From fear to fight: Patients experiences of early mobilization in intensive care. A qualitative interview study

ABSTRACT

Introduction: Early mobilization (EM) in intensive care is frequently used to prevent physical and psychological complications, with promising results. However, the patient´s perception of EM has been sparsely investigated. Pe: To investigate the experience of EM in patients treated in intensive care. Md: Nineteen former patients who had been treated in intensive care were interviewed. The interviews were analyzed using qualitative, inductive content analysis. Rs: The analysis resulted in three categories; 1) Facing the impossible – a too demanding situation; 2) Struggling successfully on the way back; and 3) Need of having dedicated supporters. Con: A considerable variety of experiences of EM were described in this study, both negative and positive. Prominent features were that pleasant emotions and great physical effort occurred simultaneously and that interaction and cooperation with the caregivers was paramount. To regain independence was another prominent feature, with EM considered to be of great importance in the recovery process. Moving to an upright position and ambulating appears to be beneficial to both body and mind. EM should therefore be among the first priorities in intensive care. EM should be practiced with respect and support, while encouraging and challenging the patient to strive for independence.

KEYWORDS:

• Early mobilization
• experiences
• intensive care
• physiotherapy
• qualitative research

Acknowledgments

First, the author would like to thank the participants for generously giving their time and for sharing their experiences. This study was funded by the Skaraborg Institute for Research and Development, Skövde, Sweden, Skaraborg Research and Development Council and the Research and Development Centre, Skaraborg Hospital.