Critically ill patients admitted to the intensive care unit and undergoing mechanical ventilation.
Conditions
Interventions
Intervention 1: Intervention group: In fact, the early mobility program includes three types of exercise and movement training: 1) Resistance exercises: These are standard exercises that are performed
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 65 The patient is under mechanical ventilation. No more than 2 days have passed since the patient was admitted to the ICU At least 7 days have passed since the start of the intervention in the ICU No previous physical disabilities. No fractures of the extremities. No history of neuromuscular diseases, GCS score between 8 and 15 Disease severity score (Apache 2) between 30 and 40 Informed consent from the patient's legal guardian is required to participate in the study.
Exclusion criteria
Exclusion criteria: Incomplete completion of the questionnaire The patient's hemodynamic instability Receiving neuromuscular blocking drugs A doctor's order requiring the patient to remain immobile for any reason.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle strength. Timepoint: Daily. Method of measurement: MRC Scale.;Level of consciousness. Timepoint: Immediately before and after each intervention during the first 7 days of the intervention. Method of measurement: Glasgow Coma Scale.;Movement capacity. Timepoint: Daily. Method of measurement: Icu Mobility Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay in the ICU. Timepoint: From the time of starting your stay in the ICU until you leave it. Method of measurement: By day.;Mortality. Timepoint: During the study. Method of measurement: Using a checklist.;Ventilator-associated pneumonia. Timepoint: Within the first 48 hours of the patient being connected to the ventilator. Method of measurement: SPIS Scale.;Pressure ulcer. Timepoint: Daily. Method of measurement: Braden Scale.;Delirium. Timepoint: Daily. Method of measurement: Using the CAM-ICU tool.;Duration of connection to the ventilator. Timepoint: From the time of connection to the device until the time of disconnection. Method of measurement: By day. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Adineh
Ahvaz University of Medical Sciences
Outcome results
None listed