Abstract

The condition of Critically ill patients in the Intensive Care Unit (ICU) can make heavier impairment physical and cognitive functions. The research objective is to prove that physical-cognitive therapy affects towards increasing physical and cognitive functions to Critically ill patients in ICU. The research design was a Randomized Controlled Trials (RCTs). The samples were Critically ill patients in the ICU of Kediri Baptist Hospital as many as 64 Critically ill patients according to inclusion and exclusion criteria. The research has got ethical clearance from the Committee Ethics Medical Faculty of Diponegoro University. The research instrument used Physical Function ICU Test (PFIT) Indonesian Version and Mini-Mental State Examination (MMSE) Indonesian Version. The differential test used Independent t-test on physical function and Mann-Whitney test on cognitive function towards the intervention group and control group. The results showed that physical-cognitive therapy significantly affected increasing physical function (P < 0.001) with a mean increase of 3.2 points and cognitive function (P < 0.001) with a mean increase of 7.3 points. The difference test of influence between the intervention group and the control group was done by testing the posttest data on physical function (P < 0.001) and cognitive function (P < 0.001) in both groups. Effect size >0.8 (Physical Function: 3.2; Cognitive Function: 1.9). In conclusion, there was affecting physical-cognitive therapy towards increasing physical and cognitive functions to Critically ill patients in ICU.

Highlights

  • 1.1 BackgroundCritically ill patients with impaired physical function have a picture of the weakness of muscle quadriceps femoris, decreased strength, and decrease in daily activities

  • Patients with physical and cognitive impairment were caused by a history of using a mechanical ventilator (33%), infection or sepsis (50%), patients receiving treatment 2 days up to >1 week in Intensive Care Unit (ICU) (> 50%), delirium and critical illness or sepsis (70%), coronary heart disease (CHD) (36.6%), Unstable Angina (UA) (41.5%), Hypertension (19.5%), Supraventricular Tachycardia (SVT) (2.4%) [1, 2, 14, 15]

  • Our objective is to prove that physical-cognitive therapy (PCT) affects towards increasing physical and cognitive functions to critical patients in ICU with design was Randomized Controlled Trials (RCTs)

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Summary

Background

Ill patients with impaired physical function have a picture of the weakness of muscle quadriceps femoris, decreased strength, and decrease in daily activities. Patients with physical and cognitive impairment were caused by a history of using a mechanical ventilator (33%), infection or sepsis (50%), patients receiving treatment 2 days up to >1 week in ICU (> 50%), delirium and critical illness or sepsis (70%), coronary heart disease (CHD) (36.6%), Unstable Angina (UA) (41.5%), Hypertension (19.5%), Supraventricular Tachycardia (SVT) (2.4%) [1, 2, 14, 15]. Ill patients with decreased physical and cognitive function due to a history of using mechanical ventilators (33%), infection or sepsis (50%), patients receiving 2 days to >1 week in ICU (> 50%), delirium and various critical illnesses or sepsis (70%), coronary heart disease (CHD) (36.6%), Unstable Angina (UA) (41.5%), Hypertension (19.5%), Supraventricular Tachycardia (SVT) (2,4%) [2, 14, 20, 21]. Function improvement in critically ill patients in the ICU increases with interventions given to each problem patient in the ICU and post ICU [3, 10, 20, 26, 28, 29]

Critical patient health problems
Cognitive impairment
Measurement of cognitive function of patients in the ICU
Physical impairment
Definition
Physical-cognitive therapy screening
Intervention procedures cognitive therapy
Orientation Exercises
Digit Span Reverse
Paragraph or Story Recall
Letter-Number Sequences
Pattern Recognition
Intervention procedures physical therapy
Theory the symptom management
Result
Findings
Discussion
Full Text
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