The effect of early mobilization program on changes in hemodynamic symptoms in patients with acute myocardial...

Acute heart attack is one of the most common causes of disability and increased mortality in most countries. Rehabilitation and movement management of these patients immediately after admission to the cardiac intensive care unit can reduce the complications of the patient's hemodynamic status and inability of patients' physical and cognitive function.

The aim of this study was to determine the effect of early mobilization program (EMP) on changes in hemodynamic symptoms in patients with acute myocardial infarction (AMI).

This study was performed as a clinical trial study. A total of 60 patients with AMI referred to a selected hospital in one of the western cities of Iran in 2024 were included in the study by convenience sampling and were assigned to two groups of 30 interventions and control by random permutation allocation. In the intervention group, patients were mobilized 18 h after admission to the intensive care unit with a program and in 8 stages, and in the control group, patients were mobilized after 48 h according to the usual schedule. Patients were monitored for hemodynamic symptoms (systolic and diastolic blood pressure, heart rate, and respiration) before, during, and after movement. The results of the study were analyzed using descriptive and inferential statistical methods and using Chi-square tests, repeated measures analysis of variance and independent t-test in SPSS software version 16.

Findings showed that the mean systolic and diastolic blood pressure and heart rate of the samples in the intervention and control groups at 3 times were not significantly different. While the mean number of patients' breathing in the first and second time of movement was not significantly different, but in the third time of movement this difference was significant (P = 0.05).

The results of this study showed that the EM of an AMI patient can be included in the intensive care unit of patients without any changes in vital signs and as a safe way in the rehabilitation program. Therefore, the use of an EMP in the treatment and care program for patients with AMI in intensive care units on the first day of hospitalization in the ward is recommended.