Critical Care, Function, Mobility
Conditions
Keywords
critical care, function, mobility
Brief summary
De Morton Mobility Index is recommended for the evaluation of mobility in the evidence-based guidelines, in patients in intensive care units. The aim of our study is to examine the validity and reliability of the Turkish version of the De Morton Mobility Index in patients hospitalized in the respiratory intensive care unit.
Detailed description
De Morton Mobility Index is recommended for the evaluation of mobility in the evidence-based guidelines, in patients in intensive care units. The aim of our study is to examine the validity and reliability of the Turkish version of the De Morton Mobility Index in patients hospitalized in the respiratory intensive care unit. Patients aged 18 years and over who were discharged from the ICU were included in our study. We used De-Morton Mobility Index, Bartel Index, Katz Activities of Daily Living Rating Scale and MRC Muscle Strength Test for convergent validity. De-Morton Mobility assessment for test-retest reliability was performed again on the 1st day of the patient's service.
Interventions
The first evaluation was made on the day the patient was discharged from the intensive care unit. DEMMI, Bartel Index, Katz Activities of Daily Living Rating Scale and MRC Muscle Strength Test were performed to the patient, respectively. De-Morton Mobility assessment for test-retest reliability was performed again on the 1st day of the patient's service.
Sponsors
Study design
Eligibility
Inclusion criteria
* staying in intensive care unit for at least 24 hours * able to cooperate * being clinically stable for mobility assessment
Exclusion criteria
* the presence of neurological disease * the presence of orthopedic problems such as fractures * the presence of metastases * the presence of cardiorespiratory instability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mobility Assessment | 15 minutes | De Morton Mobility Index: It consists of a total of 15 mobility items. The total score ranges from 0-100, with 0 indicating poor mobility and 100 indicating high mobility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional independence measurement | 5 minutes | The Barthel index: It includes 10 items: nutrition, bathroom, personal care, dressing, toilet use, mobility on flat surfaces (immobile, wheelchair use, walking with assistance or independently), transfer (transfer from wheelchair to bed and vice versa), climbing stairs, bowel and bladder continence. It is scored between 0-100. 0; fully independent, 100; means fully independent. |
| Assessment of daily living activities | 5 minutes | Katz Index: The index includes basic parameters of daily living activities such as bathing, dressing, toilet, transfer, urine and stool control, nutrition. The scoring of the index varies in the range of 0-6. Higher scores indicate higher independence |
| Muscle Strength | 10 minutes | Medical Research Council scale: It includes muscle strength test of six muscle groups. Scoring ranges from 0 to 5 in each muscle group. The maximum score is 60, and a score below 48 indicates significant muscle weakness |
Countries
Turkey (Türkiye)