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From fear to fight: Patients experiences of early mobilization in intensive care. A qualitative interview study
University of Gothenburg, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Gothenburg, Sweden;Department of Physiotherapy, Skaraborgs Hospital Skövde , Skövde, Sweden .
University West, Department of Health Sciences, Section for nursing - undergraduate level. (LOV)ORCID iD: 0000-0001-9423-9378
Skaraborg Institute for Research and Development , Skövde, Sweden.
Research and Development Centre, Skaraborg Hospital Skövde , Skövde, Swede.
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2022 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 38, no 6, p. 750-758Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Early mobilization (EM) in intensive care is frequently used to prevent physical and psychological complications, with promising results. However, the patient´s perception of EM has been sparsely investigated. Purpose : To investigate the experience of EM in patients treated in intensive care. Method : Nineteen former patients who had been treated in intensive care were interviewed. The interviews were analyzed using qualitative, inductive content analysis. Results : The analysis resulted in three categories; 1) Facing the impossible - a too demanding situation; 2) Struggling successfully on the way back; and 3) Need of having dedicated supporters. Conclusion : A considerable variety of experiences of EM were described in this study, both negative and positive. Prominent features were that pleasant emotions and great physical effort occurred simultaneously and that interaction and cooperation with the caregivers was paramount. To regain independence was another prominent feature, with EM considered to be of great importance in the recovery process. Moving to an upright position and ambulating appears to be beneficial to both body and mind. EM should therefore be among the first priorities in intensive care. EM should be practiced with respect and support, while encouraging and challenging the patient to strive for independence.

Place, publisher, year, edition, pages
Taylor & Francis, 2022. Vol. 38, no 6, p. 750-758
Keywords [en]
Early mobilization, experiences, intensive care, physiotherapy, qualitative research
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-15700DOI: 10.1080/09593985.2020.1799460ISI: 000559141900001PubMedID: 32787479Scopus ID: 2-s2.0-85089454816OAI: oai:DiVA.org:hv-15700DiVA, id: diva2:1460699
Note

Funders. Skaraborg Institute for Research and Development, Skovde, Sweden

Available from: 2020-08-24 Created: 2020-08-24 Last updated: 2023-01-25Bibliographically approved

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Karlsson, Veronika

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