Early Mobilization in Cardiac Surgery

Nursing Caries Clinical Trial

Official title:

Postoperative Early Mobilization and Affecting Factors in Patients Undergoing Open Heart Surgery: A Descriptive-Cross Sectional Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06193447
• Other study ID #: Cardiac surgery
• Status: Completed
• Start date: January 2, 2023
• Est. completion date: December 15, 2023

Study information

• Verified date: January 2024
• Source: Aydin Adnan Menderes University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 75
• Est. completion date: December 15, 2023
• Est. primary completion date: September 15, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

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

Related Conditions & MeSH terms

• Ambulation Difficulty
• Mobility Limitation
• Nursing Caries

Intervention

Other:
• None intervention
None intervention

Locations

Country	Name	City	State
Turkey	Ezgi Arslan	Efeler	Aydin

Sponsors (1)

Lead Sponsor	Collaborator
Aydin Adnan Menderes University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postoperative mobilization level	Assessed with Intensive Care Units-Mobility Scale. The scale used to evaluate patient mobiility level on postoperative days. It consisted of 11 items with scoring, classification and explanation from 0 (zero) to 10 (ten), ranging from lying in bed/passive exercises to independent ambulation.	Postoperative day 2
Primary	Pulse rate changes between before and after mobility	Assessed with a form which is created by authors. The form is containing the outcome both of before and after mobilization. These are calculated both time point.	Twice: Before mobilization and after mobilization (5 minutes later)
Primary	Blood pressure (both of systolic and diastolic blood pressure) changes between before and after mobility	Assessed with a form which is created by authors. The form is containing the outcome both of before and after mobilization. These are calculated both time point.	Twice: Before mobilization and after mobilization (5 minutes later)
Primary	Oxygen saturation changes between before and after mobility	Assessed with a form which is created by authors. The form is containing the outcome both of before and after mobilization. These are calculated both time point.	Twice: Before mobilization and after mobilization (5 minutes later)