Yoğun Bakım Hastası İçin Erken Mobilizasyonun Önemi

Abstract

Erken mobilizasyon, yoğun bakım ünitesine kabul edilen hastaların rehabilitasyonunu iyileştirmek için güvenli ve etkili bir tedavi stratejisi olarak kabul edilir ve kritik hastalar için kanıtlanmış faydalar sağlamaktadır. Erken dönemde hastaların mobilizasyonu gelişebilecek fiziksel ve psikososyal sorunların önlenmesinde önemli rol oynamaktadır. Hemşireler hastalar için olağan faaliyetlerini yürütürken erken mobilizasyon uygulamasını yoğun bakım ünitesine kolaylıkla entegre edebilirler. Hemşireler erken mobilizasyon uygulamasını sağlayabildiklerinde hastaların iyileşmesinde önemli gelişmeler sağlanmış olacak ve sonuç olarak hastaların önceki fiziksel yeteneklerini kazanmalarına yardımcı olunacaktır. Çeşitli klinik araştırmalar, erken mobilizasyonun kas ve el kavrama gücünü artırabildiğini ve yoğun bakım ünitesiyle ilişkili güçsüzlük ve deliryum insidansını azaltabildiğini, böylece bağımsız yaşam yeteneğini geliştirebildiğini ve yoğun bakım ünitesinde kalış ve hastanede kalış sürelerini kısaltabildiğini göstermiştir. Ayrıca, mobilizasyon protokollerinin eksikliği ve buna bağlı güvenlik kaygıları, kritik hastalarda erken mobilizasyonun uygulanmasının önünde bir engeldir. Bu nedenle, erken mobilizasyonun uygulanmasına yönelik uygun yöntemlerin belirlenmesi, bu hastalardaki potansiyelinin artırılması açısından önemli bir zorunluluktur. Tüm yoğun bakım çalışanına erken mobilizasyon protokolünün kullanımına ilişkin eğitim verilmesi önerilmektedir. Bu derlemede, erken mobilizasyonun tanımı, önemi ve erken mobilizasyonda hemşirenin rolüne yer verilmiştir.

Keywords

• Yoğun bakım ünitesi
• hemşirelik
• yoğun bakım hemşiresi
• erken mobilizasyon

The Importance of Early Mobilisation for The Intensive Care Patient

Abstract

Early mobilisation is considered a safe and effective treatment strategy to improve the rehabilitation of patients admitted to the intensive care unit and provides proven benefits for critically ill patients. Early mobilisation of patients plays an important role in preventing physical and psychosocial problems that may develop. Nurses can easily integrate early mobilisation into the intensive care unit while carrying out their usual activities for patients. When nurses are able to provide early mobilisation, significant improvements in the recovery of patients will be achieved and as a result, patients will be helped to regain their previous physical abilities. Several clinical studies have shown that early mobilisation can improve muscle and hand grip strength and reduce the incidence of intensive care unit-related weakness and delirium, thereby improving the ability to live independently and shortening the length of stay in the intensive care unit and hospital stay. Furthermore, the lack of mobilisation protocols and associated safety concerns are a barrier to the implementation of early mobilisation in critically ill patients. Therefore, determination of appropriate methods for the implementation of early mobilisation is an important necessity in order to increase its potential in these patients. It is recommended that all intensive care unit staff should be trained in the use of early mobilisation protocol. In this review, the definition and importance of early mobilisation and the role of the nurse in early mobilisation are discussed.

Keywords

• Intensive care unit
• nursing
• intensive care nurse
• early mobilisation

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