BARREIRAS E LIMITAÇÕES PARA MOBILIZAÇÃO PRECOCE NO PACIENTE CRÍTICO: UMA REVISÃO INTEGRATIVA

DOI: 10.53524/lit.edt.978-65-84528-01-7/04

PALAVRAS CHAVE: Mobilização precoce. Barreiras. Unidade de terapia intensiva.

KEYWORDS: Early mobilization. Barriers. Intensive care unit.

ABSTRACT: OBJECTIVE: To identify the main barriers and limitations for performing early mobilization in the Intensive Care Unit (ICU). METHODS: This is an integrative literature review, carried out in October and November 2021, using the LILACS and MEDLINE databases, using the following indexes, in English and Portuguese: barriers, mobilization early and intensive care unit. Meta-analyses, systematic reviews, consensus, guidelines, randomized clinical trials and cohort published in Portuguese, English and Spanish, available in full from 2011 to 2021, were included. Exclusion criteria were articles that did not meet the objective of the study, materials outside of the stipulated period and articles with the neonatal and pediatric public. RESULTS AND DISCUSSION: Eight articles were selected to compose this review, in which the main barriers to mobilization were: hemodynamic instability, excessive sedation, delirium, risk of musculoskeletal self-injury, ventilation invasive mechanics, venous access in the femoral region, surgical procedure time, early transfer, insufficient team, safety culture, lack of knowledge and experience of professionals. FINAL CONSIDERATIONS: The main existing barriers and limitations for carrying out early mobilization within ICUs are cultural, procedural, structural and patient-related.

Autor

  • Brena Costa de Oliveira

  • Cibelle de Sousa e Silva

  • Jéssyca Rodrigues Melo

  • Ketlhen Ravena Rodrigues dos Santos Gonçalves

  • Luana Silva de Sousa

  • Lúcia de Fátima da Silva Santos

  • Roniel Alef de Oliveira Costa

  • Samara Martins Souza Veríssimo

  • Thamires da Silva Leal

  • Ticiane Maria Santos Muniz

Download

Desenvolvido por Alexsander Arcelino