Autonomia dos fisioterapeutas atuantes em UTI no manuseio da ventilação mecânica

Abstract

Introduction: The objective of the work carried out by the team of professionals from the Intensive Care Units (ICU) is to promote the improvement of the efficient patient, and for that to be so, there must be mutual respect among its members. Intensivist physiotherapists, even though they have secured their space in the multidisciplinary team, have been questioned about their autonomy in ventilatory assistance procedures. Objective: To evaluate the autonomy of physiotherapists in monitoring and moving mechanical breathing in the ICU, analyzing the profile of professionals and the relationship between them. Methodology: Cross-sectional and analytical study, carried out with physiotherapists working in the ICU of Goiás and the Federal District. For data collection, an elaborated by the researcher was used. To compare autonomy with the demographic and professional profile, the total autonomy score was created. The answers “No autonomy” scoring 0; “Autonomy through the protocol” scoring 1; and “It has total autonomy” scoring 2. The sum of the scores on the 7 questions generates the total score, which can vary from 0 to 14 points. Comparison of autonomy score and sociodemographic and professional data was performed using Student's t test and Analysis of variance (ANOVA) followed by Tukey's test. Data were analyzed with the aid of the Statistical Package for Social Science, the significance level adopted was 5% (p < 0.05). Results: 95 professionals participated in the survey, mostly women (69.5%), with the majority (53.7%) working in Goiânia, followed by Brasília (31.6%). The professionals claim to have total autonomy in the transit of the mechanical ventilator (75.8%), in the physiotherapeutic conduct provided to patients in NIV (68.4%) and in IMV (70.5%). The highest level of autonomy observed was for NIV indication (81.1%). Married professionals and those who care for a greater number of patients per shift have more autonomy. Conclusion: The physiotherapists who work in Goiás and in the Federal District have significant autonomy in relation to the conducts and indications of NIV and IMV. However, for weaning from ventilation, autonomy is influenced by the adoption of institutional protocols. Greater levels of autonomy were associated with seeing 5 to 15 patients per 6-hour shift and with married marital status..