Jáuregui-Gutiérrez VR, Pérez-Nieto OR, Guerrero-Vega LF, Rodríguez-Guillén JH, Pérez-Martínez B, Reyes-Montufar J, Mondragón-Labelle TO, Deloya-Tomas E

Language: Spanish
References: 19
Page: 221-226
PDF size: 1073.58 Kb.

ABSTRACT

In the Intensive Care Unit (ICU), early mobilization and physical rehabilitation of critically ill patients have demonstrated relevant clinical benefits; however, family participation in these processes remains limited, despite growing evidence supporting patient- and family-centered care. We propose a structured model for family integration in early mobilization of critically ill patients, based on available evidence on ICU rehabilitation and family-centered care. A narrative review of the literature was conducted addressing family-centered interventions, early mobilization, and rehabilitation in critically ill patients. Evidence shows that family participation is associated with improvement in clinical and psychosocial outcomes, including lower incidence of delirium, reduction in mechanical ventilation days and ICU length of stay, as well as greater satisfaction among patients and families. Nevertheless, its integration into early mobilization programs is not described in a structured manner in most studies. Based on this gap, a three-level model of family participation is proposed: 1) information and emotional support, 2) guided emotional and cognitive participation, and 3) supervised co-participation in low-complexity motor tasks, with safety criteria and delimitation of responsibilities. In conclusion, the structured integration of the family in the mobilization of critically ill patients represents a feasible and potentially beneficial strategy that can optimize functional recovery, reduce complications, and strengthen the person-centered care approach. Prospective studies are required to evaluate its clinical impact, safety, and implementation across different settings.

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