The Effect of Preoperative Turning in Bed and Mobilization Training on the Postoperative First Mobility

NCT04674215 | Completed

• 1 other identifier: YL-20
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to examine the effect on the first mobility of inside bed rotation and mobilization training to patients who will be lumbar disc surgery.

Conditions

Postoperative Mobility

Keywords

Postoperative; Nursing; Lumbar Disk Surgery; Role Playing

Outcome Measures

Primary Outcomes (6)

• Competence during the first postoperative in-bed turning

  The patient's first postoperative in-bed turning, the intensive care nurse scored the patient's dependence-independence status/degree with the in-bed turning section of the Observer Mobility Scale. The Observer Mobility Scale: During the same four activities following the surgery, the patient's dependence-independence status on the nurse is scored between "1- performing the activity independently" and "5-inability to perform the activity despite help". The score that can be obtained from each item varies between 1 and 5, and the total scale score ranges from 4 to 20. Increased scores indicate inadequate movement skills.

  Operation day (8 hours after surgery)

• Pain during the first postoperative in-bed turning

  The patient scored the degree of the pain during in-bed turning with the related section of the Patient Mobility Scale. The Patient Mobility Scale: The level of pain and difficulty experienced during four activities performed after surgery is evaluated using a 15-cm-wide visual analog. The score that can be obtained from each item varies between 0-15, and the total scale score ranges from 0 to 120. Increased scores indicate an increased level of pain related to the activity.

  Operation day (8 hours after surgery)

• Strain during the first postoperative in-bed turning

  The patient scored the degree of the strain during in-bed turning with the related section of the Patient Mobility Scale. The Patient Mobility Scale: The level of pain and difficulty experienced during four activities performed after surgery is evaluated using a 15-cm-wide visual analog. The score that can be obtained from each item varies between 0-15, and the total scale score ranges from 0 to 120. Increased scores indicate an increased level of difficulty related to the activity.

  Operation day (8 hours after surgery)

• Competence during the first postoperative mobilization

  Following the mobilization, the intensive care nurse evaluated the patient's dependence-independence status/degree during the mobilization steps with the Observer Mobility Scale. The Observer Mobility Scale: During the same four activities following the surgery, the patient's dependence-independence status on the nurse is scored between "1- performing the activity independently" and "5-inability to perform the activity despite help". The score that can be obtained from each item varies between 1 and 5, and the total scale score ranges from 4 to 20. Increased scores indicate inadequate movement skills.

  On the first postoperative day

• Pain during the first postoperative mobilization

  Following the mobilization, the patient evaluated the degree of pain during mobilization with the Patient Mobility Scale. The Patient Mobility Scale: The level of pain and difficulty experienced during four activities performed after surgery is evaluated using a 15-cm-wide visual analog. The score that can be obtained from each item varies between 0-15, and the total scale score ranges from 0 to 120. Increased scores indicate an increased level of pain related to the activity.

  On the first postoperative day

• Strain during the first postoperative mobilization

  Following the mobilization, the patient evaluated the degree of the strain during mobilization with the Patient Mobility Scale. The Patient Mobility Scale: The level of pain and difficulty experienced during four activities performed after surgery is evaluated using a 15-cm-wide visual analog. The score that can be obtained from each item varies between 0-15, and the total scale score ranges from 0 to 120. Increased scores indicate an increased level of pain related to the activity.

  On the first postoperative day

Secondary Outcomes (2)

• The willingness of the patients for mobilization

  On the first postoperative day

• Anxiety levels of the patients

  On the first postoperative day

Study Arms (2)

intervention group

EXPERIMENTAL

Data about sociodemographic and clinical characteristics of the patients in all groups were collected. Their mobility status and general anxiety levels were evaluated. The patients in the intervention group were given a planned "in-bed turning and mobilization training" in the patient's room by the researcher one day before the surgery. This training included explaining the importance of postoperative mobility, demonstrating the correct in-bed turning and mobilization steps through pictures with the "Illustrated In-Bed Turning and Mobilization Training Material", answering questions (if any), and finally, simulating postoperative in-bed turning and the first mobilization using the role-playing technique in collaboration with the patient.

Behavioral: Turning in Bed; Behavioral: Mobilization; Other: information

control group

OTHER

Data about sociodemographic and clinical characteristics of the patients in all groups were collected. Their mobility status and general anxiety levels were evaluated. Patients in the control group received routine clinical care. This care included the provision of verbal information to the patient at different times by the primary physician and/or nurse about postoperative in-bed turning and mobilization and answering questions if any.

Other: information

Interventions

Turning in Bed BEHAVIORAL

Preoperative Turning in Bed Training

Also known as: EDUCATİON

intervention group

Mobilization BEHAVIORAL

Preoperative Mobilization Training

Also known as: EDUCATİON

intervention group

information OTHER

Routine Clinical Care

control group; intervention group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being over the age of 18,
• Being literate in Turkish,
• Being in the ASA(American Society of Anesthesiologists) 1,2 and 3 classification,
• Having surgery for the first time due to lumber disc herniation and volunteering to participate in the research.

You may not qualify if:

• Having a mental or physical disability to prevent in-bed rotation and mobilization training to be given before surgery,
• to get a score above 16 from the Observer Mobility Scale before surgery.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi Gulhane Tip Fakultesi: lead

Study Sites (1)

Gulhane Training and Research Hospital, University of Health Sciences

Ankara, 06010, Turkey (Türkiye)

Location

Related Links

• Should Patients Walk From the Postanesthesia Care Unit to the General Ward After a Lumbar Discectomy? A Randomized Study
• Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK-13)

MeSH Terms

Interventions

Beds; Educational Status

Intervention Hierarchy (Ancestors)

Equipment and Supplies, Hospital; Equipment and Supplies; Socioeconomic Factors; Population Characteristics

Study Officials

• Hatice Akkaya

  Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

  STUDY DIRECTOR

• Hatice Ayhan

  Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctoral student/Nurse/Principal Investigator

Model Details: While the patients receiving control treatment received routine clinical care, the patients in the intervention group received in- bed rotation and mobilization training with planned training with planned training one day before the operation.

Study Record Dates

• First Submitted: October 6, 2020
• First Posted: December 19, 2020
• Study Start: January 2, 2019
• Primary Completion: May 23, 2019
• Study Completion: November 29, 2019
• Last Updated: December 22, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)