Aim:This study aimed to determine the effects of an early mobilization protocol performed in patients who underwent cardiac surgery on post-operative outcomes.Background: Post-operative complications are common in patients undergoing cardiac surgery. Early mobilization is recommended for patients who undergo cardiac surgery to prevent complications and achieve successful outcomes in postoperative care.
Design:The study design was quasi-experimental with a control group.
Methods: Participants were patients who underwent cardiac surgery between January and October 2015. The study included 102 patients (51 patients each in the experimental and control groups). The introductory characteristics form, the Richards-Campbell Sleep Questionnaire (RCSQ), duration of hospital stay (postoperatively), and development of a post-operative late complications form were used to collect data. Results: The study results revealed that patients in the experimental group had better improvement in RCSQ scores, shorter duration of hospitalization, and fewer late complications after surgery than patients in the control group. Conclusion: Early mobilization is feasible in adult cardiac surgery patients and has significant benefits. More research is recommended into the effectiveness of early mobilization in different patient groups. KEYWORDS cardiac surgery, early mobilization, length of stay, nursing, post-operative complications, sleep
SUMMARY STATEMENTWhat is already known about this topic?• Cardiac surgery stands out from other forms of treatment due to the advances in techniques and materials that have resulted in safer procedures and lower perioperative risks. Despite these advances, post-operative complications are frequent and are a determinant of length of hospital stay and functional recovery.• Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes and prevent immobilization-related complications.• However, standard guidelines, evidence-based practices, and early mobilization protocols are underused by nurses during postoperative care.
What this paper adds?• This study assesses the effect of an early mobilization protocol on patient care outcomes in patients who underwent cardiac surgery
Symptom cluster research is still in its early years. Further work is needed to reach a standard definition of a symptom cluster and a consensus of its criteria. Additional studies are needed to examine symptom clusters in cancer survivors. As individuals are living longer with the disease, comprehensive understanding of the symptom clusters that may be unique to cancer survivors is critical.
The aim of this study was to adapt the Zarit Burden Interview (ZBI) to family caregivers of inpatients in medical and surgical clinics to assess the validity and reliability of the Turkish version. The study design was descriptive and methodological. A total of 223 family caregivers providing care to patients for at least 1 week in clinics were selected through convenience sampling. Data were collected using the Turkish translation of the ZBI. The psychometric testing of the adapted instrument was carried out to establish internal consistency, interitem correlation, and construct validity. The content validity procedure resulted in a final scale comprising 18 items. Cronbach's alpha was .82. Factor analysis yielded one factor. The Turkish version of the ZBI adapted to the clinics can be used as a one-factor tool.
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