Análise das barreiras de mobilidade e do status funcional de pacientes críticos em relação ao Perme Escore

Abstract

Introduction: The immobility of critical patients is strongly related to the barriers of mobilization perceived by professionals. Perme Escore was developed to assess the mobility status of patients admitted to the ICU and allows the analysis of extrinsic conditions to the patient that may represent barriers to the mobility of the patient. Objective: To analyze functional status and barriers to the mobilization of critical patients at the time of ICU admission and discharge. Methodology: A longitudinal and comparative observational study performed at the Intensive Care Unit of the Hospital de Clínicas, Federal University of Uberlândia. We analyzed 73 patients admitted to the ICU, who underwent the Perme Escore application at the time of admission and discharge from the ICU by the care physiotherapist and a physiotherapist researcher. Results: When the Wilcoxon test was applied in the intra-group evaluation, the difference between Initial and Final Permeation values (p = 0.0002) and Initial and Final Barriers (p = 0.00003) corresponded to the evaluation and reassessment of patients, respectively. There was an increase in the functional status on the last day of hospitalization when compared to the functional status of admission, as well as an increase in the final mobility barriers score when compared to the initial barriers, reflecting the non-existence or significant reduction of barriers to mobility in the (score close to 4) and their presence at the time of admission (score close to 0). Conclusion: As barriers to mobility correlate with the functional status of the critical patient, so that patients with many barriers were poorly mobilized. Even so, functional status is not important for the ICU, Perme Score is relatively low. Barriers to mobility should not prevent critical patient mobilization.