Effectiveness of Early Mobilization Protocol on Critically Ill Children Outcomes and their Activities of Daily Living | ||
| Egyptian Journal of Health Care | ||
| Article 24, Volume 13, Issue 1, March 2022, Pages 323-334 PDF (640.18 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2022.216645 | ||
| Authors | ||
| Fatma Mohamed Amin1; Gehan EL Nabawy Ahme1; Doaa Abdelgawad Said2 | ||
| 1Assistant Professor of Pediatric Nursing, Faculty of Nursing, Mansoura University | ||
| 2Lecturer of Pediatric Nursing, Faculty of Nursing, Mansoura University | ||
| Abstract | ||
| Children who are critically ill are a diverse group with numerous comorbidities. Children's data on early mobilization interventions is scarce. Moreover, there is inadequate research on mobilization interventions in the critically ill pediatric patients. The aim of this study was to evaluate the effectiveness of early mobilization protocol on critically ill children outcomes and their activities of daily living. The study was carried out at pediatric intensive care unit (PICU) affiliated to Mansoura University Children's Hospital. Quasi experimental research design was used. A purposive sample was included 60 children. The total sample was divided into two groups (study and control group); each group contains 30 children. Data were collected by a structured interview sheet was concerned with collecting data related to: demographic data, homodynamic parameters, outcomes criteria to assess the efficacy of early mobilization protocol. Barthal Index Scale to assess activities of daily living after implementation of early mobilization protocol. In relation to hemodynamic parameters, there was a statistically significant difference between the study and control groups, all items of Barthal index score and outcomes criteria. Conclusion: based on the research hypotheses; homodynamic parameters and daily living activities of critically ill children were better after implementation of early mobilization protocol. Days of mechanical ventilation and length of stay in the PICU were shorter. Recommendations: early mobilization should be considered essential in the overall management of pediatric critically ill patients. Further studies with standardized intervention protocols and randomized clinical trials are required to evaluate the effectiveness of early mobilization in this population. | ||
| Keywords | ||
| Early mobilization protocol; critically ill children; pediatric intensive care unit | ||
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