Gastrointestinal Diseases
Conditions
Keywords
Gastrointestinal Diseases, Enhanced Recovery After Surgery, Early Ambulation
Brief summary
In this study, the investigators aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.
Detailed description
This study is an experimental study. The participants in the control group are applied to the mobilization applied in routine clinics. The participants in the intervention group are applied to the mobilization protocol created in accordance with the Enhanced Recovery After Surgery (ERAS) guidelines. It is planned to evaluate the postoperative mobilization process of both groups. In this study, the researchers aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.
Interventions
PROCEDUREEnhanced Recovery After Surgery (ERAS) Early Mobilization Protocol
The intervention is applied from the first day after surgery until discharge. (including the day of discharge).
Sponsors
Uludag University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The participants are not informed of which group they are in. The investigators will not inform the person performing the statistical analysis which group the collected data belongs to.
Intervention model description
The participants in the control group are given the mobilization applied in routine clinics. The participants in the intervention group are given the mobilization protocol created in accordance with the enhanced recovery after surgery guidelines.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Being 18 years of age or older * Agreeing to participate in the study * Being able to understand, speak Turkish or have no obstacle to communication * Having undergone open gastrointestinal surgery * Having an American Society of Anesthesiologists (ASA) score \<IV * Being fully independent according to the Modified Barthel Index during the pre-operative period * Staying in the hospital for at least 48 hours after the surgery * Having a phone * Agreeing to download the 'StepsApp Pedometer' application to their phone * Agreeing to carry the phone with them during the post-operative mobilization processes
Exclusion criteria
* Being taken into emergency surgery * Having had major gastrointestinal surgery before * Having a diagnosis that may restrict mobilization (neurological, cardiovascular, respiratory and musculoskeletal comorbidities) * High risk of falling in the preoperative period * Using medication that may affect mobilization * Having a diagnosis of any psychiatric disease * Having a Nutritional Risk Score score of ≥3 * Being in contact isolation * Being morbidly obese * Being in intensive care for more than 24 hours during the postoperative period * Having an intubation period of more than 24 hours during the postoperative period * Developing a complication that may prevent mobilization after surgery * Withdrawing from participating in the study,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the number of steps taken daily after surgery | From admission to discharge, up to 1 week | The number of steps taken by the participant daily after surgery will be measured via a phone pedometer application (StepsApp). |
| The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the distance moved after surgery | From admission to discharge, up to 1 week | The daily distance moved by the participant after surgery will be measured via a phone pedometer application (StepsApp). |
| The effect of the ERAS early mobilization protocol on the recovery of the gastrointestinal system after surgery | From admission to discharge, up to 1 week | The researcher will record the day the participant first passed gas after surgery and the date of his/her first defecation. |
| The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the level of ability to perform daily living activities after surgery | (From admission to discharge, up to 1 week) and (When he comes for a check-up 1 week after discharge) | The researcher makes the measurement with the Modified Barthel Index scale. Modified Barthel Index: The highest score is 100, the lowest score is 0. The patient is stated as fully dependent in the range of 0-20 points, highly dependent in the range of 21-61 points, moderately dependent in the range of 62-90 points, slightly dependent in the range of 91-99 points, and fully independent in the range of 100 points. Daily evaluations are made until discharge after surgery. |
Countries
Turkey (Türkiye)
Outcome results
None listed