The effect of mobilization protocol on mobilization start time and patient care outcomes in patients undergoing abdominal surgery

Koyuncu, Fadime; İyigün, Emine

doi:10.1111/jocn.15986

Cited by 8 publications

(8 citation statements)

References 35 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our results, we observed that some of the two studies analyzed demonstrate that individuals exposed to early mobilization obtain shorter hospitalization times in the intensive care unit and hospital and higher quality and sleep satisfaction scores (Yayla;Ozer, 2019;Koyuncu;Lyigun, 2022). Furthermore, it was also possible to note in most of the studies that patients receiving mobility intervention had significantly fewer stays, events associated with mechanical ventilation, pressure ulcers and urinary tract infections associated with catheters.…”

Section: Discussionmentioning

confidence: 57%

Effects of Early Mobilization on Intensive Care Unit Patients: A Systematic Review

Barbosa,

Silva,

Oliveira

et al. 2023

JHS

View full text Add to dashboard Cite

Introduction:Mobilization interventions performed in the ICU environment are considered a therapeutic intervention that potentially prevents or attenuates the functional compromise of muscle weakness acquired in the ICU. This way, the effect of early mobilization in seriously ill patients in the ICU must be reexamined Objective: To openly evaluate the evidence available on the effect of early mobilization in seriously ill patients in the ICU. Materials and methods: This is a systematic review of articles indexed in the databases SciELO, PubMed, LILACS, SPRINGERLINK, SCIENCE DIRECT and LATINDEX, in the period from October to November 2023. This includes original articles involving the effects of early mobilization in patients of units of intensive therapy. The collection was carried out by two independent reviewers and the interobserver agreement analysis was observed by means of the Kappa test (Bioestat V 5.0). Result: At the end of the search, 12 articles were selected, characterized by what we show, the method for evaluation and the main results. Eleven (91.66%) two twelve studies showed positive results in relation to early mobilization in patients subjected to this experience, these four (33.33%) articles also revealed associations between early mobilization and possible adverse effects and only one (8.33%) study Negative results were found in relation to early mobilization in patients. Conclusion: The results of this review show evidence in favor of early mobility, therefore, it is recommended that more studies be carried out with more rigorous documentation of mobilization and progress procedures to confirm these clinical benefits.

show abstract

Section: Discussionmentioning

confidence: 57%

Effects of Early Mobilization on Intensive Care Unit Patients: A Systematic Review

Barbosa,

Silva,

Oliveira

et al. 2023

JHS

View full text Add to dashboard Cite

show abstract

“…All except 4 16 , 21 , 22 , 27 of the 15 trials reported results on the postoperative morbidity rate. Whereas most studies listed standard surgical and non-surgical complications (within 30 days) graded in accordance with the Clavien–Dindo classification (CDC), three studies concentrated on defined postoperative pulmonary complications (PPC) only 15 , 18 , 26 .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Recovery of gastrointestinal function (first time to flatus or defaecation) was investigated in six studies as secondary outcome parameters 14 , 19 , 21–23 , 27 . A significantly shorter recovery of gastrointestinal function was demonstrated in four studies 14 , 21–23 . Across these studies, the mean time to gastrointestinal recovery was 53.5 h (approximately 2 days) after early mobilization, and 68.3 h (approximately 2.8 days) in the control groups.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis

