Surgery
Conditions
Keywords
postoperative care, Mobilization, Surgical Nursing
Brief summary
This descriptive study was conducted to determine the factors affecting mobility in patients undergoing abdominal surgery.
Detailed description
Surgical factors that may affect the mobility of patients undergoing abdominal surgery should be examined, as well as individual characteristics and characteristics related to the postoperative period. If nurses know about the factors that may affect the patient's mobility after surgery, this may be helpful in effectively managing these factors in clinics and encouraging the patient to be more active. This study was conducted to determine the mobility of patients who underwent abdominal surgery in the early postoperative period and the factors affecting mobility.
Interventions
None listed
Sponsors
Sanko University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* • had no chronic pain or no visual or hearing impairment, * were 18 years of age or older, * were conscious after surgery, * had walked for the first time in the patient room after the surgery according to the clinical routine, * were voluntary to participate in the study.
Exclusion criteria
Fifty four patients who did not speak Turkish and 28 patients who failed to walk for the first time after surgery were excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Mobility Scale | at day 1 | Through the patient mobility scale, the observer assesses the pain and difficulty experienced while exercising four activities in the postoperative period: turning from one side of the bed to the other, sitting on the edge of the bed, standing up on the edge of the bed and walking in the patient room. The severity of perceived pain was rated on a five-point Likert-type scale anchored at no pain(1), a little pain (2), moderate pain (3), a lot of pain (4), the worst pain (5); and the degree of difficulty was rated on a five-point Likert-type scale anchored at very easy (1), easy (2), a bit difficult (3), difficult (4), and very difficult (5) to determine how much pain and difficulty they felt. The pain and difficulty scores for each movement are summed up separately. The minimum and maximum scores for pain and difficulty are 4 and 20, respectively. A higher score means an increase in the degree of pain and difficulty of the movement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Observer Mobility Scale | at day 1 | This scale assesses the extent to which patients are dependent/independent during the movements, and the observer measures blood pressure, pulse rate and respiratory rate two minutes before and two minutes after the movement. Patients are assessed on a 1-5-point scale for their dependence while doing the movements. One point on the scale means that the patient can move independently, while five points means that the patient is unable to move despite verbal warnings and physical assistance. The total score of the scale is obtained by summing the scores for the four movements: turning from one side of the bed to the other, sitting on the edge of the bed, standing up on the edge of the bed and walking in the patient room. The minimum and maximum scores of the scale are 4 and 20, respectively. The higher the score, the greater the dependency during the movement |
| Questionnaire for Factors Affecting Movement | at day 1 | The form included 17 questions on post-operative nausea-vomiting, sleep duration, presence of visitors, feeling weak, fear of falling, needing someone while moving, presence of someone to support while moving, fear of wounds to dehiscence while moving, suffering from stress due to surgery, use of the medical devices, pain, uncomfortable clothes and lack of information on how to move. |
Countries
Turkey (Türkiye)
Outcome results
None listed