The Effect of Early Mobilization Training on Mobility, Pain and Comfort After Abdominal Surgery

Study Overview
=================
Brief Summary
-----------------
The primary aim of this study is to examine the effects of in-bed rotation and early mobilization training given before abdominal surgery on mobility, pain and comfort of patients after surgery. The secondary aim of the study is to examine the effect of mobilization training given before abdominal surgery on the sleep of patients after surgery.

Detailed Description
-----------------
The primary aim of this clinical trial study is to examine the effects of early mobilization training given before abdominal surgery on mobility, pain and comfort of patients after surgery. The secondary aim of the study is to examine the effect of mobilization training given before abdominal surgery on the sleep of patients after surgery. Research Hypotheses are: H11. There is a difference between the mobility scores of the patients who were given and not given pre-abdominal surgery training. H12. There is a difference between the comfort scores of patients who were given and not given pre-abdominal surgery training. H13. There is a difference between the sleep scores of the patients who were given and not given pre-abdominal surgery training. First, the patient's mobility status in the preoperative period was evaluated with these scales. Early Mobilization Training will be given to the patients in the intervention group in the preoperative period. Early Mobilization Training Material to be prepared by the researcher will be used as training material. The training content will include information about the techniques and points to be considered about turning from one side to the other in the bed, sitting on the side of the bed, standing on the side of the bed and walking in the patient's room, and the time spent outside the bed on the day of surgery and the first and subsequent days after surgery. After the patient's mobilization on the first day after the operation, the Patient Mobility Scale, the Postoperative Mobilization, the Visual Analogue Scale (VAS) questions questioning the pain and comfort during lying and sitting, and sleep status will be filled.

Official Title
-----------------
The Effect of Early Mobilization Training on Mobility, Pain and Comfort After Abdominal Surgery

Conditions
-----------------
Abdominal Surgery

Intervention / Treatment
-----------------
* Other: early mobilization


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: over 18 years old those with abdominal surgery Exclusion Criteria: -

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Experimental study with pretest posttest control group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: early mobilization<br>Patients in the intervention group will be given Early Mobilization Training in the preoperative preparation unit in the preoperative period. | Other: early mobilization<br>* Mobilization training was given to the intervention group.<br>|
| No Intervention: routine clinical care<br>Patients in the control group will receive routine clinical care .Routine post-operative mobilization procedure will be delivered by clinic doctors and nurses | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Mobility Scale | he level of pain and difficulty experienced during the 4 post-surgical activities (turning from one side of the bed to the other, sitting by the bed, standing up at the bedside, and walking in the patient's room) is evaluated using a 15 cm visual analog with verbal expressions listed at the bottom along the scale. The numerical value of the degree of pain and difficulty is determined by measuring the distance between the mark on the scale and 0 with a calibrated ruler. An increase in scores indicates an increase in pain and difficulty related to activity. The scores obtained give the patient's mobility score for each activity. The average score value is calculated. Scores for all activities are added together to obtain the global patient mobility score. The total score that can be obtained from the scale varies between 0-120. | Change in Baseline Patient mobility score at two days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain level | Preoperative and postoperative pain levels of the patients will be measured with the Visual Anolog Scale for pain.The Visual Analog Scale is a self-reported based measurement tool that is often used to measure subjective experiences pain. In this study, Visual Analog Scale for pain was used to make a numerical definition of a participant's pain levels with the participants' self-reports. Numbers between 0-10 were defined on a line, and the participants were asked to indicate the number of pain intensity levels they feel on this line. Participants with no pain scored 0 and extremely pain participants scored 10. | Change in Baseline Patient pain score at two days | 
| comfort level in bed and while sitting | The comfort level of the patients while turning and sitting in bed will be measured with the Visual Analog Scale for Comfort. In this study, Visual Analog Scale for comfort was used to make a numerical definition of a participant's comfort levels with the participants' self-reports. Numbers between 0-10 were defined on a line, and the participants were asked to indicate the number of comfort intensity levels they feel on this line. Participants with no comfort scored 0 and extremely comfort participants scored 10. | Change in Baseline comfort score at two days | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
abdominal surgery, early mobilization