Willner,

Teske,

Hackert

et al. 2023

BJS Open

View full text Add to dashboard Cite

Background Early postoperative mobilization is considered a key element of enhanced recovery after surgery protocols. The aim of this study was to summarize the effect of early postoperative mobilization following gastrointestinal operations on patient recovery, mobility, the morbidity rate and duration of hospital stay. Methods A systematic literature search was conducted in December, 2022, using PubMed, Web of Science and the Cochrane Central Register of Controlled Trials. Controlled trials reporting the effects of early postoperative mobilization after gastrointestinal surgery were included. The risk of bias was assessed using a modified Downs and Black tool and the Cochrane Collaboration tool for randomized trials. The outcomes of interest were gastrointestinal recovery (defined passage of first flatus or bowel movements), mobility (step count on postoperative day 3), the morbidity rate and duration of hospital stay. Results After elimination of duplicates, 3678 records were identified, and 71 full-text articles were screened. Finally, 15 studies (eight RCTs) reporting on 3538 patients were included. Most trials evaluated early postoperative mobilization after different gastrointestinal operations, including upper gastrointestinal (n = 8 studies), hepatopancreatobiliary (n = 10 studies) and colorectal resections (n = 10 studies). The investigated early postoperative mobilization protocols, operative techniques (minimally invasive or open) and outcome parameters were heterogeneous between the studies. Early postoperative mobilization seemed to significantly accelerate clinical gastrointestinal recovery (mean difference, hours: −11.53 (−22.08, −0.97), P = 0.03). However, early postoperative mobilization did not significantly improve the morbidity rate (risk ratio: 0.93 (0.70, 1.23), P = 0.59), postoperative mobility of patients (step count mean difference: 1009 (−803, 2821), P = 0.28) or shorten the duration of hospital stay (mean difference, days: −0.25 (−0.99,0.43), P = 0.47) in randomized trials. Conclusion There is a large heterogeneity among the study cohorts, operations and interventions. The available evidence currently does not support specific early postoperative mobilization protocols as an isolated element to further reduce the morbidity rate and duration of hospital stay. Further well-designed trials are required to identify effective early postoperative mobilization protocols.

show abstract

“…Patient mobility, functionality, and autonomy are compromised after surgery; therefore, it is essential for body mobilization to begin 120 minutes after its completion and that necessary assistance be provided to improve respiratory function and oxygenation of the different organs, besides contributing to patients being less dependent and improving their quality of life, 25 , 26 given that the degree of dependency influences significantly on days of hospitalization, so much so that the more dependent patients are, the longer time is required for their recovery and incorporation into their daily activities, given that their needs are complex and their situation is critical, and nursing care must be more assiduous and cautious, with establishment of priorities and more accurate diagnoses. 27 Moreover, introducing pre-habilitation activities at physical and emotional levels acts as a fundamental pillar a priori for the overall success of the surgery.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Degree of Dependency and Hospitalization Time of Surgical Patients

Alarcón¹,

Cieza²

2023

Invest. Educ. Enferm.

View full text Add to dashboard Cite

Objective. This work sought to establish the relationship between the degree of dependency with hospitalization time of patients intervened surgically in a regional hospital of Peru. Methods. The study was analytical, cross-sectional with retrospective data collection, studying 380 patients treated in the surgical service at Regional hospital Docente in the municipality of Cajamarca (Peru). The patients’ demographic and clinical information was obtained from the daily care records in the hospital’s surgery service. The univariate description was conducted through absolute and relative frequencies and confidence intervals for proportions at 95%; for the association between the degree of dependency and hospitalization time Log Rank (Mantel-Cox) – Chi-square was applied, as well as the Kaplan-Meier survival analysis, with statistical significance of p<0.05. Results. The study had 53.4% male patients, with mean age of 35.3 years, referrals from operating room (64.7%), surgery specialty (66.6%) and the most-frequent surgical intervention was appendectomy (49.7%). Mean hospitalization time was 10 days; 88.1% of the patients had grade-II dependency. The degree of patient dependency had a significant impact on the days of post-surgery hospitalization with direct relationship between both variables (p=0.038). Conclusion. Hospitalization time is determined by the degree of dependency of patients subjected to a surgical intervention; thereby, it is fundamental to anticipate all the necessary resources for proper care management.

show abstract

The effect of mobilization protocol on mobilization start time and patient care outcomes in patients undergoing abdominal surgery

Cited by 8 publications

References 35 publications

Effects of Early Mobilization on Intensive Care Unit Patients: A Systematic Review

Effects of Early Mobilization on Intensive Care Unit Patients: A Systematic Review

Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis

Relationship between Degree of Dependency and Hospitalization Time of Surgical Patients

Contact Info

Product

Resources

About