Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 2 ( 2017 ) > List of Articles

BRIEF COMMUNICATION

Quality of life improves with individualized home-based exercises in critical care survivors

Aayushi Shelly, Nivedita Prabhu, Priyanka Jirange, Asha Kamath, K. Vaishali

Keywords : critical illness, home-based rehabilitation, Intensive Care Unit survivors, physiotherapy, short form 36,Critical care rehabilitation

Citation Information : Shelly A, Prabhu N, Jirange P, Kamath A, Vaishali K. Quality of life improves with individualized home-based exercises in critical care survivors. Indian J Crit Care Med 2017; 21 (2):89-93.

DOI: 10.4103/ijccm.IJCCM_433_16

License: CC BY-ND 3.0

Published Online: 00-02-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The Aim of the Study: This study aims to determine the effect of individualized home-based exercise on the quality of life post-Intensive Care Unit (ICU) discharge. Subjects: Adult patients invasively mechanically ventilated for more than 48 h in medical ICU. Methodology: Thirty-five patients were enrolled prospectively in this study. They were interviewed to complete short form 36 (SF-36) version 2 questionnaire and were randomly allocated to control and experimental group by block randomization. The experimental group received individualized exercise information sheet and control group was asked to continue routine exercises done during their hospital stay. The experimental group also received a log book and weekly telephonic reminders. Patients were interviewed to complete the SF-36 through the telephone 4 weeks after hospital discharge. Results: Physical and mental components of the quality of life as measured by the SF-36 at the end of 4 weeks after hospital discharge showed a statistically significant difference (P < 0.05) in the experimental group. Conclusion: A well-structured individualized exercise program improves the quality of life of critically ill patients after discharge.


PDF Share
  1. Phua J, Badia JR, Adhikari NK, Friedrich JO, Fowler RA, Singh JM, et al. Has mortality from acute respiratory distress syndrome decreased over time?: A systematic review. Am J Respir Crit Care Med 2009;179:220-7.
  2. Annane D, Aegerter P, Jars-Guincestre MC, Guidet B; CUB-Réa Network. Current epidemiology of septic shock: The CUB-Réa network. Am J Respir Crit Care Med 2003;168:165-72.
  3. Tu JV, Nardi L, Fang J, Liu J, Khalid L, Johansen H; Canadian Cardiovascular Outcomes Research Team. National trends in rates of death and hospital admissions related to acute myocardial infarction, heart failure and stroke, 1994-2004. CMAJ 2009;180:E118-25.
  4. Griffiths JA, Morgan K, Barber VS, Young JD. Study protocol: The intensive care outcome network ('ICON') study. BMC Health Serv Res 2008;8:132.
  5. Davydow DS, Gifford JM, Desai SV, Bienvenu OJ, Needham DM. Depression in general intensive care unit survivors: A systematic review. Intensive Care Med 2009;35:796-809.
  6. Griffiths J, Fortune G, Barber V, Young JD. The prevalence of post traumatic stress disorder in survivors of ICU treatment: A systematic review. Intensive Care Med 2007;33:1506-18.
  7. Angus DC, Carlet J; Brussels Roundtable Participants. Surviving intensive care: A report from the 2002 Brussels roundtable. Intensive Care Med 2003;29:368-77.
  8. Jones C, Skirrow P, Griffiths RD, Humphris GH, Ingleby S, Eddleston J, et al. Rehabilitation after critical illness: A randomized, controlled trial. Crit Care Med 2003;31:2456-61.
  9. Guszkowska M. Effects of exercise on anxiety, depression and mood. Psychiatr Pol 2004;38:611-20.
  10. Pfoh ER, Chan KS, Dinglas VD, Cuthbertson BH, Elliott D, Porter R, et al. The SF-36 offers a strong measure of mental health symptoms in survivors of acute respiratory failure. A tri-national analysis. Ann Am Thorac Soc 2016;13:1343-50.
  11. Elliott D, McKinley S, Alison J, Aitken LM, King M, Leslie GD, et al. Health-related quality of life and physical recovery after a critical illness: A multi-centre randomised controlled trial of a home-based physical rehabilitation program. Crit Care 2011;15:R142.
  12. Cuthbertson BH, Rattray J, Campbell MK, Gager M, Roughton S, Smith A, et al. The PRaCTICaL study of nurse led, intensive care follow-up programmes for improving long term outcomes from critical illness: A pragmatic randomised controlled trial. BMJ 2009;339:b3723.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.