Investigation of the Effect of Time to Ambulation on Patient Outcomes, Anxiety and Depression

Abstract

Purpose: The aim of the study was to investigation of the effects of time to ambulation on patient outcomes, anxiety and depression.
 Method: This is a descriptive cross-sectional study. The study was conducted on 157 patients in the general surgery clinic of a training and research hospital in western Turkey. The data were collected using a Descriptive Form, Patient Outcomes Follow-up Form, Brief Pain Inventory, Hospital Anxiety and Depression Scale (HADS) and analysed by number, percentage, Mann–Whitney U test, Spearman correlation method using the Statistical Package for Social Science software version 24.
 Results: The mean age of the patients who participated in the study was 49.5±18.1 years. The mean time to ambulation of the patients was 12.45±9.07 hours. The mean pain level of the participants in the last 24 hours, mean HADS-anxiety score and mean HADS-depression score were 3.7±1.7, 4.0±2.6 and 4.4±3.0, respectively. 
 Conclusions: In our study, we found that the time to ambulation was increased as the patients' age, duration of anaesthesia and depression scores increased. Additionally, the ambulation of patients with drains and catheters delayed. Furthermore, it was found that the duration of hospitalisation increased with the increase in the time to ambulation of patients.

The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting

“…In our study, patients experienced high levels of nausea-vomiting-retching in the postoperative period according to the RINVR (the total RINVR score -24.1 ± 0.91) and the sub-dimensions of symptom experience, symptom occurrence, and symptom distress. There was a significant relationship between patients' preopera-tive anxiety and postoperative nausea-vomiting, in other words, patients who had high preoperative anxiety experienced more postoperative nausea and vomiting [58]. These results were consistent with the results obtained by Majumdar et al (2019) and Laufenberg-Feldmann et al (2019) who suggested that preoperative anxiety increased postoperative nausea [20,33].…”