Delayed early ambulation of Older Adults after Emergency Open Abdominal Surgery Acute Care Surgery, Aged, Early Ambulation
Conditions
Interventions
Program activities include a progressive mobility protocol (sitting, standing, and walking progression performed three times daily), fear-reduction strategies through education and motivational suppor
Experimental Behavioral,No Intervention Behavioral
Nurse-Led Multidimensional Early Mobilization Program,Control Group
Sponsors
National Science, Research and Innovation Fund of Thailand
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged 60 years and older 2. Undergoing emergency open abdominal surgery involving organs such as the stomach, liver, pancreas, spleen, small intestine, or large intestine 3. Received general anesthesia during surgery 4. Able to communicate effectively in Thai 5. Willing to participate in the study voluntarily and provide informed consent 6. Having a caregiver during hospitalization and surgery
Exclusion criteria
Exclusion criteria: 1. History of previous open abdominal surgery 2. Medical contraindications or complications that limit physical activity, including heart failure class III to IV, chronic kidney disease stage IV to V, and chronic obstructive pulmonary disease stage III to IV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| fear of movement postoperative day 0 and 3 Thai Tampa Scale of Kinesiophobia,time to first ambulation Post operative Day 0 to 1 Record of time to first ambulation,daily walking distance/step count Postoperative Day 1 to 3 Xiaomi Mi Smart Watch Band 4 | — |
Secondary
| Measure | Time frame |
|---|---|
| functional recovery Postoperative Day 1 and 3 the Quality of Recovery (QoR-15) | — |
Countries
Thailand
Contacts
Public ContactSupavadee Thiengtham
Khon Kaen University
Outcome results
None listed