Abdominal Surgery, Nursing
Conditions
Keywords
surgery and mobilization, early mobilization protocol
Brief summary
The aim of this study is to determine the effect of early mobilization protocol on patients' mobilization status and patient care outcomes in patients who undergo major abdominal surgery. This study is a prospective non-randomized controlled clinical trial.
Detailed description
The study sample consisted of 42 patients, 21 of whom were the control group and 21 were the intervention group, who had undergone major abdominal open surgery between May and September 2019. The routine mobilization follow-up approach of the intensive care unit was applied to the patients in the control group, and the early mobilization protocol developed by using up-to-date guidelines and expert opinions were applied to the patients in the intervention group. In the study, the data of the control group were firstly collected, then the early mobilization protocol was introduced to the patients through the training brochure prepared and then data of the intervention group were collected. In the study, the characteristics of the patients in both groups belonging to the preoperative period, the distance they walked in the 6-minute walking test and the results of the postoperative period were recorded.
Interventions
OTHERPatient mobilization with pre-operative mobilization training and mobilization protocol
Postoperative mobilization for the first 24 hours
Sponsors
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
quasi-experimental study
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* To undergo major abdominal open surgery * ASA \<IV * Being over the age of 18 * Not having a barrier to communication * Having agreed to participate in the study
Exclusion criteria
* Being diagnosed that may limit mobilization * Being diagnosed with chronic obstructive pulmonary disease * ASA IV-V-VI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of mobilization protocol on mobilization start time | first 24 hours postoperatif | In the postoperative period, the hour of mobilization of the patient was recorded.The group in which the mobilization protocol was applied and the group in which the mobilization protocol was not applied were compared |
| Postoperative sleep quality | Postoperative 24th hour | VAS is considered a valid, reliable and usable measurement tool used to convert some values that cannot be measured numerically into numericals. Possible scores from 0 (worst case) to 10 (best case) |
| Postoperative patient satisfaction | Postoperative 24th hour | VAS is considered a valid, reliable and usable measurement tool used to convert some values that cannot be measured numerically into numericals. Possible scores from 0 (worst case) to 10 (best case) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative number of steps | The total number of steps taken during the first 24 hours postoperatively | Pedometer programs are easy-to-use mobile applications where features such as the number of steps taken at a given time and walking distance can be recorded. Pedometer application is downloaded to the phone, the number of steps and walking distance are recorded by carrying it in a pocket or bag. In this study, Developer: ITO Technologies Inc, category: health and fitness, version 1.1.10 pedometer program was used. |
Countries
Turkey (Türkiye)
Outcome results
None listed