Impact of physiotherapy on the quality of life of critically ill patients in Intensive Care Units (ICU)
DOI:
https://doi.org/10.33448/rsd-v14i10.49625Keywords:
Physical Therapy, ICU, Critical Patients, Quality of Life.Abstract
Introduction: Physical therapy in the ICU plays an essential role in the recovery of critically ill patients, helping to improve their quality of life by preventing complications associated with prolonged immobility. Objective: To analyze the impact of physical therapy on the quality of life of critically ill patients admitted to ICUs. Methodology: Integrative review with a qualitative approach, using descriptors such as "ICU," "Quality of Life," and "Physiotherapy." Article selection followed the method validated by Ursi. Results and Discussion: Of 480 publications, nine articles published between 2019 and 2024 were selected, addressing different methodologies, such as cohort studies, literature reviews, and randomized clinical trials. ICU admission can generate physical and functional complications that compromise quality of life after hospital discharge. Musculoskeletal disorders are common due to prolonged immobilization and sedation. Physical therapy, especially with early mobilization, is essential to prevent sequelae, restore functionality, and promote comprehensive rehabilitation. Studies show that its use reduces hospital stays, improves autonomy, and positively impacts quality of life. Tools such as CPAx and protocols like EMPRESS reinforce the importance of evidence-based approaches, focusing not only on physical recovery but also on the patient's overall well-being. Final considerations: Physical therapy has the potential to optimize the rehabilitation of critically ill patients, reducing physical sequelae and improving quality of life. However, further research is needed to define more effective and standardized protocols, ensuring the implementation of best practices in physical therapy care in ICUs.
References
Beqaj, G., Dika, H., Berisha, D., Spahiu, E., Hasani, S., & Beqaj, B. (2022). Effects of physiotherapy on rehabilitation and quality of life in patients hospitalized for COVID-19: A review of findings from key studies published 2020–2022. Medical Science Monitor, 28, e937412. https://www.medscimonit.com/abstract/index/idArt/937412
Connolly, B., Salisbury, L., O'Neill, B., Geneen, L., Douiri, A., Grocott, M. P. W., et al. (2016). Exercise rehabilitation following intensive care unit discharge for recovery from critical illness: Executive summary of a Cochrane Collaboration systematic review. Journal of Cachexia, Sarcopenia and Muscle, 7(5), 520–526. https://doi.org/10.1002/jcsm.12146
Cordeiro, A. L., Maciel, M. G., Ferreira, L. L., Borges, D. L., & Almeida, R. S. (2022). Avaliação da independência funcional e da qualidade de vida após a alta da unidade de terapia intensiva: Um estudo de coorte prospectivo. Revista Pesquisa em Fisioterapia, 12, e4189.
https://doi.org/10.17267/2238-2704rpf.2022.e4189
Cusack, R., Lamb, S., McCabe, C., Walton, D., Bradburn, M., Clarke, L., Gardner, K., Griffiths, R., & Denehy, L. (2022). Improving physical function of patients following intensive care unit admission (EMPRESS): Protocol of a randomised controlled feasibility trial. BMJ Open, 12, e055285. https://doi.org/10.1136/bmjopen-2021-055285
Daloia, L. M. T., Pinto, A. C. P. N., & Silva, É. P. da. (2021). Barreiras e facilitadores da mobilização precoce na unidade de terapia intensiva pediátrica: Revisão sistemática. Fisioterapia e Pesquisa, 28(3), 299–307. https://www.scielo.br/j/fp/a/Xzgwzdq8KHntgD6NKsp469w/?lang=pt
Dietrich, C., Paludo, C., & Vieira, S. R. R. (2019). Funcionalidade e qualidade de vida de pacientes internados na unidade de terapia intensiva. ASSOBRAFIR Ciência, 5(1), 41–51. https://www.cpcrjournal.org/journal/assobrafir/article/5de0165f0e8825913e4ce1d5
Freitas, E., Martins, F. C., Souza, A. R., & Oliveira, P. H. (2020). Intervenção da fisioterapia na mobilização precoce em unidade hospitalar com ênfase em UTI. Teoria & Prática: Revista de Humanidades, Ciências Sociais e Cultura, 2(1), 14–26. http://revista.isca.edu.br/index.php/revista/article/view/25/17
Furtado, M. V. da C., Oliveira, M. S., Mendes, R. R., Silva, J. P., & Costa, F. L. (2020). Physiotherapy performance at UTI. Brazilian Journal of Health Review, 3(6), 16335–16349. https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/19928
Gonzaga, H. L., Lima, P. R. S., Cardoso, T. A., & Moura, C. E. (2017). Mobilização precoce no paciente crítico internado em unidade em terapia intensiva. Brazilian Journal of Surgery and Clinical Research (BJSCR), 8(3), 66–71.
