Determination Of Factors Affecting Mobility

Sanko University152 enrolled

Overview

This descriptive study was conducted to determine the factors affecting mobility in patients undergoing abdominal surgery.

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.

Study Type

OBSERVATIONAL

Enrollment

152

Conditions

Surgery

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

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.

Locations (1)

Ebru Karaaslan

Şehitkamil, Gazi̇antep, Turkey (Türkiye)

Outcomes

Primary Outcomes

Patient Mobility Scale

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.

Time frame: at day 1

Secondary Outcomes

Observer Mobility Scale

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

Time frame: at day 1

Questionnaire for Factors Affecting Movement

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.

Data from ClinicalTrials.gov

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