Early occupational therapy in mechanically ventilated patients improves functional status: Study protocol

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy Pub Date : 2023-07-14 DOI:10.1177/03080226231184992

Evelyn Álvarez, Maricel Garrido, F. Salech, Verónica A. Rojas, Nicole Jara, José I. Farías, D. Ponce, E. Tobar

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引用次数: 0

Abstract

Experts suggest implementing measures that include analgesia, sedation, delirium prevention and early mobilization (ASDM) in patients undergoing mechanical ventilation (MV) to reduce complications. However, there is limited evidence of occupational therapy in these patients. The aim of the research is to compare functional independence in patients undergoing MV of an intensive and early occupational therapy protocol versus to standard ASDM strategy. A prospective, multicenter, randomized clinical trial, with parallel groups (control and intervention groups). Participants will be hospitalized patients, over 18 years of age, admitted to the intensive care unit (ICU) and with the need of invasive MV. The intervention group will receive two daily 30-minute sessions of occupational therapy for 10 days. This study will research the effect of occupational therapy on functional independence, motor and cognitive status, evaluating at days 28 and 90. This work contributes to the theoretical and practical work of occupational therapists who work in the ICU. The implementation of protocols of occupational therapy in mechanically ventilated patients can contribute to the independence and functionality of patients. Our research aims to contribute to the generation of systematized, organized, and feasible protocols that can be implemented in ICU. ClinicalTrials.gov NCT04819529

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机械通气患者早期职业治疗可改善功能状态:研究方案

专家建议在机械通气(MV)患者中实施包括镇痛、镇静、谵妄预防和早期动员(ASDM)在内的措施，以减少并发症。然而，对这些患者进行职业治疗的证据有限。该研究的目的是比较接受强化和早期职业治疗方案的MV患者与标准ASDM策略的功能独立性。一项前瞻性，多中心，随机临床试验，平行组(对照组和干预组)。参与者将是18岁以上的住院患者，住在重症监护室(ICU)，需要有创MV。干预组将在10天内每天接受两次30分钟的职业治疗。本研究将研究职业治疗对功能独立性、运动和认知状态的影响，并在第28天和第90天进行评估。这项工作有助于在ICU工作的职业治疗师的理论和实践工作。机械通气患者的作业治疗方案的实施有助于患者的独立性和功能。我们的研究旨在为在ICU中实施的系统化、有组织和可行的协议做出贡献。ClinicalTrials.gov NCT04819529

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来源期刊

British Journal of Occupational Therapy REHABILITATION-

CiteScore

2.20

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.