The Effect of Early Mobilization on Postoperative Recovery in Abdominal Surgery

The Effect of Early Mobilization on Postoperative Recovery in Abdominal Surgery: A Randomized Controlled Study

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.

Study Overview

• Status: Completed
• Conditions: Nursing Caries; Early Ambulation
• Intervention / Treatment: Procedure: early mobilization

• Study Type: Interventional
• Enrollment (Actual): 130
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Sivas, Turkey, 58140
    • Kubra Erturhan Turk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• 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

Exclusion criteria:

• 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

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Mobilization; Patients undergoing early mobilization program	Procedure: early mobilization; early mobilization program
No Intervention: mobilization free; Patients not subjected to early mobilization program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
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.

Collaborators and Investigators

• Sponsor: Cumhuriyet University

Study record dates

Study Major Dates

• Study Start (Actual): September 16, 2023
• Primary Completion (Actual): January 29, 2024
• Study Completion (Actual): February 29, 2024

Study Registration Dates

• First Submitted: September 17, 2023
• First Submitted That Met QC Criteria: September 22, 2023
• First Posted (Actual): September 26, 2023

Study Record Updates

• Last Update Posted (Estimated): June 4, 2024
• Last Update Submitted That Met QC Criteria: May 31, 2024
• Last Verified: May 1, 2024

More Information

Terms related to this study

• Keywords: nursing; abdominal surgery; postoperative recovery; Early ambulation
• Other Study ID Numbers: CumhuriyetTURK01

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