The Influence of Progressive Mobilization on Pneumonia and Decubitus Occurrences in Critical Patients Using Mechanical Ventilator

A Literature Review

DOI

10.2991/ahsr.k.210115.111How to use a DOI?

Keywords

progressive mobilization, pneumonia, pressure sores

Abstract

Background: The short-term impact felt by critically ill patients and ventilators are Ventilator-Associated Pneumonia (VAP), which is added to the health mechanism due to muscle weakness and the occurrence of pressure sores or decubitus. Prevention of pneumonia in intubation patients is crucial because it can prevent hospital-acquired or nosocomial infections, which is a severe complication. Extensive skin destruction or pressure can cause depression in the blood supply and tissue damage. Decubitus will disturb the blood that enters the depressed (stressed) area and results in tissue death. Physical activity in ICU for critical patients is needed. Progressive mobilization of patients is one of the nurse interventions for patients. Objective: This research aims to identify the effect of progressive mobilization on the formation of pneumonia and (decubitus) in critically ill patients. Method: This research is a literature review accessed from internet database searches named PubMed, Pro-Quest, and Science direct with the keywords mobilization progressive, pneumonia, pressure sores. From the PubMed database, 12473 articles were found, 28986 articles from Pro Quest and Sciencedirect resulted in 51077 articles. After going through the screening process and eligibility, 7 articles fit the inclusion criteria. Results: The stages of progressive mobilization in preventing the risk of pressure sores were developed according to the level of mobility in the Early Mobilization Protocol. Based on the results of a review of 7 articles, mobilization exercises were carried out progressively from Level 1 - Level VI with Head of Bed (HOB) activity 30˚- 45˚ until the patient can walk for 2 hours, starting in the first 48 hours after entering critical care and performed every day until 7 to 13-day treatment. Conclusion: This literature review shows that progressive mobilization reduces the incidence of pneumonia in ICU care and the risk of pressure sores. Training for nurses working in critical services is needed to increase knowledge and civilize clinical practices related to progressive mobilization I.

Copyright

© 2021, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Hanny R. Mokorimban
AU  - Nur Chayati
PY  - 2021
DA  - 2021/01/16
TI  - The Influence of Progressive Mobilization on Pneumonia and Decubitus Occurrences in Critical Patients Using Mechanical Ventilator
BT  - Proceedings of the 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020)
PB  - Atlantis Press
SP  - 575
EP  - 584
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.210115.111
DO  - 10.2991/ahsr.k.210115.111
ID  - Mokorimban2021
ER  -