The Effect of Early Mobilization on Postoperative Recovery in Abdominal Surgery

NCT06053957 | Completed

• 1 other identifier: CumhuriyetTURK01
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: This study will be conducted to determine the effect of early mobilization on postoperative recovery in abdominal surgery patients.. Methods: This research is a randomized controlled experimental study. In the Gastrointestinal Surgery Department, a total of 130 patients will be included, consisting of 65 experimental group and 65 control group, who are scheduled for abdominal surgery in the study. In the study, data will be collected using a survey form, Numerical Rating Scale, gradual mobilization chart in the first 24 hours after surgery, and Postoperative Recovery Index (PoRI-TR). On the day before the surgery, the experimental group will receive early mobilization training. On the day of the surgery, vital signs, oxygen saturation, and pain intensity will be assessed before the first mobilization. Pain control will be ensured before mobilization. Each mobilization will be carried out in accordance with the gradual mobilization schedule within the first 24 hours after surgery. Following the Enhanced Recovery After Surgery (ERAS) protocol recommendation, mobilization will be provided outside of bed for a total of 2 hours, with durations increasing by the hour on the day of surgery under the supervision of the researcher: 5, 15, 25, 35, and 40 minutes. Mobilizations for patients showing signs of orthostatic hypotension will be postponed by 30 minutes. On the days following the surgery, patients will be informed to spend 6 hours outside of bed. The control group will receive routine care procedures. The second part of the questionnaire will be administered on the day of the surgery for both the experimental and control groups, and the PoRI-TR will be applied at the 25th hour after surgery. Data will be collected through face-to-face interviews within 20-25 minutes. The data obtained from the research will be evaluated using the SPSS 22.00 program. The normality of the data will be determined by Skewness-Kurtosis tests. Based on this result, either parametric or non-parametric tests will be applied.

Conditions

Nursing Caries; Early Ambulation

Keywords

Early ambulation; abdominal surgery; nursing; postoperative recovery

Outcome Measures

Primary Outcomes (3)

• The time to start the first mobilization

  The time of the first mobilization within the first 24 hours after the surgery will be recorded.

• Postoperative recovery index results

  The postoperative recovery index will be applied at the 24th hour.

• Total mobilization time in the first 24 hours

  Total mobilization time will be applied at the 24th hour.

Study Arms (2)

Mobilization

EXPERIMENTAL

Patients undergoing early mobilization program

Procedure: early mobilization

mobilization free

NO INTERVENTION

Patients not subjected to early mobilization program

Interventions

early mobilization PROCEDURE

early mobilization program

Mobilization

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who are conscious,
• Without cognitive or mental problems,
• Undergoing elective abdominal surgery,
• Aged 18 and above,
• Without physical limitations preventing early mobilization,
• Without active bleeding,
• Without cardiovascular or respiratory diseases,
• Classified as American Society of Anesthesiologists (ASA) class I or II,
• Literate patients
• Volunteering

You may not qualify if:

• Patients undergoing oncologic surgery who spend the first 24 hours in the intensive care unit due to post-operative care,
• Emergency surgery patients due to the absence of pre-operative preparation phase,
• Patients who are healthcare workers due to their knowledge about early mobilization

Sponsors & Collaborators

• Cumhuriyet University: lead

Study Sites (1)

Kubra Erturhan Turk

Sivas, 58140, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Early Ambulation

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Prof

Study Record Dates

• First Submitted: September 17, 2023
• First Posted: September 26, 2023
• Study Start: September 16, 2023
• Primary Completion: January 29, 2024
• Study Completion: February 29, 2024
• Last Updated: June 4, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)