Early Mobilization in Cardiac Surgery

Postoperative Early Mobilization and Affecting Factors in Patients Undergoing Open Heart Surgery: A Descriptive-Cross Sectional Study

This study was planned to determine the mobilization process and factors affecting this process in patients who underwent open heart surgery and were admitted to the cardiovascular surgery intensive care unit.

Study Overview

• Status: Completed
• Conditions: Nursing Caries; Ambulation Difficulty
• Intervention / Treatment: Other: None intervention

Detailed Description

Mobilization; It is defined as "standing up, walking, being able to move and walking around, especially after the operation, when the patient stands up and walks around". Postoperative mobilization is a basic human need and one of the basic principles of nursing care. In the postoperative period, with the delay of mobilization, the patient's insulin resistance increases, muscle weakness and muscle mass loss occur, problems in pulmonary functions are experienced and the risk of thromboembolism increases.

Surgery of patients admitted to cardiovascular ICUs after open heart surgery close monitoring afterwards, maintenance of cardio-respiratory functions, healing is supported. During care in the intensive care unit Preparation of materials that may be needed by the patient, general condition of the patient and vital information monitoring symptoms, performing breathing exercises, evaluating pain and management, monitoring fluid-electrolyte balance, monitoring hemodynamic parameters, surgical wound dressing, getting the patient up as soon as possible and in bed increasing mobility. In this process, while the mobilization process of the patients is planned, the patient's The general condition and tolerance regarding mobilization should be evaluated. patient's general Depending on the suitability of the condition, turning in bed, foot-leg exercises, deep breathing and gradual mobilization, such as cough exercises, sitting in bed, standing up, and walking inform the patient and the patient's family about the methods, plan the mobilization process, The patient should be evaluated before, during and after mobilization. Early postoperative mobilization is an important component of nursing care.

Early mobilization of patients after open heart surgery, although the recommendations to increase the mobility are getting stronger, the mobilization levels of the patients are still not at the desired level. Although studies examining the early mobilization process of patients after open heart surgery have been conducted so far, findings regarding the clinical factors affecting this process are very limited.

• Study Type: Observational
• Enrollment (Actual): 75

Contacts and Locations

Study Locations

• Turkey
  • Aydın
    • Efeler, Aydın, Turkey, 09010
      • Ezgi Arslan

Participation Criteria

Eligibility Criteria

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

• Sampling Method: Non-Probability Sample

Study Population

Undergoing open heart surgery patients

Description

Inclusion Criteria:

• Being over 18 years old
• Staying in the cardiovascular intensive care unit for 24 hours or more

Exclusion Criteria:

• Being diagnosed with a psychiatric disorder
• Do not have active bleeding
• Do not have arrhythmia
• Reporting pain intensity of 4 or above on the Visual Analog Scale

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postoperative mobilization level	Assessed with Intensive Care Units-Mobility Scale. The scale used to evaluate patient mobiility level on postoperative days. It consisted of 11 items with scoring, classification and explanation from 0 (zero) to 10 (ten), ranging from lying in bed/passive exercises to independent ambulation.	Postoperative day 2
Pulse rate changes between before and after mobility	Assessed with a form which is created by authors. The form is containing the outcome both of before and after mobilization. These are calculated both time point.	Twice: Before mobilization and after mobilization (5 minutes later)
Oxygen saturation changes between before and after mobility	Assessed with a form which is created by authors. The form is containing the outcome both of before and after mobilization. These are calculated both time point.	Twice: Before mobilization and after mobilization (5 minutes later)
Blood pressure (both of systolic and diastolic blood pressure) changes between before and after mobility	Assessed with a form which is created by authors. The form is containing the outcome both of before and after mobilization. These are calculated both time point.	Twice: Before mobilization and after mobilization (5 minutes later)

Collaborators and Investigators

• Sponsor: Aydin Adnan Menderes University

Study record dates

Study Major Dates

• Study Start (Actual): January 2, 2023
• Primary Completion (Actual): September 15, 2023
• Study Completion (Actual): December 15, 2023

Study Registration Dates

• First Submitted: December 18, 2023
• First Submitted That Met QC Criteria: January 4, 2024
• First Posted (Actual): January 5, 2024

Study Record Updates

• Last Update Posted (Estimated): January 8, 2024
• Last Update Submitted That Met QC Criteria: January 5, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mobility Limitation
• Other Study ID Numbers: Cardiac surgery

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: The data sets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
• IPD Sharing Time Frame: 12 months after publication
• IPD Sharing Access Criteria: Relevance to the topic of the study and approval of all-authors within 1 month of receiving the request.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

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