Effectiveness of progressive mobilization level 1 on hemodynamic status in critical ill patients

Abstract

Introduction: Most critical care unit patients experience prolonged immobilization and are confined to bed rest. This condition can cause ineffective airway and circulation problems, which can have an impact on patient hemodynamic changes. Progressive mobilization has the potential to affect hemodynamic status and has received significant attention in the critical care setting. Objectives: This study aims to determine the effect of progressive mobilization level I on the hemodynamic status in critical ill patients at Bintan Regional Hospital. Methods: The research design was a non-equivalent control group design. The sample size was 32 respondents consisting of 16 intervention groups and 16 control groups, with a purposive sampling technique. Measurements were made using observation sheets to assess hemodynamic status before and after progressive mobilization. Results:  The results of the bivariate analysis using the Paired T-Test showed that there was a difference in the average heart rate (p = 0.000), systolic blood pressure (p = 0.003), diastolic blood pressure (p = 0.000), respiratory rate (p = 0.000), and oxygen saturation (SaO2) (p = 0.001) between before and after progressive mobilization level I. The results of the Independent-T-Test showed that there was an effect of progressive mobilization level I on the hemodynamic status of ICU patients (p = 0.000 for each hemodynamic). There was an increase in hemodynamic status within the normal range after progressive mobilization. Conclusions: The results of this study can be a recommendation for nurses to carry out level I progressive mobilization by paying attention to the hemodynamic status of critical patients to improve quality of life and shorten the length of stay.