Resumen
This report is a secondary analysis of data from a larger study of a nurse-led early therapeutic mobility intervention among patients receiving mechanical ventilation. This analysis evaluated whether intervention frequency or intensity was associated with pain or fatigue. Frequency was defined as once-daily versus twice-daily interventions. Intensity was defined as low (in-bed activities) or moderate (out-of-bed activities). Thirty-nine patients self-reported pain and fatigue immediately before and after the intervention. Neither pain nor fatigue increased significantly (mean increase, <1 [scale of 0-10] for 95% of inter-ventions). Four patients reported decrements in pain; 1 reported a decrease in fatigue. Less than 5% of enrolled patients indicated a score change of +4 to +6 for pain or fatigue, typically with the first intervention that included sitting at the edge of the bed. Future research could examine the distress associated with these symptoms in critically ill adults receiving early therapeutic mobility interventions.
| Idioma original | English |
|---|---|
| Páginas (desde-hasta) | 30-37 |
| Número de páginas | 8 |
| Publicación | Critical Care Nurse |
| Volumen | 39 |
| N.º | 5 |
| DOI | |
| Estado | Published - oct 1 2019 |
Nota bibliográfica
Publisher Copyright:© 2019 American Association of Critical-Care Nurses.
Financiación
Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011. Blood samples were stored at the laboratory of the MetroHealth Clinical and Translation Science Collaborative and were stored and analyzed by the Dahms Clinical Unit laboratory staff at University Hospitals Cleveland Medical Center. Study data were collected and managed with REDCap electronic data capture tools hosted at University Hospitals Cleveland Medical Center. We acknowledge James R. Rowbottom, MD, FCCP, professor of anesthesiology and perioperative medicine at University Hospitals Cleveland Medical Center; John Daryl Thornton, MD, MPH, Pulmonary and Critical Care, MetroHealth Medical Center; and Jeffery Claridge, MD, Surgical Critical Care and Trauma, MetroHealth Medical Center, for access to patients for this study. Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011.
| Financiadores | Número del financiador |
|---|---|
| ICU | |
| MetroHealth Clinical and Translation Science Collaborative | UL1 TR00439 |
| MetroHealth Medical Center Cleveland | |
| UH CMC | NCT00999011 |
| University Hospitals Cleveland Medical Center | |
| National Institutes of Health (NIH) | 1R21 NR10781-01A1 |
| National Institutes of Health (NIH) | |
| National Institute of Health National Institute of Nursing Research | R21NR010781 |
| National Institute of Health National Institute of Nursing Research | |
| CMC Microsystems | UL1TR 00439-06 |
| CMC Microsystems |
ASJC Scopus subject areas
- Critical Care