Physiotherapists’ practices in Intensive Care Units in Brazil - current scenario: cross-sectional study
Ana Luiza de Arruda Camargo, Ester Laura Cordeiro-Costa, Audrey Borghi-Silva, Renata Gonçalves Mendes, Daniela Bassi-Dibai, Adriana Sanches Garcia-Araujo
Abstract
Background: the role of the physiotherapist in intensive care units (ICU) has been recognized in the management of mechanical ventilation (MV), prevention and rehabilitation of functional losses in patients. However, underexplored current survey on the practices of physiotherapists in the ICU. Aim: to carry out a survey of the current practices of physiotherapists working in ICUs in Brazil. Methods: online questionnaire with 33 questions related to assessment and intervention, existence of care protocols and their barriers, applied to physiotherapists in an adult ICU in Brazil. Results: the research was carried out during the COVID-19 pandemic, thus, 72 professionals answered the questionnaire, 70.8% female, 58.9% located in São Paulo. Of these, 77.8% reported the existence of established protocols for physical therapy care, but they present barriers such as the lack of auxiliary devices for motor physical therapy (70.8%) and physical therapy (44.4%). Although early mobilization is encouraged in 90.1% of hospitals and 64.3% use functional scales, only 1.4% and 2.8% mentioned sitting and walking, respectively. Conclusion: despite the existence of protocols, ICU physiotherapists still perform early mobilization without the application of sitting, walking, use of scales and functional tests essential for rehabilitation, in addition to performing respiratory techniques without scientific basis. Therefore, it is necessary to seek a paradigm shift and prioritize actions aimed at professional qualification.
Keywords
Referências
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Submetido em:
23/11/2023
Aceito em:
18/06/2024
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