Barreras y facilitadores de la movilización temprana en una unidad de cuidados intensivos pediátrica: revisión sistemática
DOI:
https://doi.org/10.1590/1809-2950/20026728032021Palabras clave:
Unidades de Cuidados Intensivos, Pediatria, Ambulación PrecozResumen
El propósito de esta revisión sistemática fue
identificar barreras y facilitadores para aplicar la movilización
temprana en las unidades de cuidados intensivos pediátrica.
Se realizó una búsqueda sistemática de estudios que abordaron
barreras y/o facilitadores para la movilización temprana en
niños y adolescentes. Se incluyeron estudios publicados hasta
junio de 2019 en las bases de datos MEDLINE®, Physiotherapy Evidence Database, Literatura Latinoamericana y del Caribe en
Ciencias de la Salud, Cochrane Library y Scientific Electronic Library
Online. La selección y evaluación de la calidad metodológica fue
realizada por dos revisores independientes. Los datos que se han
identificado como barreras y/o facilitadores se extrajeron para su
análisis. De los 358 registros encontrados en las bases de datos, se
incluyeron 13 artículos. Se mencionaron 18 barreras, y las más citadas
fueron el número insuficiente de profesionales y la inseguridad del
equipo. De los 11 facilitadores mencionados, los más frecuentes
fueron la formación/educación del equipo multidisciplinario y el
establecimiento de lineamientos/consensos. Hay muchas barreras
que romper para que la movilización temprana sea efectiva, pero
algunos facilitadores ya son conocidos y pueden ser aplicados,
haciendo su aplicación factible a la población pediátrica.
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Derechos de autor 2021 Daloia LMT, Pinto ACPN, Silva EP
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
