Effect of Mobilization Protocol on Mobilization

Effect of Mobilization Protocol on Mobilization Start Time and Patient Care Results in Patients Undergoing Abdominal Surgery

The aim of this study is to determine the effect of early mobilization protocol on patients' mobilization status and patient care outcomes in patients who undergo major abdominal surgery. This study is a prospective non-randomized controlled clinical trial.

Study Overview

• Status: Completed
• Conditions: Abdominal Surgery; Nursing
• Intervention / Treatment: Other: Patient mobilization with pre-operative mobilization training and mobilization protocol

Detailed Description

The study sample consisted of 42 patients, 21 of whom were the control group and 21 were the intervention group, who had undergone major abdominal open surgery between May and September 2019. The routine mobilization follow-up approach of the intensive care unit was applied to the patients in the control group, and the early mobilization protocol developed by using up-to-date guidelines and expert opinions were applied to the patients in the intervention group. In the study, the data of the control group were firstly collected, then the early mobilization protocol was introduced to the patients through the training brochure prepared and then data of the intervention group were collected. In the study, the characteristics of the patients in both groups belonging to the preoperative period, the distance they walked in the 6-minute walking test and the results of the postoperative period were recorded.

• Study Type: Interventional
• Enrollment (Actual): 42
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey
    • Fadime

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• To undergo major abdominal open surgery
• ASA <IV
• Being over the age of 18
• Not having a barrier to communication
• Having agreed to participate in the study

Exclusion Criteria:

• Being diagnosed that may limit mobilization
• Being diagnosed with chronic obstructive pulmonary disease
• ASA IV-V-VI

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Sequential Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: mobilization protocol; The early mobilization protocol developed by using up-to-date guidelines and expert opinions were applied to the patients in the intervention group.	Other: Patient mobilization with pre-operative mobilization training and mobilization protocol; Postoperative mobilization for the first 24 hours
No Intervention: routine care; The routine mobilization follow-up approach of the intensive care unit was applied to the patients in the control group .

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effect of mobilization protocol on mobilization start time	In the postoperative period, the hour of mobilization of the patient was recorded.The group in which the mobilization protocol was applied and the group in which the mobilization protocol was not applied were compared	first 24 hours postoperatif
Postoperative sleep quality	VAS is considered a valid, reliable and usable measurement tool used to convert some values that cannot be measured numerically into numericals. Possible scores from 0 (worst case) to 10 (best case)	Postoperative 24th hour
Postoperative patient satisfaction	VAS is considered a valid, reliable and usable measurement tool used to convert some values that cannot be measured numerically into numericals. Possible scores from 0 (worst case) to 10 (best case)	Postoperative 24th hour

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postoperative number of steps	Pedometer programs are easy-to-use mobile applications where features such as the number of steps taken at a given time and walking distance can be recorded. Pedometer application is downloaded to the phone, the number of steps and walking distance are recorded by carrying it in a pocket or bag. In this study, Developer: ITO Technologies Inc, category: health and fitness, version 1.1.10 pedometer program was used.	The total number of steps taken during the first 24 hours postoperatively

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
• Investigators: Study Director: Emine Iyiun, Gulhane Hemsirelik Fakultesi

Study record dates

Study Major Dates

• Study Start (Actual): May 29, 2019
• Primary Completion (Actual): September 3, 2019
• Study Completion (Actual): March 27, 2020

Study Registration Dates

• First Submitted: January 22, 2021
• First Submitted That Met QC Criteria: January 28, 2021
• First Posted (Actual): January 29, 2021

Study Record Updates

• Last Update Posted (Actual): January 29, 2021
• Last Update Submitted That Met QC Criteria: January 28, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Keywords: surgery and mobilization; early mobilization protocol
• Other Study ID Numbers: 19208

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No