Knowledge of physiotherapists working in adult ICU on contraindications to mobilization

Abstract Introduction: Mobilization is an effective therapy to combat the deleterious effects of immobility, but not all patients are in a condition to be moved; thus, knowledge about contraindication criteria is fundamental. Objective: To evaluate the knowledge of physiotherapists working in adult ICUs on contraindications to the mobilization of critical patients. Method: This was a cross-sectional study in which a survey was applied to physiotherapists working in an adult ICU in the city of Recife. Results: Out of the 36 criteria presented, only five were considered contraindication criteria. Clinical parameters were those that obtained higher frequency for not being considered criteria for contraindication, nor were there observed differences in the relation between the time of working in the ICU. Conclusion: Most physiotherapists did not consider the criteria presented as contraindications to mobilization, so that professional training in mobilization practices and the creation of protocols are necessary.【摘要 引言】：活动动员（mobilization）是对抗制动相关有害效应的有效治疗手段，但并非所有患者均具备活动耐受的身体条件，因此掌握危重症患者活动动员的禁忌证判定标准至关重要。 【研究目的】：评估成人重症监护病房（Intensive Care Unit, ICU）物理治疗师（physiotherapists）对危重症患者活动动员禁忌证的认知水平。 【研究方法】：本研究为横断面研究，向巴西累西腓市某成人ICU的在职物理治疗师发放调研问卷。 【研究结果】：本次调研涉及的36项判定标准中，仅5项被认定为活动动员禁忌证；临床参数类标准被误判为非禁忌证的频次更高，且未观察到物理治疗师的ICU从业时长与认知水平间存在显著关联。 【研究结论】：多数受访物理治疗师未将本次列出的判定标准视为活动动员禁忌证，因此亟需开展针对活动动员实操的专业培训，并制定标准化临床诊疗规程。