Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05830682 |
| Other study ID # |
2018/235 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
January 29, 2019 |
| Est. completion date |
July 29, 2019 |
Study information
| Verified date |
April 2023 |
| Source |
Trakya University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The goal of this clinical trial is to evaluate the effect of using walking aid during
out-of-bed mobilization of patients who underwent open coronary artery bypass graft surgery
on levels of pain and mobility. The main hypotheses are:
1. The pain level of patients using walking aid is lower than that of those who do not.
2. The mobility level of patients using walking aid is higher than that of those who do
not.
Participants will be asked to walk with using a walking aid during the first three
mobilizations in the intensive care unit on the first postoperative day.
Description:
Group allocation of the patients was done through using Random Allocation Software program
and patients were allocated into two groups: the intervention group and the control group.
Patients in the intervention group were asked to o walk with using a walking aid during the
first three mobilizations in the intensive care unit on the first postoperative day.
The researcher visited the patients in the CICU on the first day after surgery informed them
that they were going to be mobilized out of the bed and walk in the room for two rounds
(approximately 24 meters) for three times following each 4 hours by using a walking aid. The
patients in the control group were informed that they were to be mobilized out of the bed and
walk in the room for two rounds (approximately 24 meters) for three times following each 4
hours with the help of two nurses.
In the intervention group, to perform the first out-of-bed mobilization, the researcher and
one other nurse supported helped the patient to straightening up in bed and then to sit in
the bed. Then, the patient sat on the edge of the bed with their feet dangling outside.
Following, with the brakes closed on the walking aid, the patient stood up from the bed and
walked two rounds in the CICU room. The patient was then helped back to sit on the edge of
the bed, and was asked to mark the level of pain and difficulty experienced during each
activity on a horizontal line in the patient mobility scale.
The Patient Mobility Scale scale was developed to measure the pain and difficulty levels
experienced by patients during four activities (turning from one side to the
other/straightening up in bed, sitting on the edge of the bed, standing up from the bed, and
walking in the room) in the postoperative period. To evaluate pain, patients are asked to
mark their level of pain for each activity on a line ranging from 0-"no pain" to 5-"worst
pain imaginable." To evaluate difficulty, patients are asked to mark their perceived
difficulty for each activity on a line ranging from 0-"very easy" to 5-"very difficult". The
total score of the patient mobility scale is derived by summing the pain and difficulty
scores for all activities, with the lowest possible score being 0 and the highest score being
120. A lower score signifies that patients experienced less pain and difficulty during their
activities, indicating a higher mobility level.
In the control group, to perform the first out-of-bed mobilization, the researcher and one
other nurse supported helped the patient to straightening up in bed and then to sit in the
bed. Then, the patient sat on the edge of the bed with their feet dangling outside.
Following, two nurses helped the patient stood up from the bed and walk two rounds in the
CICU room. The patient was then helped back to sit on the edge of the bed and was asked to
mark the level of pain and difficulty experienced during each activity on a horizontal line
in the patient mobility scale.
Four hours after the first and second mobilizations, both groups of patients underwent a new
mobilization procedure, and the interventions applied during the first mobilization were
repeated.
