Mobilização precoce em pacientes com covid-19: uma revisão sistemática da literatura
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Data
2022-06-20
Tipo de documento
Artigo Científico
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Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Silva, Náthalie Alves da
Orientador
Hugo, Mirelle Bueno
Coorientador
Resumo
Objetivo: O objetivo desta revisão sistemática é sumerizar a literatura sobre os benefícios que a mobilização precoce oferece na funcionalidade e qualidade de indivíduos acometidos com a Covid-19 que foram internados em unidade de terapia intensiva. Métodos: Foram incluídos 4 artigos, totalizando 381 pacientes selecionados os estudos clínicos do tipo observacionais e série de casos com critério de inclusão pacientes adultos >18 anos, diagnóstico por Covid-19 com objetivo de avaliar a mobilização precoce e seus benefícios na funcionalidade e qualidade de vida nos pacientes infectados com covid-19. Resultados: As amostras dos estudos tiveram a mobilização precoce na UTI, e foram avaliados escala de mobilidade, independência funcional, força muscular e dispnéia nos pacientes que necessitaram de cuidados intensivos. Os estudos relacionados foram avaliados sua qualidade metodológica através da escala PEDro seguindo suas recomendações. Conclusão: A mobilização precoce gera benefícios na funcionalidade, afim de minimizar efeitos deletérios que a imobilidade no leito ocasiona, além de promover uma alta hospitalar efetiva e segura, porém há limitações tanto da cultura de prioridade de tratamento quanto a estudos para melhores evidencias.
Objective: The objective of this systematic review is to summarize the literature on the benefits that early mobilization offers on the functionality and quality of individuals affected with Covid-19 who were admitted to an intensive care unit. Methods: Four articles were included, totaling 381 patients selected from observational clinical studies and case series with inclusion criteria adult patients >18 years old, diagnosed by Covid-19 in order to evaluate early mobilization and its benefits in functionality and quality of life in patients infected with covid-19. Results: The study samples included early mobilization in the ICU, assessed mobility scale, functional independence, muscle strength and dyspnea in patients who required intensive care. Related studies were evaluated for their methodological quality using the PEDro scale following its recommendations. Conclusion: Early mobilization generates benefits in functionality and quality of life in order to minimize the deleterious effects that immobility in bed causes, in addition to promoting an effective and safe hospital discharge, but there are limitations both in the culture of treatment priority and in studies for better evidence.
Objective: The objective of this systematic review is to summarize the literature on the benefits that early mobilization offers on the functionality and quality of individuals affected with Covid-19 who were admitted to an intensive care unit. Methods: Four articles were included, totaling 381 patients selected from observational clinical studies and case series with inclusion criteria adult patients >18 years old, diagnosed by Covid-19 in order to evaluate early mobilization and its benefits in functionality and quality of life in patients infected with covid-19. Results: The study samples included early mobilization in the ICU, assessed mobility scale, functional independence, muscle strength and dyspnea in patients who required intensive care. Related studies were evaluated for their methodological quality using the PEDro scale following its recommendations. Conclusion: Early mobilization generates benefits in functionality and quality of life in order to minimize the deleterious effects that immobility in bed causes, in addition to promoting an effective and safe hospital discharge, but there are limitations both in the culture of treatment priority and in studies for better evidence.
Palavras-chave
Covid-19, Mobilização Precoce, Unidade de Terapia Intensiva