Physiotherapy Practice Pattern in the Adult Intensive Care Units of Singapore – A Multi-Centre Survey

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL
Gabriel Wai Mun Ou, Marcus Jun Hui Ng, C. Ng, Hwee Kuan Ong, Balachandran Jayachandran, V. Palanichamy
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引用次数: 1

Abstract

Background The roles of physiotherapy in Intensive Care Unit (ICU) have significantly developed from the traditional management of respiratory conditions to early rehabilitation and mobilisation of patients on mechanical ventilation. Surveys of United Kingdom, Australia and regional ICU physiotherapy practice have been published but there are no local data sets. This study aims to report the physiotherapy practices across the adult ICUs of Singapore. Methods Twenty-nine item questionnaire was mailed to 90 physiotherapists working in 15 adult ICUs across restructured and private hospitals in Singapore. Data sets were summarised from the returned questionnaires. This includes identifying common physiotherapy techniques and exercise prescription protocols for both mechanically and non-mechanically ventilated patients in the ICU. Results A total of 63 (70%) questionnaires were returned. The most used physiotherapy interventions were airway secretion clearance, techniques to improve lung ventilation and mobilisation out of bed. Positioning was most used respiratory technique (60/61, 98%). Sitting on the edge of bed is the most preferred physical activity for ICU patients (43/44, 98%). Exercise was routinely prescribed (50/61, 83%) although only a minority (8/50, 16%) have established exercise prescription protocols. For mechanically ventilated patients, active/active assisted exercises were most used (40/44, 91%). 12% of ICU use either Chelsea Critical Care Physical Assessment Tool or the Functional Status Score for the Intensive Care Unit as routine outcome measures. Conclusion Airway clearance was stated as the most used physiotherapy technique. Exercise is routinely prescribed in ICU. Validated outcome measures are only used by few.
新加坡成人重症监护室的物理治疗实践模式——一项多中心调查
背景物理治疗在重症监护室(ICU)中的作用已经从传统的呼吸系统疾病管理发展到早期康复和动员患者使用机械通气。已经公布了对英国、澳大利亚和地区ICU理疗实践的调查,但没有本地数据集。本研究旨在报告新加坡成人重症监护室的物理治疗实践。方法将29项问卷邮寄给新加坡15家成人重症监护室的90名理疗师。从返回的问卷中总结了数据集。这包括为ICU中的机械通气和非机械通气患者确定常见的物理治疗技术和运动处方协议。结果共回收问卷63份(70%)。最常用的物理治疗干预措施是气道分泌物清除、改善肺部通气和下床活动的技术。定位是最常用的呼吸技术(60/61,98%)。坐在床边是ICU患者最喜欢的体育活动(43/44,98%)。运动是常规处方(50/61,83%),尽管只有少数人(8/50,16%)制定了运动处方方案。对于机械通气患者,最常用的是主动/主动辅助运动(40/44,91%)。12%的ICU使用切尔西重症监护物理评估工具或重症监护室功能状态评分作为常规结果测量。结论气道清除术被认为是最常用的物理治疗技术。运动是ICU的常规处方。只有少数人使用经过验证的成果衡量标准。
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来源期刊
Proceedings of Singapore Healthcare
Proceedings of Singapore Healthcare MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
42
审稿时长
15 weeks
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