Effect of Mobilization Protocol on Mobilization

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Abdominal Surgery, Nursing

Intervention / Treatment
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* Other: Patient mobilization with pre-operative mobilization training and mobilization protocol


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: quasi-experimental study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: mobilization protocol<br>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<br>* Postoperative mobilization for the first 24 hours<br>|
| No Intervention: routine care<br>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?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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surgery and mobilization, early mobilization protocol