Risk Factors for Acquired Muscle Weakness Among Critically all Patients
El-Raghi Mostafa, A. (2023). Risk Factors for Acquired Muscle Weakness Among Critically all Patients. EKB Journal Management System, 8(1), 31-43. doi: 10.21608/menj.2023.288651
Ahmed Rabea El-Raghi Mostafa. "Risk Factors for Acquired Muscle Weakness Among Critically all Patients". EKB Journal Management System, 8, 1, 2023, 31-43. doi: 10.21608/menj.2023.288651
El-Raghi Mostafa, A. (2023). 'Risk Factors for Acquired Muscle Weakness Among Critically all Patients', EKB Journal Management System, 8(1), pp. 31-43. doi: 10.21608/menj.2023.288651
El-Raghi Mostafa, A. Risk Factors for Acquired Muscle Weakness Among Critically all Patients. EKB Journal Management System, 2023; 8(1): 31-43. doi: 10.21608/menj.2023.288651

Risk Factors for Acquired Muscle Weakness Among Critically all Patients

Menoufia Nursing Journal
Volume 8, Issue 1, March 2023, Page 31-43  XML PDF (1.15 MB)
Document Type: Original Article
DOI: 10.21608/menj.2023.288651
View on SCiNiTO View on SCiNiTO
Author
Ahmed Rabea El-Raghi Mostafa
Doctorate In Nursing Sience Emergency And Critical Cases Faculty of Nursing Damietta University
Abstract
Background: One of the most common complications of Intensive Care Unit (ICU) is neuromuscular dysfunction due to critical illness, which may cause disuse atrophy. Large number of critically ill patients has severe muscle weakness, which has been named ICU-acquired weakness (ICU-AW). Purpose: The purpose of the study is to assess risk factors for acquired muscle weakness among Critical Ill Patients. Research Design: A descriptive exploratory design was utilized to achieve the purpose of this study. Setting: the study was conducted in the Intensive Care Units (ICUs) in Cairo University Hospital (general, chest and internal medicine ICU). Sampling: A Purposive sample of seventy-five patients admitted to the previous mentioned setting. Instruments: Three instruments were used for data collection. Instrument one: Characteristics of patients. Instrument two: muscle strength scale. Instrument three: - Factors contributing in Intensive Care Unit Acquired Muscle Weakness (ICU-AW) tool. Results: showed that more than half of studied patients had ICU-AW, most studied patients who had muscle weakness were older, abnormal WBCs level than the Non-ICU-AW patients. Administration of corticosteroid was higher in the ICU-AW patients than the Non-ICU-AW patients. There was no statistically significant relation between incidence of ICU-AW and gender, administration of parenteral nutrition and application of positioning, walking exercises. Conclusion: More than half of studied patients developed ICU-AW. The contributing factors of ICU-AW are patient age, abnormal WBCs level, not applying range of motion and chair sitting exercise to ICU patients, administration of corticosteroid. Recommendations: Further research is recommended to study extensively the effect of nutritional status on the incidence of ICU-AW. Also, the incidence of ICU-AW in sedated and unconscious patients’ needs to be assessed.
Statistics
Article View: 152
PDF Download: 246