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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/9848
Title: Efectele fiziokinetoterapiei în managementul pacientului critic
Other Titles: Early physiokinetotherapy effects in critical pacient management
Authors: Moşnin, Ecaterina
Avădănii, Radu
Pîslaru, Daria
Zubarev, Chiril
Guțu-Bahov, Cornelia
Cazacu, Gheorghe
Keywords: physiokinetotherapy;critical patients
Issue Date: 2018
Publisher: The Scientific Medical Association of the Republic of Moldova
Citation: MOȘNIN, Ecaterina, AVĂDĂNII, Radu, PÎSLARU, Daria, et al. Efectele fiziokinetoterapiei în managementul pacientului critic = Early physiokinetotherapy effects in critical pacient management. In: The Moldovan Medical Journal. 2018, vol. 61 (AIC congress issue), september, p. 30. ISSN 2537-6381.
Abstract: Introducere: Fiziokinetoterapia începe să fie utilizată treptat în UTI în Republica Moldova pentru combaterea și prevenirea complicațiilor induse de spitalizarea îndelungată. Material și metode: Analiza retrospectivă a unui lot de 110 pacienți aflați în secţia TI, cu o diferență nesemnificativă în scorul APACHE II, SOFA, supuși procedurilor fiziokinetoterapeutice pentru reducerea complicațiilor induse de spitalizarea îndelungată (suport ventilator prelungit, imobilizare etc.). Pacienții au fost divizați în două grupuri: lot I - pacienți la VM intubați (20,8%, p < 0,5) și lot II - pacienți non-VM cu fiziokinetoterapie (74,5 %, p= 0,125). Fiecare grup, la rândul său, a fost divizat în două: lot Ia – pacienți la VM cu fiziokinetoterapie (12%, p=0,5), lot Ib – pacienți la VM fără fiziokinetoterapie (31%, p=0,45), lot IIa - pacienți non-VM cu fizioterapie (21%, p=0,21) şi lot IIb – pacienți non-VM fără fiziokinetoterapie (36%, p=0,3). Rezultate: Conform rezultatelor studiului, durata de spitalizare mai redusă a fost înregistrată în lotul Ia (4,62 zile/pat) vs. lotul Ib (6,79 zile/pat), lotul IIa (3,13 zile/pat) vs. lotul IIb (9,18 zile/pat), rata de complicații fiind doar 0,2%. Concluzii: Utilizarea fiziokinetoterapiei în tratamentul pacientului critic a contribuit la micșorarea duratei de spitalizare (zile/ pat) şi la reducerea complicațiilor induse de spitalizarea îndelungată.
Introduction: The physiokinetotherapy is introduced slowly in Intensive Care Unit of the Republic of Moldova to combat and prevent complications because of longer hospitalization. Material and methods: Retrospective analysis of the one group – 101 patients at Intensive Care with a slight difference by APACHE II and SOFA scores, have been subjected to the physiokinetotherapy procedures for the lowering complications induced by longer hospitalization (invasive- support ventilation, immobilization etc.). The patients were divided into two groups. The Ist group– patients on invasive-support ventilation (20.8%, p < 0,5). The IInd group – patients on non-invasive support ventilation (74.5 %, p= 0,125). Each group was divided into two subgroups (Ia – the patients on invasive support ventilation with physiokinetotherapy (12%, p=0,5), Ib – the patients on invasive support ventilation without physiokinetotherapy (31%, p=0,45), IIa – the patients on non-invasive support ventilation with physiokinetotherapy (21%, p=0,21), IIb – the patients on invasive support ventilation without physiokinetotherapy (36%, p=0,3). Results: The lower hospitalization rate has been registered at group Ia (4.62 days/bed) vs. group Ib (6,79 days/bed), group IIa (3.13 days/bed) vs. IIb (9,18 days/bed), the rate of complications being only 0.2%, acording to our data. Conclusions: The utilization and introducing of the physiokinetotherapy play a beneficial role in the critical patient therapy to reduce longer hospitalization and complications induced by.
metadata.dc.relation.ispartof: The Moldovan Medical Journal: The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldova
URI: http://moldmedjournal.md/wp-content/uploads/2018/09/61-4-ATI-Congres.pdf
http://repository.usmf.md/handle/20.500.12710/9848
ISSN: 2537-6381
Appears in Collections:The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue

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