Functional profile of the patient after Intensive Care Unit
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/34606 |
Resumo: | Introduction: Despite the large number of patients who have post-discharge survival from the Intensive Care Unit (ICU), most of them have complications that affect their functionality. Objective: To evaluate the functional profile of patients after discharge from the intensive care unit and to identify the determining factors that influence functionality. Methodology: Longitudinal, observational and descriptive study, with a quantitative approach, including patients admitted to the ICU of a University Hospital in the State of Sergipe, from August 2018 to March 2020. As a research instrument, the Functional Independence Measure was used (MIF) in three moments: at hospital admission, to measure functional independence prior to hospital admission; at ICU admission, to measure functionality prior to ICU admission; and on the immediate rise. Results: The sample consisted of 206 patients, including 91 participants. There was a reduction in FIM at ICU admission compared to previous hospital FIM and a tendency to increase at discharge, but the values do not return to what was observed before hospital admission. In addition, older patients who used mechanical ventilation for a longer period and with a longer hospital stay were determinant for FIM after discharge from the ICU. Conclusion: It is concluded that the hospitalization process, especially in the ICU, of older patients, using mechanical ventilation and with a longer hospital stay, causes a significant reduction in functionality. |
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Functional profile of the patient after Intensive Care UnitPerfil funcional del paciente después el alta de Unidad de Cuidados IntensivosPerfil funcional do paciente pós alta da Unidade de Terapia IntensivaActividades diarias; Unidad de terapia intensiva; Respiración artificial; alta del paciente; hospitalización; Independencia funcional.Atividades diáriasUnidade de Terapia intensivaRespiração artificialAlta do pacientehospitalizaçãoIndependência funcional.Daily activitiesIntensive care unitArtificial respirationpatient dischargeHospitalizationFunctional independence.Introduction: Despite the large number of patients who have post-discharge survival from the Intensive Care Unit (ICU), most of them have complications that affect their functionality. Objective: To evaluate the functional profile of patients after discharge from the intensive care unit and to identify the determining factors that influence functionality. Methodology: Longitudinal, observational and descriptive study, with a quantitative approach, including patients admitted to the ICU of a University Hospital in the State of Sergipe, from August 2018 to March 2020. As a research instrument, the Functional Independence Measure was used (MIF) in three moments: at hospital admission, to measure functional independence prior to hospital admission; at ICU admission, to measure functionality prior to ICU admission; and on the immediate rise. Results: The sample consisted of 206 patients, including 91 participants. There was a reduction in FIM at ICU admission compared to previous hospital FIM and a tendency to increase at discharge, but the values do not return to what was observed before hospital admission. In addition, older patients who used mechanical ventilation for a longer period and with a longer hospital stay were determinant for FIM after discharge from the ICU. Conclusion: It is concluded that the hospitalization process, especially in the ICU, of older patients, using mechanical ventilation and with a longer hospital stay, causes a significant reduction in functionality.Introducción: A pesar de la gran cantidad de pacientes que presentan supervivencia posterior al alta de la Unidad de Cuidados Intensivos (UCI), la mayoría presenta complicaciones que afectan su funcionalidad. Objetivo: Evaluar el perfil funcional de los pacientes después del alta de la unidad de cuidados intensivos e identificar los factores determinantes que influyen en la funcionalidad. Metodología: Estudio longitudinal, observacional y descriptivo, con abordaje cuantitativo, que incluyó pacientes internados en la UTI de un Hospital Universitario del Estado de Sergipe, de agosto de 2018 a marzo de 2020. Como instrumento de investigación, se utilizó la Medida de Independencia Funcional (MIF) en tres momentos: al ingreso hospitalario, para medir la independencia funcional previa al ingreso hospitalario, al ingreso en la UCI, para medir la funcionalidad previa al ingreso en la UCI; y en el aumento inmediato. Resultados: La muestra estuvo compuesta por 206 pacientes, incluidos 91 participantes. Hubo una reducción de la FIM al ingreso en la UCI en comparación con la FIM hospitalaria anterior y una tendencia a aumentar al alta, pero los valores no vuelven a lo observado antes del ingreso hospitalario. Además, los pacientes mayores que utilizaban ventilación mecánica durante más tiempo y con una estancia hospitalaria más prolongada fueron determinantes para la MIF tras el alta de la UCI. Conclusión: Se concluye que el proceso de hospitalización, especialmente en la UTI, de pacientes de mayor edad, utilizando ventilación mecánica y con mayor estancia hospitalaria, provoca una reducción significativa de la funcionalidad.Introdução: Mesmo frente ao grande número de pacientes que tem uma sobrevida pós alta da Unidade de Terapia Intensiva (UTI), a maioria sobre complicações que afetam sua funcionalidade. Objetivo: Avaliar o perfil funcional do paciente pós alta da unidade de terapia intensiva e identificar os fatores determinantes que influenciam na funcionalidade. Metodologia: Estudo longitudinal, observacional e descritivo, tendo uma abordagem quantitativa incluindo pacientes admitidos na UTI de um Hospital Universitário no Estado de Sergipe, no período de agosto de 2018 a março de 2020. Como instrumento de pesquisa, foi usada a Medida de Independência Funcional (MIF) em três momentos: na admissão hospitalar, para mensuração da independência funcional prévia à internação hospitalar, na admissão na UTI, para mensuração da funcionalidade prévia à internação na UTI; e na alta imediata . Resultados: A amostra foi composta por 206 pacientes, sendo incluídos 91 participantes. Observou-se uma redução da MIF na admissão na UTI