Promoting Mobility and Strengthening Respiratory Muscles among Older Persons with Respiratory Failure: An Integrative Review

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Published: Dec 17, 2024
Keywords:
respiratory failure older persons mechanical ventilator therapy promoting mobility strengthening respiratory muscles

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Wipawan Jitworawat
Faculty of Nursing, Thammasat University, Pathum Thani, Thailand.
Buntarika Chatreewatanakul
Faculty of Nursing, Thammasat University, Pathum Thani, Thailand.

Abstract

Introduction: This integrative review aimed to analyze and synthesize knowledge of research related to promoting mobility and strengthening respiratory muscles to facilitate successful weaning from mechanical ventilator among older persons with respiratory failure. This review was based on studies extracted from electronic databases, including CINAHL Complete, PubMed, Scopus, Google Scholar, and ThaiJO from 2019 to 2024. Seven full-text research articles were selected based on the criteria from Polit and Beck. Conclusion: The synthesis of the results reveals strategies for promoting mobility and strengthening respiratory muscles among older persons with respiratory failure including early mobilization, as well as passive and active exercises. Passive exercise involves passive range of motion combined with passive chest mobilization exercises, while active exercise incorporates qigong training or resistance exercise using elastic band. These progressive exercises increase in difficulty by adding more postures, repetitions, and time, depended on the individual's ability to perform daily activities or physical capacity. The Functional Independence Measure (FIM) is used to categorize the patients and tailor activities according to the needs of each older person individually. Training is conducted for 20-30 minutes per session, 1-2 times per day, at least three days a week. These interventions have been shown to improve the successful of weaning from mechanical ventilator, reduce the time required for weaning, and shorten the overall duration of mechanical ventilator use.

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Jitworawat, W., & Chatreewatanakul, B. . (2024). Promoting Mobility and Strengthening Respiratory Muscles among Older Persons with Respiratory Failure: An Integrative Review. Journal of Research in Nursing-Midwifery and Health Sciences, 44(3), 83–94. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/269604
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Vol. 44 No. 3 (2024): Journal of Research in Nursing-Midwifery and Health Sciences
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Articles
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