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Clinical Trial Summary

In this study, researchers aimed to investigate the effects of bed exercises on anxiety, pain, early ambulation and mobilization in major surgery patients. This study was conducted in the experimental type and in the surgical clinics of a university hospital. 120 patients (60 experimental and 60 control groups) scheduled for major surgery took part in the study. The data were collected using the patient information and surgical care information form, the Surgical Anxiety Questionnaire, and the Numerical Pain Scale with a face-to-face interview technique. Patients in the experimental group were given a 15-minute bed exercise, and the control group was routinely performed in the clinic. The data analysis was done with IBM SPSS Statistics 25.0. The data were evaluated by descriptive statistics, t-test and correlation tests. For the validity and reliability analysis of the scales, Cronbach's alpha coefficient was examined. The results were evaluated at 95% confidence interval and p <0.05 significance level.

Clinical Trial Description

Major surgery is a serious physiological condition that can cause significant morbidity and mortality. Adverse conditions encountered during major surgery may be fatal, cause one or more postoperative complications, negatively affect short-term and long-term survival and increase healthcare costs. It is estimated that more than 230 million major surgical interventions are performed every year in the world. Major surgery is an extremely stressful experience. Anxiety, which begins by telling the patient that surgery is needed, increases with hospitalization and may adversely affect patient compliance, care, quality of life, duration of treatment and expenses, recovery and well-being, disease progression, and the patient's exposure to additional diseases. Anxiety is a disturbing feeling of fear and worry that is life-threatening or perceived as a threat. Anxiety, which is the feeling of restlessness and tension caused by waiting for danger, can lead to an increase in sympathetic, parasympathetic and endocrine stimuli and confront the individual with many physiological and psychological problems. Surgical pain is at the top of these problems. Pain felt during the postoperative period is an inevitable experience for many patients. More than 75% of patients who underwent surgery in Western societies reported moderate, severe and unbearable pain in the postoperative period. The prevalence of pain in Turkey after major surgery is more than 90%. In literature studies, the pain seen after major surgery was found to be higher than other surgeries. Ineffective pain management causes delays in wound healing, deep vein thrombosis, pulmonary dysfunction, cognitive impairment, anxiety and stress, increased morbidity and mortality, delayed discharge, and decreased quality of life. Nurses play important roles in the assessment and management of pain. In addition to drug applications related to pain management; non-drug applications such as massage, hot and cold application, pain-reducing positioning, meditation, patient distraction, vibration,transcutaneous electrical nerve stimulation, listening to music, edema-reducing interventions, turning in bed, leg and arm exercises, deep breathing exercises. Arm and leg exercises performed in bed are aimed at maintaining the muscle strength and balance of individuals and are less tiring than standing exercises. Turning in bed, arm and leg exercises, moving from right to left, raising and lowering the heel and feet, bending the arms, bending the legs, bumping the feet together, moving the legs like cycling, stretching the arms, inverted arm and leg movements. Surgical patients are recommended methods of mobilization starting with early ambulation at the 6th and 8th hour postoperatively. In this way, prevention of Deep Vein Thrombosis (DVT), early recovery, rapid discharge and early return to social roles are targeted. In major surgical patients, anxiety and pain are thought to restrict early ambulation and mobilization and have negative effects on wound healing, daily life activities and well-being. The severity of anxiety and perceived pain is likely to increase in immobile surgical patients. The aim of this study was to examine the effects of turning in bed, arm and leg exercises on preoperative anxiety, surgical pain and early ambulation. ;

Study Design

Related Conditions & MeSH terms

NCT number NCT05057585
Study type Interventional
Source Inonu University
Status Completed
Phase N/A
Start date January 15, 2020
Completion date April 10, 2021

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