Barreiras para a implementação e a prática de reabilitação precoce em pacientes críticos na UTI

Bianca Thays Silva Azer; Yasmin Panício Silva; Sarah Santiago Lenci; Tainã Batista de Oliveira; Luciana Duarte Novais Silva; Raquel Annoni

doi:10.5585/22.2023.23261

Authors

Bianca Thays Silva Azer Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0001-7732-7982
Yasmin Panício Silva Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-9554-5323
Sarah Santiago Lenci https://orcid.org/0000-0002-7567-7812
Tainã Batista de Oliveira Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-1284-8469
Luciana Duarte Novais Silva Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-1200-5680
Raquel Annoni Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0003-2416-7465

DOI:

https://doi.org/10.5585/22.2023.23261

Keywords:

Cuidados críticos, Especialidade de Fisioterapia, Unidades de Terapia Intensiva, Reabilitação

Abstract

Introduction: Early rehabilitation can minimize the loss of strength and functionality caused by acquired muscle weakness in the Intensive Care Unit (ICU); however, its practice still faces obstacles for full implementation.
Objective: To identify barriers to the implementation and execution of early rehabilitation in critically ill patients.
Methodology: Barriers related to the patient, the process, structural barriers, and cultural barriers were analyzed through a structured questionnaire. Forty-four healthcare professionals working in the ICUs of two hospitals participated in the survey.
Results: The most cited barriers related to the patient were hemodynamic instability (85.8%), loss of devices (58.9%), and endotracheal intubation (55.3%). In structural barriers, the lack of guidelines or protocols was identified. Cultural and process-related barriers included the absence of a responsible professional to assess patients eligible to start rehabilitation.
Conclusion: The full implementation of early rehabilitation in the two studied hospitals is hindered by numerous barriers, especially those related to the patient and structural issues.

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