Clinical trial NCT06193447: Early Mobilization in Cardiac Surgery
Official title: Postoperative Early Mobilization and Affecting Factors in Patients Undergoing Open Heart Surgery: A Descriptive-Cross Sectional Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Nursing Caries
Ambulation Difficulty
Lead sponsor: Aydin Adnan Menderes University
Sponsor class: OTHER
First posted: 2024-01-05
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Undergoing open heart surgery patients

Brief summary: 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.

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.

Eligibility criteria: 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

Primary outcomes:
measure: Postoperative mobilization level
timeFrame: Postoperative day 2
measure: Pulse rate changes between before and after mobility
timeFrame: Twice: Before mobilization and after mobilization (5 minutes later)
measure: Blood pressure (both of systolic and diastolic blood pressure) changes between before and after mobility
timeFrame: Twice: Before mobilization and after mobilization (5 minutes later)
measure: Oxygen saturation changes between before and after mobility
timeFrame: Twice: Before mobilization and after mobilization (5 minutes later)
Secondary outcomes:
Other outcomes:
Locations:
city: Efeler
country: Turkey
facility: Ezgi Arslan
state: Aydın
Study officials:
References: