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

Abdominal Surgery Clinical Trial

Official title:

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

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT05657561
• Other study ID #: FD_01
• Status: Enrolling by invitation
• Phase: N/A
• Start date: February 2, 2022
• Est. completion date: December 31, 2023

Study information

• Verified date: May 2023
• Source: Eastern Mediterranean University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 78
• Est. completion date: December 31, 2023
• Est. primary completion date: December 31, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 85 Years

Eligibility

Inclusion Criteria:

• over 18 years old

• those with abdominal surgery

Exclusion Criteria:

-

Related Conditions & MeSH terms

• Abdominal Surgery

Intervention

Other:
• early mobilization
Mobilization training was given to the intervention group.

Locations

Country	Name	City	State
Cyprus	Eastern Mediterranean University	Famagusta
Cyprus	Eastern Mediterranean University	Famagusta

Sponsors (1)

Lead Sponsor	Collaborator
Eastern Mediterranean University

Country where clinical trial is conducted

Cyprus, 

References & Publications (8)

Adler J, Malone D. Early mobilization in the intensive care unit: a systematic review. Cardiopulm Phys Ther J. 2012 Mar;23(1):5-13. — View Citation

Auyong DB, Allen CJ, Pahang JA, Clabeaux JJ, MacDonald KM, Hanson NA. Reduced Length of Hospitalization in Primary Total Knee Arthroplasty Patients Using an Updated Enhanced Recovery After Orthopedic Surgery (ERAS) Pathway. J Arthroplasty. 2015 Oct;30(10):1705-9. doi: 10.1016/j.arth.2015.05.007. Epub 2015 May 12. — View Citation

Castelino T, Fiore JF Jr, Niculiseanu P, Landry T, Augustin B, Feldman LS. The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: A systematic review. Surgery. 2016 Apr;159(4):991-1003. doi: 10.1016/j.surg.2015.11.029. Epub 2016 Jan 21. — View Citation

Chen LC, Wang TF, Shih YN, Wu LJ. Fifteen-minute music intervention reduces pre-radiotherapy anxiety in oncology patients. Eur J Oncol Nurs. 2013 Aug;17(4):436-41. doi: 10.1016/j.ejon.2012.11.002. Epub 2012 Dec 4. — View Citation

Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MF, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016 Feb;17(2):131-57. doi: 10.1016/j.jpain.2015.12.008. Erratum In: J Pain. 2016 Apr;17(4):508-10. Dosage error in article text. — View Citation

Hashem MD, Nelliot A, Needham DM. Early Mobilization and Rehabilitation in the ICU: Moving Back to the Future. Respir Care. 2016 Jul;61(7):971-9. doi: 10.4187/respcare.04741. Epub 2016 Apr 19. — View Citation

O'Shea G. Ventricular assist devices: what intensive care unit nurses need to know about postoperative management. AACN Adv Crit Care. 2012 Jan-Mar;23(1):69-83; quiz 84-5. doi: 10.1097/NCI.0b013e318240aaa9. — View Citation

Park DI, Kim HJ, Park JH, Cho YK, Sohn CI, Jeon WK, Kim BI, Ryu SH, Sung IK. Factors affecting abdominal pain during colonoscopy. Eur J Gastroenterol Hepatol. 2007 Aug;19(8):695-9. doi: 10.1097/01.meg.0000219097.32811.24. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	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
Secondary	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

External Links

•   Ambulatory care nursing-sensitive indicators
•   Postoperative Pain Control