Laparatomy with medial incision Surgery Laparatomy
Conditions
Interventions
Before surgery:
Both groups: general standard preparation by care staff, on the day before operation (shaving and laxative preparation, information on procedures with regard to operation).
Control gro
Sponsors
Hessian Institute of Nursing Research (Hessisches Institut für Pflegeforschung) (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Cystectomy planned (ICD5-576) 2. Age 18 years and above, either sex 3. Ability to understand written and spoken German 4. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Impaired mobility (functional degree 2 or above, according to Gordon: dependent on personal assistance, supervision or guidance) 2. Chronic pain (duration above 3 months, with pharmacological treatment) 3. Dementia, medically documented 4. Anamnesis includes medial incision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Functional mobility: a new instrument was designed to observe the amount of assistance needed in 11 functional tasks (MOTPA, mobility test for patients in acute care): 1.1. Lying in the bed: moving to the top, moving sideward, transfer from back to lateral position, transfer from lateral lying position to sitting on the edge of the bed 1.2. Sitting on the edge of the bed: moving forward, keep sitting position, stand up 1.3. Standing position: turning 180°, going backwards three steps, short walk (6 m), walk (30 m), sitting down The mobility profile was recorded once pre-operative, post-surgical in intensive care unit: daily in the morning and in the afternoon and post-surgical in standard care unit: daily around noon. 2. Pain, assessed by Visual Analog Scale (VAS) (0 = no pain, 10 = unbearable pain), before, during, directly after, and 10 minutes after mobilisation and conduction of MOTPA 3. Post-surgical hospital residence time; date of medical operation and date of release were documented | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Socio-demographic data (age, sex, education, profession), recorded pre-operatively 2. Mobility-related aids, recorded pre-operatively 3. Type of surgery after cystectomy (ileal conduit), recorded once post-surgical 4. Number of drainage and access canals, recorded at each mobilisation unit 5. Pain medication before (2 hours), during and after (30 minutes) mobilisation, recorded at each mobilisation unit 6. VAS pain intensity greater than 30 mm directly before mobilisation exercise results in cancellation of the mobilisation unit, recorded at each mobilisation unit 7. Post-operative complications (artificial ventilation for more than 6 hours after operation finish; reintubation; relaparatomy; other complications resulting in restriction of mobilisation, recorded once a day post-surgically). Presence of one of these complications results in exclusion of the patient from the trial. 8. Exercise, e.g. thrombosis, lung embolism; disorder of wound cure or suture, which are treated by a ventral bandage), recorded once a day post-surgically | — |
Countries
Germany
Outcome results
None listed