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Journal of Korean Critical Care Nursing 2016;9(2):13-25.
Published online December 31, 2016.

중환자실 환자의 입원기간에 따른 사지 둘레 변화 및 관련요인
신혜은, 강지연
1고신대학교 복음병원 중환자실
2동아대학교 간호학과
Changes in Limb Circumferences among Intensive Care Unit Patients and Related Factors
Hye Eun Shin, Jiyeon Kang
1Neurosurgical Intensive Care Unit, Kosin University Gospel Hospital
2Department of Nursing, Dong-A University
Abstract
Purpose
This study was conducted to identify changes in limb circumferences among patients admitted to the intensive care unit (ICU) and related factors.
Methods
We conducted a prospective observational study with 27 patients from 3 ICUs at a university hospital located in B city of Korea, from September 1 to October 30, 2015. The circumferences of the left and right upper arms, thighs, and lower legs were measured on the first, third, fifth, and seventh days of ICU admission. Information on the related factors was collected from the medical records. The data were analyzed using a linear mixed model method.
Results
The limbs circumferences significantly reduced from day 3, and the changes continued till day 7. These changes were related to the gender of the subjects, restraints application, use of steroids, and continuous renal replacement therapy.
Conclusions
Based on the above results, it can be concluded that ICU-acquired weakness begins before the third day of admission. Thus, early mobilization protocols for ICU patients need to be developed and implemented in order to improve long-term outcomes.
Key Words: Intensive care units, Patients, Muscular atrophy, Steroids, Physical restraint
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