Gustafson, O. D., Shankar-Hari, M., Adlam, M., Smith, J., Welch, J., & Perkins, G. D. (2024). The impact of musculoskeletal ill health on quality of life and function after critical care: A multicentre prospective cohort study. Anaesthesia, 79(8). https://doi.org/10.1111/anae.16285
Hodgson, C. L., Bailey, M. J., Bellomo, R., Berney, S., Buhr, H., Denehy, L., Gabbe, B., Harrold, M., Higgins, A. M., Hodgson, I. C., Hopkins, J., Howe, B., Huynh, T. L., Iwashyna, T. J., Johnson, L., Skinner, E. H., Tuxen, D. V., Young, M., & Udy, A. A. (2022). Early active mobilization during mechanical ventilation in the ICU. New England Journal of Medicine, 387(19), 1747–1758. https://doi.org/10.1056/NEJMoa2209083
Karachi, F., Ntsiea, V., van Aswegen, H., & Becker, P. (2023). Patient perceptions of ICU physiotherapy: “Your body needs to go somewhere to be recharged …”. South African Journal of Critical Care, 39(3), e1092. https://doi.org/10.7196/SAJCC.2023.v39i3.1092
Machado, M., Pereira, F. S., Oliveira, L. G., & Costa, D. F. (2021). Análise de perda da força muscular em pacientes submetidos a internação na UTI do hospital municipal de Paracatu. Revista Multidisciplinar Humanidades e Tecnologias (FINOM), 30, jul./set. http://revistas.icesp.br/index.php/FINOM_Humanidade_Tecnologia/article/view/1645
Marques, R. A., Silva, L. P., Rodrigues, J. F., & Moreira, A. C. (2023). Mobilização precoce em pacientes adultos na UTI: Uma revisão de literatura. Revista Ibero-Americana de Humanidades, Ciências e Educação, 9(4), 1115–1129.
Okada, Y., Unoki, T., Matsuishi, Y., Egawa, Y., Hayashi, Y., Inoue, S., … & Nishida, O. (2019). Early versus delayed mobilization for in-hospital mortality and health-related quality of life among critically ill patients: A systematic review and meta-analysis. Journal of Intensive Care, 7(1), 41. https://doi.org/10.1186/s40560-019-0413-1
Patsaki, I., & Dimopoulos, S. (2024). Increasing role of post-intensive care syndrome in quality of life of intensive care unit survivors. World Journal of Critical Care Medicine, 13(2), 90428. https://doi.org/10.5492/wjccm.v13.i2.90428
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. [e-book]. Ed. UAB/NTE/UFSM.
Ribeiro, N. de S., Oliveira, D. S. de, & Yamauchi, L. Y. (2022). Fisioterapia em pacientes adultos em estado crítico internados com COVID-19: Revisão integrativa. ASSOBRAFIR Ciência, 13, e44735. https://assobrafirciencia.org/article/10.47066/2177-9333.AC.2022.0050/pdf/assobrafir-13-e44735.pdf
Silva, A. G. da. (2022). A importância da fisioterapia motora em pacientes adultos inseridos na unidade de terapia intensiva (UTI). https://repositorio.pgsscogna.com.br/bitstream/123456789/42717/1/AMANDA_GOMES_DA_SILVA_ATIVIDADE.3.pdf
Snyder, H. (2019). Literature Review as a Research Methodology: An Overview and Guidelines. Journal of Business Research, 104, 333-339. https://doi.org/10.1016/j.jbusres.2019.07.039.
Sousa, V. R. M. de, Oliveira, R. S., Andrade, T. F., & Nogueira, P. R. (2020). Atuação da fisioterapia no paciente neurocrítico na unidade de terapia intensiva: Uma revisão sistemática. Centro de Pesquisas Avançadas em Qualidade de Vida, 12(3), 1–8. https://www.cpcrjournal.org/journal/assobrafir/article/5de0165f0e8825913e4ce1d5
Tjale, L. C., Hanekom, S. G., & Mshunqane, N. (2023). Functional outcomes of patients in ICU using the Chelsea Critical Care Physical Assessment Tool: An integrative review. South African Journal of Physiotherapy, 79(1), 1924. https://doi.org/10.4102/sajp.v79i1.1924
Van der Schaaf, M., Beelen, A., Dongelmans, D. A., Vroom, M. B., & Nollet, F. (2009). Functional status after intensive care: A challenge for rehabilitation professionals to improve outcome. Journal of Rehabilitation Medicine, 41(5), 360–366. https://doi.org/10.2340/16501977-0333
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