Clinical trial NCT06679478: Evaluation of Early Mobilization Protocol in Patients Undergoing Gastrointestinal Surgery
Official title: Evaluation of the Early Mobilization Protocol Established in Accordance With Enhanced Recovery After Surgery Guidelines in Patients Undergoing Gastrointestinal Surgery
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Gastrointestinal Diseases
Keywords: Gastrointestinal Diseases
Enhanced Recovery After Surgery
Early Ambulation
Lead sponsor: Uludag University
Sponsor class: OTHER
First posted: 2024-11-07
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The participants in the control group are given the mobilization applied in routine clinics. The participants in the intervention group are given the mobilization protocol created in accordance with the enhanced recovery after surgery guidelines.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: In this study, the investigators aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

Detailed description: This study is an experimental study. The participants in the control group are applied to the mobilization applied in routine clinics. The participants in the intervention group are applied to the mobilization protocol created in accordance with the Enhanced Recovery After Surgery (ERAS) guidelines. It is planned to evaluate the postoperative mobilization process of both groups.

In this study, the researchers aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

Eligibility criteria: Inclusion Criteria:

* Being 18 years of age or older
* Agreeing to participate in the study
* Being able to understand, speak Turkish or have no obstacle to communication
* Having undergone open gastrointestinal surgery
* Having an American Society of Anesthesiologists (ASA) score \<IV
* Being fully independent according to the Modified Barthel Index during the pre-operative period
* Staying in the hospital for at least 48 hours after the surgery
* Having a phone
* Agreeing to download the 'StepsApp Pedometer' application to their phone
* Agreeing to carry the phone with them during the post-operative mobilization processes

Exclusion Criteria:

* Being taken into emergency surgery
* Having had major gastrointestinal surgery before
* Having a diagnosis that may restrict mobilization (neurological, cardiovascular, respiratory and musculoskeletal comorbidities)
* High risk of falling in the preoperative period
* Using medication that may affect mobilization
* Having a diagnosis of any psychiatric disease
* Having a Nutritional Risk Score score of ≥3
* Being in contact isolation
* Being morbidly obese
* Being in intensive care for more than 24 hours during the postoperative period
* Having an intubation period of more than 24 hours during the postoperative period
* Developing a complication that may prevent mobilization after surgery
* Withdrawing from participating in the study,

Primary outcomes:
measure: The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the number of steps taken daily after surgery
timeFrame: From admission to discharge, up to 1 week
measure: The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the distance moved after surgery
timeFrame: From admission to discharge, up to 1 week
measure: The effect of the ERAS early mobilization protocol on the recovery of the gastrointestinal system after surgery
timeFrame: From admission to discharge, up to 1 week
measure: The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the level of ability to perform daily living activities after surgery
timeFrame: (From admission to discharge, up to 1 week) and (When he comes for a check-up 1 week after discharge)
Secondary outcomes:
Other outcomes:
Locations:
city: Kütahya
country: Turkey
facility: Derya Şayır Köksal
Study officials:
name: Derya Şayır Köksal, Lecturer
role: PRINCIPAL_INVESTIGATOR
References: