Effects of early mobilization combined with occupational therapy on delirium of mechanical ventilated patients / 中国实用护理杂志

ABSTRACT

Objective To evaluate the effects of early mobilization combined with occupational therapy on delirium of mechanical ventilated patients. Methods Sixty- eight patients who were undergoing mechanical ventilation and met the inclusion as well as exclusion criteria were randomized into an intervention group (35 patients) and a control group (33 patients). Patients in both group were provided with ICU routine care to prevent delirium, while early mobilization combined with occupational therapy was given in intervention group. Incidence rate of delirium, length of delirium, dosage of sedation, length of mechanical ventilation, length of ICU stay and physical restraint rate were compared. Occurrence of adverse events during intervention was also observed. Results In intervention group ,the incidence rate of delirium was 25.71% (9/35), length of delirium was (1.69 ± 2.98)days, dosage of propofol was(2 189.71±1 222.23)mg, length of ventilation was (4.86±1.31)days, and physical restraint rate was 43.64% (146/275), all of which were significantly better than those in control group, which were 53.28%(17/33), (2 736.36±1 298.99) mg, (5.88±1.52)days, 53.28%(160/254) (χ2=4.788, 7.251, t=3.910, 2.980, P＜0.05 or 0.01). There was no unpredicted issue occurred during intervention. Conclusions Early mobilization combined with occupational therapy is feasible which could alleviate ICU delirium, reduce the dosage of sedation, the length of mechanical ventilation, and the physical restraint rate.