Yoğun Bakım Hastalarında Uygulanan Üst Ekstremite Eğitiminin Kardiyopulmoner Yanıtlar ve Fonksiyonel Düzey Üzerine Etkileri

Abstract

The aim of this study was to assess cardiopulmonary responses and effects of upper extremity exercises on functional level in intensive care unit patients. Thirty-five patients whom ages were 20-89 years were included in this study. Patients were divided in to two grups. Control group’s (n=20) interventions were classic physiotherapy interventions which include range of motion exercises, chest physiotherapy and mobilization. Treatment group’s interventions were classic physiotherapy and arm cycle ergometry training. Arm cycle ergometry training applied passively or actively, 20 minutes per day. To determine if arm ergometry exercise is safe for intensive care unit patients, we statisticaly analyzed cardiopulmonary responses, dyspnea, fatigue and arm fatigue of the first, second and the last day. Patients functional level and muscle strength assessed in admission and at discharge. In the first day of arm ergometry exercise, there was a significant difference in the respiratory rate, fatigue and arm fatigue (p<0.05) but there was no difference in heart rate, blood pressure, oxygen saturation (SpO₂) and dyspnea (p>0.05). In the second and last day there was difference in all the cardiopulmonary responses and fatigue, but there was no difference in dyspnea. There was no difference the cardiopulmonary responses, fatigue, arm fatigue and dyspnea in the first, second and the last day (p>0.05). There was no difference in data of the ergometry (p>0.05). Consequently, during the arm ergometry exercise cardiopulmonary responses were changed but the difference was between the safe limits. Further randomised controlled study with increased sample size is needed.