Early Ambulation and Physiotherapy After Surgery

Wainwright, Thomas W; Burgess, Louise

doi:10.1007/978-3-030-33443-7_23

Cited by 7 publications

(7 citation statements)

References 56 publications

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“…Nakao et al, reported that early postoperative ambulation was associated with lower levels of D-dimers in patients with osteoarthritis and rheumatoid arthritis following total knee arthroplasty (TKA) 1607 . However, the definition and duration of early ambulation varies across studies 1608 .…”

Section: - Does Post-operative Rehabilitation Protocol Such As Early ...mentioning

confidence: 99%

Recommendations from the ICM-VTE: General

2022

Journal of Bone and Joint Surgery

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Section: - Does Post-operative Rehabilitation Protocol Such As Early ...mentioning

confidence: 99%

Recommendations from the ICM-VTE: General

2022

Journal of Bone and Joint Surgery

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“…Although the module may have served as a motivator and reminder for ambulation, it is rather difficult to decipher an effect size from this early finding. Nevertheless, while various surgical and patient factors affect a patient's ambulatory status, we believe providing information on a recurring basis can accelerate a patient's recovery and motivate patients to be key drivers in their own recovery 17 …”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, while various surgical and patient factors affect a patient's ambulatory status, we believe providing information on a recurring basis can accelerate a patient's recovery and motivate patients to be key drivers in their own recovery. 17 …”

Section: Discussionmentioning

confidence: 99%

Postoperative patient‐centered multimedia education in head and neck cancer patients: A pilot study

Amanian

Tran

Wang

et al. 2022

Laryngoscope Investig Oto

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Objective It is hypothesized that patients who are actively provided with more treatment‐related education may report increased satisfaction and have improved overall outcomes. The aim of this study was to demonstrate the feasibility of an audiovisual education platform in patients undergoing head and neck surgery and to investigate whether patients using this module reported increased satisfaction. Methods This was a prospective pilot study of patients undergoing major head and neck reconstructive surgery who were randomized to either (1) control group or (2) intervention (i.e., in‐patient audiovisual educational module). Both study groups then completed a discharge survey. Results Total 35 patients were recruited into the study (N = 16 Intervention; N = 19 Control). Patients in the intervention group reported an increased satisfaction with their overall outcome. Exactly 87.5% (14 of 16) found the intervention to be “Extremely useful,” “Quite useful,” or “Sometimes useful.” Exactly 68.8% (11 of 16) would recommend similar patients to receive the same educational intervention. However, there was no significant difference in patients' perceived level of involvement amongst the two groups. For future improvements to the intervention, patients requested further information such as how to look after themselves, postoperative radiation, course in hospital, and nutrition. Conclusion This pilot study demonstrated the feasibility of an audiovisual education platform in the postoperative setting for patients undergoing major head and neck reconstructive surgery. Although most patients found the module useful, future steps will incorporate patient feedback to further improve the educational platform and confirm the current preliminary impressions in prospective studies. Level of Evidence 1b

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“…However not considering the role of other contributing factors to delayed mobilisation is also significant. Patient (eg, expectation), organisation (eg, limited staff and time constraints) and cultural (eg, lack of staff ‘buy in’) factors have all been previously highlighted as barriers to early mobilisation 7 but were not considered in this project. This highlights the challenge for individual professional groups to improve care on their own within a multidisciplinary pathway, and that more objective and exhaustive methods to identify barriers to discharge should be used.…”

Section: Discussionmentioning

confidence: 99%