Identification of Early Mobilization Interventions in Cardiovascular Disease Patients in Hospital
Abstract
This study aims to categorize various early mobilization therapies in heart disease patients. The research method used is a systematic review by searching for articles using the Science Direct, PubMed, and Google Scholar databases. Key phrases included "early mobilization," "exercise training," and "cardiovascular disease and heart failure." The results showed that the interventions had 6MWT, CPET, progressive mobilization I, muscle breathing/inhalation training on day I, leg and limb exercises on the second and third days, ambulation, limb exercises, sitting, and walking. Around the bed, low-intensity resistance exercises in bed, and standing and tiptoe exercises on the floor beside the bed. Patients with acute heart failure often receive 20 to 40 minutes of therapy daily, including bedside exercises and a 50-step walk. In conclusion, there are still differences in time, scope, and implementation of early mobilization initiatives. However, mobilization therapy can be given to cardiac patients of all ages and is safe and practical. They help reduce re-hospitalization risk and improve a patient's VO2 and quality of life (QOL).
Keywords: Heart Failure, Exercise, Early Mobilization, Exercise, Cardiovascular Disease
References
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Suzuki, S., Momosaki, R., Watanabe, T., & Abo, M. (2019). Effectiveness of Early Rehabilitation for Acute Heart Failure. Journal of Cardiopulmonary Rehabilitation and Prevention, 39(4), 23–25. https://doi.org/10.1097/HCR.0000000000000422
Anekwe, D. E., Koo, K. K., Marchie, M. De, Goldberg, P., Jayaraman, D., & Spahija, J. (2017). Interprofessional Survey of Perceived Barriers and Facilitators to Early Mobilization of Critically Ill Patients in Montreal, Canada. Journal of Intensive Care Medicine, 34(3), 1-14. https://doi.org/10.1177/0885066617696846
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., de Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., Lichtman, J. H., & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2018). Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation, 137(12), e67–e492. https://doi.org/10.1161/CIR.0000000000000558
Cattadori, G., Segurini, C., Picozzi, A., Padeletti, L., & Anzà , C. (2018). Exercise and Heart Failure: An Update. ESC Heart Failure, 5(2), 222–232. https://doi.org/10.1002/ehf2.12225
Chen, Y. W., Wang, C. Y., Lai, Y. H., Liao, Y. C., Wen, Y. K., Chang, S. T., Huang, J. L., & Wu, T. J. (2018). Home-Based Cardiac Rehabilitation Improves Quality of Life, Aerobic Capacity, and Readmission Rates in Patients with Chronic Heart Failure. Medicine (United States), 97(4), 1–5. https://doi.org/10.1097/MD.0000000000009629
Clarissa, C., Salisbury, L., Rodgers, S., & Kean, S. (2019). Early Mobilisation in Mechanically Ventilated Patients: A Systematic Integrative Review of Definitions And Activities. Journal of Intensive Care, 7(1), 3. https://doi.org/10.1186/s40560-018-0355-z
Goldfarb, M., Afilalo, J., Chan, A., Herscovici, R., & Cercek, B. (2018). Early Mobility in Frail and Non-Frail Older Adults Admitted to the Cardiovascular Intensive Care Unit. Journal of Critical Care, 47, 9–14. https://doi.org/10.1016/j.jcrc.2018.05.013
Ishikawa, M., Aoyama, T., Shibata, S., Sone, T., Miyoshi, H., Watanabe, H., Nakamura, M., Morota, S., Uchino, H., Yoo, A. S., & Okano, H. (2020). miRNA-Based Rapid Differentiation of Purified Neurons from hPSCs Advancestowards Quick Screening for Neuronal Disease Phenotypes In Vitro. Cells, 9(3), 532. https://doi.org/10.3390/cells9030532
Izawa, H., Yoshida, T., Ikegame, T., Izawa, K. P., Ito, Y., Okamura, H., Osada, N., Kinugawa, S., Kubozono, T., Kono, Y., Kobayashi, K., Nishigaki, K., Higo, T., Hirashiki, A., Miyazawa, Y., Morio, Y., Yanase, M., Yamada, S., Ikeda, H., & Makita, S. (2019). Standard Cardiac Rehabilitation Program for Heart Failure. Circulation Journal, 83(12), 2394–2398. https://doi.org/10.1253/circj.CJ-19-0670
Kakutani, N., Fukushima, A., Kinugawa, S., Yokota, T., Oikawa, T., Nishikawa, M., Nakamura, R., Tsukada, T., Mori, S., Yoshida, I., & Anzai, T. (2019). Progressive Mobilization Program for Patients with Acute Heart Failure Reduces Hospital Stay and Improves Clinical Outcome. Circulation Reports, 1(3), 123–130. https://doi.org/10.1253/circrep.cr-19-0004
Kanejima, Y., Shimogai, T., Kitamura, M., Ishihara, K., & Izawa, K. P. (2020). Effect of Early Mobilization on Physical Function in Patients after Cardiac Surgery: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 17(19), 7091. https://doi.org/10.3390/ijerph17197091
Kemenkes RI. (2019). Kementerian Kesehatan Republik Indonesia. Kementerian Kesehatan RI, 1(1), 1. https://www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html
Kono, Y., Izawa, H., Aoyagi, Y., Ishikawa, A., Sugiura, T., Mori, E., Yanohara, R., Ishiguro, T., Yamada, R., Okumura, S., Fujiwara, W., Hayashi, M., & Saitoh, E. (2020). Predictive Impact of Early Mobilization on Rehospitalization for Elderly Japanese Heart Failure Patients. Heart and Vessels, 35(4), 531–536. https://doi.org/10.1007/s00380-019-01517-8
Pranata, R., Yonas, E., Siswanto, B. B., & Purwowiyoto, B. S. (2017). Tinjauan Pustaka Exercise Training in Heart Failure : Role, Prescription and Program Latihan Olahraga Pada Gagal Jantung : Peran, Resep dan Program. Indonesian Journal of Cardiology, 38(4), 226-233. https://doi.org/10.30701/ijc.v38i4.788
Riskesdas. (2018). Hasil Utama Riset Kesehatan Dasar 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Sugiyono, S., Irawati, D., & Nathasa, D. (2022). Implemetasi Evidence Based Nursing: Efek Mobilsasi Dini pada Peningkatan Fungsi Fisik pada Pasien Paska Bedah Jantung (CABG). Journal of Telenursing (JOTING), 4(2), 879-886. https://doi.org/10.31539/joting.v4i2.3303
Suzuki, S., Momosaki, R., Watanabe, T., & Abo, M. (2019). Effectiveness of Early Rehabilitation for Acute Heart Failure. Journal of Cardiopulmonary Rehabilitation and Prevention, 39(4), 23–25. https://doi.org/10.1097/HCR.0000000000000422
Published
2023-06-30
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Articles
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