Efeito de um protocolo de fisioterapia sobre a funcionalidade em crianças com pneumonia associada à ventilação mecânica invasiva

Abstract

Immobility is a constant problem in patients undergoing treatment with Invasive Mechanical Ventilation (IMV), contributing to a longer hospital stay, causing muscle weakness, physical deconditioning, loss of muscle mass and delayed functional recovery. Early mobilization is seen as a source of prevention complications of immobilization and assisting in sensorimotor stimulation. To investigate the effects of a physical therapy rehabilitation protocol based on an early mobilization protocol and length of hospital stay in children with ventilator-associated pneumonia. The research was carried out in the Intensive Care Unit (ICU) of the Santa Casa de Misericórdia Foundation of Pará (FSCMP) in 40 children of both genders from 4 to 9 years of age with Pneumonia associated with IMV, submitted to a protocol of early mobilization and evaluated in the pre, second, fifth day and post-treatment using the Functional Status scale and PRISM III. The Shapiro Wilk test was used, followed by the binomial test, Manova test and the post hocde Tukey test (p ≤ 0.05). There was an improvement in the mean value in the final PRISM III when compared to pre-treatment (p=0.000). For the FSS scale, the general score and most of its variables showed significant mean values between all periods of analysis (p=0.00), that showed no statistical difference (p>0.05). The early mobilization protocol proposed in the study in pediatric patients admitted to the ICU under IMV showed an improvement in functionality and in the mortality rate.