A study of the Nurses' Performance about the Acquired Weakness in the Intensive Care Unit by MRC-Scale for Muscle power

Qassim Jawell Odah^1* and Wafaa Abed Ali Hattab²

^*Correspondence: Qassim Jawell Odah, Department of Technical Community, Technical Institute-AL-Kut, Middle Technical University, Iraq, Email:

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Introduction

Patients with critical condition lead to long stay in ICU which result complications as AW-ICU [1]. The AW-ICU is disability may be permanent or temporary due to lower and upper extremities weaknesses add top respiratory muscle [2]. The critical ill patients occur with AW-ICU about 50% of more causes lead to AW-ICU [3] the most common hypoglycemia, care accident, stroke such as hemorrhage or thrombotic stroke, respiratory failure, Corona virus [4], early rehabilitation that reduction or prevention ICU complications and effect sedative medication and impact parenteral gastric feeding [5] and early predication for AW-ICU very important by one methods such as medical council research scale (MCR) for muscle power [6]. Other rots for diagnosis are electrical impulses for stimulation and measuring muscle reflexes [7] Acquired weakness comes in different forms, some of which affect nerves or muscles, or are neuromuscular [8] Acquired weakness is a recurrent disorder in the ICU [9], the weakness can be cause to essential neuromuscula48% of critically ill patients survive in intensive care [10].

Methodology

The design of study: A descriptive project was used in the present study; the study was showed in the ICU of Al-Zahra Hospital in Al-Kut city in Iraq.

Setting of the study: The study was conducted in ICU for Al-Zahraa Teaching Hospital at Al-kut city in Iraq.

Sample of the study: A non-probability (purposive) sample designated from nurses working in ICU, and the sample was (52) nurses.

Study Instrument. The questionnaire was used as a study tool by observation the checklist, which contains [11] items for demographic data and (65) questions related to MRC-Scale muscle power about early predication acquired weakness.

Data analysis: Use data analysis such as frequencies, percentages, Pearson correlation coefficient test and ANOVA test to measure nurses' performance.

Ethical consideration: Endorsement was got from the Morals Group of the College of Nursing. Permission was obtained from Al-Zahra Hospital; oral and written agreement was got from the participants in the current education.

Result and Discussion

Table 1 represents the nurses' practices concerning AW-ICU. The findings showed that the nurses' practices that applied the early prediction of acquired weakness in the ICU of the study sample were most of them not applied so that its percentage was 80.6%. Similarly, the study with Gundo, et al., This showed that the sum of the competency scores on the competency of critical care nurses before training, time ranged from 483 to 697 (M.S=608.2, SD=59.6) after training, ranging from 617 to 720 (M.S=684.7, SD=29.7). The increase was statistically significant, p<0001. Haegdorens F. et al., We found a negative correlation between the practices of nurses in the nursing care unit towards the acquired weakness resulting from the length of lying (B=−2.771, p=0.002), but the correlation was strong after giving the implementation of the intervention program (B =8.845, p=0.023). Table 2 represents statistical significant between age group, years of experience in nursing field, Years of experience in ICU and nurses' performance concerning AW-ICU. It appears that there is a high statistical significance between the effectiveness of the nurses' performance and the age group, years of experience in the intensive care unit at P 0.05. While there is no statistically significant relationship between performance and years of experience in the field of nursing at P>0.05. This study similar with Huang et al., who stated that educational level also, did not show significant differences; however, the higher the level of education, the higher the total knowledge, attitudes, and practices of ICU nurses related to the early detection of AW-ICU.

Table 1: Assessment of nurses' performance concerning early predication AW-ICU.

Table 2: Statistical significant between age group, years of knowledge in nursing field, Years of experience in ICU and nurses' performance concerning AW-ICU.

Conclusion

Nurses in ICU have insufficient performance regarding acquired weakness of critically ill patients in the ICU. There is also a high statistical significance between the nurse’s performance, age group, and years of experience in the intensive care unit. While there is no statistically significant relationship between performance and years of experience in the field.

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