Rehabilitation needs of critically Ill patient’s at General Hospital -Kafr- ELsheikh Governorate

Abstract

Background Assessing rehabilitation needs is an essential part of the care provided to critically ill patients and is used to identify areas of need to develop an individualized care plan for each patient. Aim To explore rehabilitation needs of critically ill patients during the acute stage of illness. Research question What are the different rehabilitation needs of critically ill patients at a general hospital- Kafr- El sheikh Governorate over a period of 6 months? Design descriptive exploratory research design was used. Sample Purposive sample consist of 100 conscious adult male and female patients, aged from 18- 60 years within period of 6 months was included. Setting Four intensive care units affiliated to General Hospital- Kafr Elsheikh Governorate. Tools Two tools were utilized (A) Rehabilitation needs of critically ill patient assessment tool, (B) Patient Categorization Assessment Tool (PCAT). Result More than half (52%) of patients were the age group 51-60 years old, more than half (54%) of them were females. More than half (55%) of patients stayed 4-6 days at the hospital, all of them were fully conscious. More than one quarters (37%) of the studied patients had a cardiac disease. There were statistical significant difference (χ 2=25.28, P=0.00) with deterioration in chest sound 42% of patient (n=100)had abnormal chest sound in first day elevated to 70% of them(n=10) at the last day of their hospitalization. there were significant statistical differences (p≤0.05) in daily living activity between the hospitalization days among critically ill patients. there were significant statistical differences (p≤0.05) in mobility between the hospitalization days among critically ill patients. the cognitive aspect needs were the same at the hospitalization days. There were statistical significant difference (χ 2=94.5, P=0.03) with deterioration in psychological stressors presence 71% of them had psychological stressors in first day increased to all of them at the last day of their hospitalization. Conclusion Critically ill patients have variable rehabilitation needs that change throughout acute stage of their illness. Recommendation Putting into practice the rehabilitation needs assessment for critically ill patients, which is regarded as the initial stage in creating rehabilitation programs. Replication of this study on a larger probability sample from different geographical locations in Egypt is recommended.