PENGARUH TINDAKAN MOBILISASI DINI TERHADAP DENYUT JANTUNG DAN FREKUENSI PERNAPASAN PADA PASIEN KRITIS DI ICU RSUD SLEMAN YOGYAKARTA
DOI:
https://doi.org/10.30989/mik.v5i3.167Keywords:
Early mobilization, critical patients, ICUAbstract
Background: Patients with critical conditions in the ICU depend on a variety of tools to support their lifes. Patients’ conditions and and their unstable hemodynamic are challenges for nurses to perform mobilization. Less mobilization in critical patients can cause a variety of physical problems, one of them is cardiorespiratory function disorder.
Objective: to investigate differences in heart rate (HR) and respiratory rate (RR) before, during, and immediately after early mobilization.
Methods: This study employed quasi experiment with one group pre and post test design. Twenty four respondents were selected based on the criteria HR <110 / min at rest, Mean Arterial Blood Pressure between 60 to 110 mmHg, and the fraction of inspired oxygen <0.6. Early mobilization was performed to the respondents, and followed by assessments on the changes of respiratory rate and heart rate before, during, and immediately after the mobilization. Analysis of differences in this study used ANNOVA.
Results: Before the early mobilization, mean RR was 22.54 and mean HR was 78.58. Immediately after the mobilization, mean RR was 23.21 and mean HR was 80.75. There was no differences in the value of RR and HR, before and immediately after the early mobilization with the p-value of 0.540 and 0.314, respectively.
Conclusions: Early mobilization of critical patients is relatively safe. Nurses are expected to perform early mobilization for critical patients. However, it should be with regard to security standards and rigorous assessment of the patient's conditions.
Keywords: Early mobilization, critical patients, ICU
References
2. Truong, AD, Fan, E, Brower, RG, & Needham, DM, ‘Bench-to-bedside review: mobilizing patients in the intensive care unit from pathophysiology to clinical trials’, Critical Care, 2009. vol.13, no.216, pp. 1-8
3. Clavet, H, Hébert, PC, Fergusson, D, Doucette, S, &Trudel, G, ‘Joint contracture following prolonged stay in the intensive care unit’, Canadian Medical Association, 2008. vol.178, no.6, pp. 691-97
4. Ling-Ling, Chiang, Ying, Lwang, Wu et al., ‘Effects of physical training on functional status in patients with prolonged mechanical ventilation’, Journal Phisical Therapy, 2006. vol.86, no.9, pp.1271-81
5. Vollman, KM, ‘Introduction to progressive mobility’, Critical Care Nurse, 2010. vol.30, no.2, pp. 3–4
6. Culpepper, LS, ‘Continuous lateral rotation therapy’, Critical Care Nurse, 2010. vol.30, no.2, pp. 5–7
7. Garstad, K, Stenseth, R, & Sellevold, OFM , ‘Post-operative myocardial dysfunction does not affect the physiological response to early mobilization after coronary artery bypass grafting’, Acta Anaesthesiologica Scandinavica, 2005. vol. 49, pp. 1241-47
8. Lindh, A, Andersson, AS, & Westman, L, ‘Is transient lumbar pain after spinal anaesthesia with lidocaine influenced by early mobilisation?’, Acta Anaesthesiologica Scandinavica, 2001. vol. 45, pp. 290–939. Caraviello, KAP, Nemeth, LS, & dumas, BP, ‘Using the beach chair position in icu patients, critical care nurse’, 2010. vol.30, no.2, pp. 9–11
10. Perme, CS, Southard, PTRE, Joyce, DL, Noon, GP, & Loebe, M, ‘Early mobilization of LVAD recipients who require prolonged mechanical ventilation’, Texas Heart Institute, 2006. vol.33, no.2, pp. 130–33
11. Bernhardt, J, Indredavik, B, Dewey, H, Langhorne, P, & Lindley, R, ‘Mobilisation in bed is not mobilisation’, Cerebrovascular Diseases, 2007. vol.24, pp. 157–58
12. Schweickert, WD, Pohlman, MC, Pohlman, AS, Nigos, C, & Pawlik, AJ et al., ‘Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial’, 2009. vol.373, pp. 1874–82
13. Garstad, K, Sellevold, OFM, Stenseth, R, & Skogvoll, E, ‘Mixed venous oxygen desaturation during early mobilization after coronary artery bypass surgery’, Acta Anaesthesiologica Scandinavica, 2005. vol. 49, pp. 827-34
Downloads
Published
How to Cite
Issue
Section
License
Articles received and published by the Media Ilmu Kesehatan are by the publication, the copyright of the article is fully transferred to the Media Ilmu Kesehatan. All operational forms such as printing, publication, and distribution of hard file journals are carried out by the Media Ilmu Kesehatan. Articles that have finished the review process and have been declared accepted by the journal manager or editor will be asked to fill out a statement of submission of copyright by the journal secretary to the main author or correspondent author. The statement of transfer of copyright is signed with a seal and sent via email to journalmik2018@gmail.com and contacted the admin of the journal to be followed up on archiving. Journal managers and editors have the right to edit the manuscript according to the provisions of the writing rules in the Media Ilmu Kesehatan.
Articles that have been declared accepted either online through the author's account on the OJS website https://ejournal.unjaya.ac.id/index.php/mik or a letter of receipt of the article (LOA), as well as those that have been published on OJS are not allowed to be published in other journals, or proceedings. The number of authors with more than one and as the main author or designated as the correspondent writer must have coordinated with members of the research team. The order of the authors submitted in the article as the author of one, two, three and so on cannot be changed when the article is published unless an error occurs in the technical operation of the journal.
