Anxiety, Pain, Surgery
Conditions
Keywords
Anxiety, Early ambulation, Bed exercise, Major surgery, Mobilization
Brief summary
In this study, the effects of bed exercises on pain, anxiety, early ambulation and mobilization in major surgery patients were aimed. The research was experimental and a total of 120 patients participated. Data were collected using an information form, anxiety scale, and pain scale. Exercise was applied to the patients in the experimental group (15 minutes) and no intervention was applied to the control group. Descriptive statistics, correlation tests and t-test were used. Cronbach's alpha coefficients were checked for the scales.
Detailed description
Major surgery are operations that can cause morbidity and mortality. Worldwide, approximately 230 million major surgical interventions are performed each year. Major surgery is a stressful experience and causes life-threatening fear and anxiety by increasing the level of anxiety. The most important of these fears is the pain that may occur after surgery. More than 75% of patients who experience postoperative pain in the Western world report that they experience moderate to severe pain. In our country, this rate is over 90%. If pain management is inadequate, patients' quality of life is adversely affected. In pain management, nurses can use non-pharmacological methods such as massage and exercise in addition to pharmacological applications. Leg-arm exercises done in bed are aimed at protecting the muscle strength of individuals. Turning in bed, leg-arm exercises, raising the heels and feet, inverting the arms, moving from right to left, reverse arm and leg movements are performed. Also 6-8. Early ambulation is recommended. If these applications are made, early recovery and rapid discharge can be achieved. Since pain and anxiety delay early recovery in patients undergoing major surgery, effective pain management is very important. In this study, we aimed to examine the effects of in-bed exercises on anxiety and pain in patients undergoing major surgery.
Interventions
BEHAVIORALTurning in bed, arm and leg exercises
Exercises (arm and leg exercises, turning in bed) were applied only to the experimental group. It was applied for 15 minutes 12-24 hours before the operation.
Sponsors
Gurkan Kapikiran
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
This research was conducted as a prospective and experimental study
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age or older, * Ability to communicate verbally and not having a cognitive problem, * Defining pain severity of 4 and above, * Willing to participate in the study, * Having undergone major surgery.
Exclusion criteria
* The absence of open wounds and cellulite in the area to be applied, * The absence of thrombophlebitis, * The absence of deep vein thrombosis, * The absence of inflammatory diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | 0-15 minutes | It is the form in which the patient's anxiety is measured. The expected value in the scale is between 0 and 50 points. As the Scale Score increases, the level of anxiety also increases. |
| Pain level | 0-15 minutes | It is a measure of pain level. Pain intensity ranges from 0 to 10, 0 points no pain, 10 points unbearable pain. |
| Early Ambulation | 0-15 minutes | It is the form in which the postoperative mobilization times are measured. |
Countries
Turkey (Türkiye)
Outcome results
None listed