementioning

confidence: 99%

Effect of Different Angle on Pulmonary Function in Young Healthy Females

Shah¹,

Vyas²

2017

IJPR

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Background: Pulmonary function tests play an important role in the assessment, diagnosis, quantification of the ventilatory disorders intensity, and treatment course. Changes in posture can affect the resting length of respiratory muscles and the vestibular system contributes to altering respiratory muscle activity during movement and changes in posture. Aim of this study is to find different angle changes how effect on the pulmonary function. Results: The result shows significant difference of FVC and FEV1 values in supine, oblique and head down positions [P value=0.000]. The values of FVC and FEV1 are highest in oblique position. Conclusion:There was significant difference in effect of different angle on pulmonary function and it was highest in oblique (45 0 ) position.

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Section: Procedurementioning

confidence: 99%

Effect of Different Angle on Pulmonary Function in Young Healthy Females

Shah¹,

Vyas²

2017

IJPR

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“…These factors contribute to the appearance of polyneuropathy and/or myopathy in critical patient's resulting in functional decline, increased care costs, reduced quality of life (QoL) and post-discharge survival. 1,[3][4][5] Functional independence is translated as an individual's ability to perform their daily living activities (DLA). The autonomy to perform such tasks makes it possible to live alone, however, situations such as chronic diseases, acute, traumatic or surgical pathological processes decrease or even jeopardizes this ability.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of functionality and quality of life in critical patients: case series report

Wiethan¹,

Soares

Souza³

2017

Acta Fisiátrica

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Hospitalization in Intensive Care Unit (ICU) usually results in decreased functionality and quality of life. Risk long-term sequelae may result from factors related to disease, treatment performed and time staying in bed. Objective: To evaluate the functionality and quality of life of patients who received physiotherapy in the ICU and correlate these variables after 30 days of discharge. Methods: A case series report study was conducted with 15 patients. Evaluation of functionality by the Functional Independence Measure -FIM (before ICU, at immediate release and after 30 days), evaluation of quality of life by Short-Form (SF-36) Health Survey (after 30 days). Results: The mean age was 43.20 ± 16.92 years, predominant causes of hospitalization were neurological, mechanical ventilation time was 14 (9-14) days and ICU 15.80 ± 7.16 days and all had complications. Before the ICU the patients were with full or modified independence (FIM 1=126), after discharge there was a decline to modified dependence (FIM 2=48) and after 30 days there was improvement, but functionality continued as modified dependence (FIM 3=92). The functionality areas like self-care, mobility and locomotion had major changes after the ICU and a significant improvement at 30 days; sphincter control, communication and social cognition had minor changes after the ICU and after 30 days the values approached the previous ones. The quality of life was affected 30 days after discharge with reduction in scores for all areas, the most affected ones were functional capacity, limitation by physical aspects, pain and social aspects. There were positive correlations between the areas of sphincters control, mobility and mobility (functionality) and functional capacity (quality of life). Conclusion: ICU negatively affected the functionality, especially at immediate release. After 30 days, there was an improvement, in part, that can be attributed to physical therapy, because all patients received this treatment in the ICU and many continued it after discharge. However, some deficits still remained, also affecting their quality of life.

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“…Physical therapists have been increasingly present in ICUs, where their treatment techniques are greatly important for an effective recovery and to preserve functional abilities of patients 11,18 . Physical therapy does not depend only on technical quality, but also on the quality of relationships, as patients in intense care units are submitted to both psychological issues and physical pathologies 19 .…”

Section: Introductionmentioning

confidence: 99%

Humanização da fisioterapia em Unidade de Terapia Intensiva Adulto: estudo transversal

Mondadori¹,

Zeni²,

Oliveira³

et al. 2016

Fisioter. Pesqui.

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| To promote quality of life to intensive care unit (ICU) patients, treatments need and must be humanized, in that we are committed to preventing, caring, protecting, and recovering; that is, to promote health. Physical therapists play a fundamental role in the rehabilitation of ICU patients. Not only must they strive for technical quality but also for quality in the relationships involving the care they provide, in order to be viewed as reliable by patients and to be aware of their needs.The aim of this study was to verify whether the physical therapy care in an intensive care unit is conducted in a humanized way. This is a cross-sectional cohort study that used patient interviews via evaluation questionnaires and included 60 subjects over 18 years of age which had been discharged from the adult ICU. The interviewed patients approved the procedures carried out by the physical therapists and stressed their concern while conducting these procedures in way to keep their patients from experiencing discomfort. They were also satisfied with the treatment dimensions, with dignity, communication, reliability, interpersonal aspects, and receptivity reaching 100% of positive answers; assurance reaching 98.3%; empathy, 96.7%; and autonomy and effectiveness aspects, 95% of answers favoring humanization. The patients were shown to be satisfied, in the various aspects analyzed, with the care provided by the physical therapists, who must strive to carry out humanized professional practices.WE concluded that the physical therapy treatments the ICU patients received were characterized as humanized by RESUMEN | Para promocionar la calidad de vida a pacientes hospitalizados en unidades de cuidados intensivos (UCI), debe ser necesario humanizar la atención, en la que estamos comprometidos a prevenir, cuidar, proteger y recuperar, es decir, promocionar la salud. El fisioterapeuta es clave fundamental en la rehabilitación de pacientes hospitalizados en UCI, y además de calidad técnica debe apreciar la calidad relacional del cuidado, para tener confiabilidad y estar atento a lo que necesita el paciente. El propósito de este estudio es verificar si el cuidado fisioterapéutico en una unidad de cuidados intensivos es llevado a cabo de forma humanizada. Se trata de un estudio transversal, a través de entrevistas con cuestionario evaluativo en los cuartos de los pacientes, en lo cual fueron entrevistados 60 sujetos, con más de 18 años de edad y que tuvieron alta de la UCI adulta. Los entrevistados aprobaron la forma de trabajo de los fisioterapeutas, destacaron el cuidado que les tenían al realizar los procedimientos para que evitasen causarles más molestias. También estaban satisfechos en las dimensiones de atención, siendo que dignidad, comunicación, confiabilidad, aspectos interpersonales y receptividad llegaron a 100% de respuestas positivas, garantía 98,3%, empatía 96,7%, los aspectos autonomía y eficacia llegaron a 95% de las respuestas en pro de la humanización. Los pacientes mostraron alto grado de satisfacción en varios ...

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Fisioterapia em pacientes críticos adultos: recomendações do Departamento de Fisioterapia da Associação de Medicina Intensiva Brasileira

Cited by 113 publications

References 87 publications

Effect of Different Angle on Pulmonary Function in Young Healthy Females

Effect of Different Angle on Pulmonary Function in Young Healthy Females

Evaluation of functionality and quality of life in critical patients: case series report

Humanização da fisioterapia em Unidade de Terapia Intensiva Adulto: estudo transversal

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