[Therapeutic mobilization as nursing care: evidence from practice]

Area of Science:

• Critical Care Medicine
• Respiratory Therapy
• Nursing Science

Background:

• Mechanical ventilation is a life support measure for critical patients.
• Pulmonary mechanics can be influenced by patient positioning.
• Decubitus position changes are common nursing interventions.

Purpose of the Study:

• To observe the impact of decubitus position changes on pulmonary mechanics in mechanically ventilated patients.
• To identify alterations in respiratory parameters following nursing-led repositioning.

Main Methods:

• Observational and descriptive study design.
• Non-probabilistic sampling of nine critical patients on mechanical ventilation.
• Monitoring of pulmonary mechanics parameters before and after position changes.

Main Results:

• All patients exhibited changes in pulmonary mechanics after decubitus position changes.
• Alterations included both positive and negative effects on respiratory parameters.
• Observed changes correlated with different patient positions.

Conclusions:

• Nursing care involving decubitus position changes requires thorough clinical assessment.
• Patient positioning significantly affects pulmonary mechanics.
• Potential for negative respiratory consequences necessitates vigilant monitoring during position changes.