Belitung Nursing Journal
Vol. 3 No. 6 (2017): November - December

EFFECTIVENESS OF PROGRESSIVE MOBILIZATION LEVEL I AND II ON HEMODYNAMIC STATUS AND DECUBITUS ULCER RISK IN CRITICALLY ILL PATIENTS

Ni Wayan Rahayu Ningtyas (Magister Applied Midwifery, Politeknik Kesehatan Kementrian Kesehatan Semarang, Indonesia)
RR Sri Endang Pujiastuti (Magister Applied Midwifery, Politeknik Kesehatan Kementrian Kesehatan Semarang, Indonesia)
Nina Indriyawati (Magister Applied Midwifery, Politeknik Kesehatan Kementrian Kesehatan Semarang, Indonesia)



Article Info

Publish Date
28 Dec 2017

Abstract

Background: Patient immobility remains to be one of the primary causes of pressure ulcers. Therefore, mobilization is necessity for patients being treated in the intensive care unit. However, the occurrence of pressure ulcers is dependent on not only the mobilization but also the bed itself and the type of mattress. This study used the same mattress and bed and compared the effectiveness of progressive mobilization with regular mobilization. Objective: This study aims to examine the effectiveness of progressive mobilization level I and II on hemodynamic status and decubitus ulcer risk in critically ill patients. Methods: This was a quasi-experimental study using repeated measure design. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in each group. A Braden scale was used to measure the risk of decubitus ulcer. Paired t-test and repeated measures ANOVA were performed for data analysis. Results: Paired t-test showed that there was a significant difference of systolic pressure, diastolic pressure, MAP, heart rate, and Braden score after given intervention with p-value <0.05. However, repeated ANOVA test showed that diastolic pressure had p-value >0.05, thus could not be continued to post-hoc test. The progressive mobilization of level I and II in critical patients can stabilize systolic pressure (52.46%), stabilize MAP (58.43%), stabilize heart rate (68.99%), and reduce the risk of decubitus (55.03%) for 7 days of recurrent intervention. Conclusion: The progressive mobilization of level I and II can reduce the risk of decubitus and stabilize the patient's hemodynamic status in critical patients.

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Journal Info

Abbrev

bnj

Publisher

Subject

Nursing

Description

BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based ...