• Karin M Felten-Barentsz, Roel van Oorsouw, Haans Antonius J C AJC Radboud university medical center, Department of intensive care, Nijmegen, the Netherlands. Electronic address: Ton.Haans@radboudumc.nl., J Bart Staal, Johannes G van der Hoeven, and Maria G W Nijhuis-van der Sanden.
• Radboud university medical center, Department of Rehabilitation, Nijmegen, the Netherlands. Electronic address: Karin.Barentsz@radboudumc.nl.
• J Crit Care. 2018 Dec 1; 48: 321-327.

BackgroundIntensive Care Unit Acquired Weakness can be mitigated by early activity and progressive mobilization. Hydrotherapy enables patients to work on their recovery in a very early stage. This may lead to higher levels of self-efficacy, subsequently higher activity-rates and faster functional recovery. Hydrotherapy might positively affect the regaining of control, hope and trust. Our aim is to explore patient perspective regarding the impact of hydrotherapy on critically ill ventilated patients.MethodsThis qualitative exploration study adopted an interpretative phenomenological approach using in-depth, face to face, semi-structured interviews. Questions covered: pre-admission physical activity, perception of hydrotherapy, affection to water, positive and negative experiences and feelings towards the recovery process. Interviews were analyzed using thematic analysis.ResultsTwelve patients were enrolled, of which eight could be interviewed. After analyzing, five main themes were found: experiencing consequences of critical illness, feeling safe in the water, being able to move, positive experiences relating to hydrotherapy and experiencing a turning point.ConclusionsHydrotherapy seemed to help patients regain control and belief in their recovery. Patients experienced exercising in water as a turning point in their recovery process. This study encourages to continue providing hydrotherapy to critically ill ventilated patients and may stimulate future research.Copyright © 2018 Elsevier Inc. All rights reserved.

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