Efficacy and problem in early rehabilitation in PICU

  • Mori Takako
    Department of Nursing, National Medical Center for Children and Mothers
  • Toida Chiaki
    Division of Critical Care Medicine, National Medical Center for Children and Mothers
  • Muguruma Takashi
    Division of Critical Care Medicine, National Medical Center for Children and Mothers
  • Saito Chieko
    Department of Nursing, National Medical Center for Children and Mothers
  • Yokoo Yukiko
    Department of Nursing, National Medical Center for Children and Mothers
  • Kaneko Setsushi
    Department of Nursing, National Medical Center for Children and Mothers
  • Inamoto Miku
    Department of Nursing, National Medical Center for Children and Mothers
  • Hashimoto Keiji
    Division of Rehabilitation Medicine, National Medical Center for Children and Mothers

Bibliographic Information

Other Title
  • PICUへの早期リハビリテーション導入による効果と課題

Abstract

Introduction: The PICU of our facility initiated measures for enhancing early rehabilitation for critically ill children in 2013. This study examined the efficacy of these measures and identified related problems. Subjects and methods: We investigated that the efficacy and implementation rate of early rehabilitation for children <16 years old who stayed in the PICU more over 3 days, and PICU physicians' and nurses' awareness and knowledge for early rehabilitation. Results: The efficacy of early rehabilitation for critically ill children was unable to be verified. The lack of efficacy was attributed to a low implementation rate and level of knowledge regarding early rehabilitation, evaluation methods of the efficacy, as well as the fact that systems for cooperation with physical therapists had not been established. Discussion: In the future, it is necessary to evaluate the efficacy of rehabilitation based on the matrics corresponding age and development of children for each age, disease, and severity.

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