comparada à MIF prévia hospitalar e uma tendência à elevação na alta, porém os valores não retornam ao que foi observado antes da internação hospitalar. Além disso, aqueles pacientes com idade mais avançada e que utilizaram ventilação mecânica por um maior período e com um maior tempo de internação, foram determinantes para a MIF após a alta da UTI. Conclusão: Conclui-se que o processo de hospitalização, especialmente na UTI, de pacientes de idade mais avançada, em uso ventilação mecânica e com um maior tempo de internação, provoca uma redução significativa na funcionalidade.Research, Society and Development2022-09-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3460610.33448/rsd-v11i12.34606Research, Society and Development; Vol. 11 No. 12; e213111234606Research, Society and Development; Vol. 11 Núm. 12; e213111234606Research, Society and Development; v. 11 n. 12; e2131112346062525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/34606/28995Copyright (c) 2022 Lêda Leonôr Mendonça Carvalho; Ingrid Mendes Santos ; Maria Emília Dantas Alves ; Anne Aurielly de Almeida Silva; Johnatan Weslley Araujo Cruz ; Lucas Aragão da Hora Almeida; Telma Cristina Fontes Cerqueirahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarvalho, Lêda Leonôr Mendonça Santos , Ingrid Mendes Alves , Maria Emília Dantas Silva, Anne Aurielly de Almeida Cruz , Johnatan Weslley Araujo Almeida, Lucas Aragão da Hora Cerqueira, Telma Cristina Fontes 2022-09-26T11:56:08Zoai:ojs.pkp.sfu.ca:article/34606Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:50.512406Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Functional profile of the patient after Intensive Care Unit Perfil funcional del paciente después el alta de Unidad de Cuidados Intensivos Perfil funcional do paciente pós alta da Unidade de Terapia Intensiva |
title |
Functional profile of the patient after Intensive Care Unit |
spellingShingle |
Functional profile of the patient after Intensive Care Unit Carvalho, Lêda Leonôr Mendonça Actividades diarias; Unidad de terapia intensiva; Respiración artificial; alta del paciente; hospitalización; Independencia funcional. Atividades diárias Unidade de Terapia intensiva Respiração artificial Alta do paciente hospitalização Independência funcional. Daily activities Intensive care unit Artificial respiration patient discharge Hospitalization Functional independence. |
title_short |
Functional profile of the patient after Intensive Care Unit |
title_full |
Functional profile of the patient after Intensive Care Unit |
title_fullStr |
Functional profile of the patient after Intensive Care Unit |
title_full_unstemmed |
Functional profile of the patient after Intensive Care Unit |
title_sort |
Functional profile of the patient after Intensive Care Unit |
author |
Carvalho, Lêda Leonôr Mendonça |
author_facet |
Carvalho, Lêda Leonôr Mendonça Santos , Ingrid Mendes Alves , Maria Emília Dantas Silva, Anne Aurielly de Almeida Cruz , Johnatan Weslley Araujo Almeida, Lucas Aragão da Hora Cerqueira, Telma Cristina Fontes |
author_role |
author |
author2 |
Santos , Ingrid Mendes Alves , Maria Emília Dantas Silva, Anne Aurielly de Almeida Cruz , Johnatan Weslley Araujo Almeida, Lucas Aragão da Hora Cerqueira, Telma Cristina Fontes |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Carvalho, Lêda Leonôr Mendonça Santos , Ingrid Mendes Alves , Maria Emília Dantas Silva, Anne Aurielly de Almeida Cruz , Johnatan Weslley Araujo Almeida, Lucas Aragão da Hora Cerqueira, Telma Cristina Fontes |
dc.subject.por.fl_str_mv |
Actividades diarias; Unidad de terapia intensiva; Respiración artificial; alta del paciente; hospitalización; Independencia funcional. Atividades diárias Unidade de Terapia intensiva Respiração artificial Alta do paciente hospitalização Independência funcional. Daily activities Intensive care unit Artificial respiration patient discharge Hospitalization Functional independence. |
topic |
Actividades diarias; Unidad de terapia intensiva; Respiración artificial; alta del paciente; hospitalización; Independencia funcional. Atividades diárias Unidade de Terapia intensiva Respiração artificial Alta do paciente hospitalização Independência funcional. Daily activities Intensive care unit Artificial respiration patient discharge Hospitalization Functional independence. |
description |
Introduction: Despite the large number of patients who have post-discharge survival from the Intensive Care Unit (ICU), most of them have complications that affect their functionality. Objective: To evaluate the functional profile of patients after discharge from the intensive care unit and to identify the determining factors that influence functionality. Methodology: Longitudinal, observational and descriptive study, with a quantitative approach, including patients admitted to the ICU of a University Hospital in the State of Sergipe, from August 2018 to March 2020. As a research instrument, the Functional Independence Measure was used (MIF) in three moments: at hospital admission, to measure functional independence prior to hospital admission; at ICU admission, to measure functionality prior to ICU admission; and on the immediate rise. Results: The sample consisted of 206 patients, including 91 participants. There was a reduction in FIM at ICU admission compared to previous hospital FIM and a tendency to increase at discharge, but the values do not return to what was observed before hospital admission. In addition, older patients who used mechanical ventilation for a longer period and with a longer hospital stay were determinant for FIM after discharge from the ICU. Conclusion: It is concluded that the hospitalization process, especially in the ICU, of older patients, using mechanical ventilation and with a longer hospital stay, causes a significant reduction in functionality. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-11 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34606 10.33448/rsd-v11i12.34606 |
url |
https://rsdjournal.org/index.php/rsd/article/view/34606 |
identifier_str_mv |
10.33448/rsd-v11i12.34606 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/34606/28995 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 12; e213111234606 Research, Society and Development; Vol. 11 Núm. 12; e213111234606 Research, Society and Development; v. 11 n. 12; e213111234606 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052723097501696 |