Document Type : Original Article
Authors
1
Lecturer of Critical Care Nursing, Faculty of Nursing, Aswan University, Egypt
2
Lecturer of Chest Diseases and TB, Faculty of Medicine, Aswan University, Egypt
Abstract
Background: In the intensive care units’ ICUs, both physiotherapy and extubation are two
important and closely related interventions that may enhance the patient’s recovery. study aimed to
investigate the effect of multimodality chest physiotherapy on extubation and critically ill
mechanically ventilated patients’ outcomes. Subjects and Methods: Quasi-experimental research
design was used. Sampling A purposive sample included 100 mechanically ventilated patients
taken from respiratory ICU in Aswan University Hospital. Data collection tools: Tool 1, critically
ill patient clinical profile was used for collecting data, it included three parts: bio-demographic and
clinical data, hemodynamic and respiratory parameters, and Acute Physiology and Chronic Health
Evaluation II (APACHE II) scale. Tool2, Chest physiotherapy modalities including its include,
inspiratory muscle training (IMT) device, passive, and positive range of motion, and early
mobilization in addition to conventional chest physiotherapy. Results: the outcome data among
both groups, there were considerable variance regarding the duration of mechanical ventilation
(MV), length of ICU stays, negative inspiratory force (NIF), extubation outcome, reintubation,
noninvasive ventilation NIV, and mortality rate (P = 0.023, 0.012, 0.045, 0.047, 0.012, 0.021, 0.017
respectively). Moreover, where there was considerable variance between the extubation
subcategories among the study group regarding serum potassium, APATCHE II scale, duration of
MV, length of ICU stays, and the need for NIV (P= 0.031, 0.002, 0.003, 0.001, 0.000 respectively).
Conclusion: The application of Multimodality chest physiotherapy can improve Extubation and
patient outcome
compared to traditional chest physiotherapy. Recommendation: Nurses and
physicians in all
ICU could be advised to apply the Multimodality chest physiotherapy in their
sitting.
Keywords
)
View on SCiNiTO