Evaluation of Early Mobilization Protocol in Patients Undergoing Gastrointestinal Surgery

Bursa Uludag University

Status: Invitation-only

Conditions: Gastrointestinal Diseases

Treatments: Procedure: Enhanced Recovery After Surgery (ERAS) Early Mobilization Protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT06679478

UludagU-SBF-DSK-01

Details and patient eligibility

About

In this study, the investigators aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

Full description

This study is an experimental study. The participants in the control group are applied to the mobilization applied in routine clinics. The participants in the intervention group are applied to the mobilization protocol created in accordance with the Enhanced Recovery After Surgery (ERAS) guidelines. It is planned to evaluate the postoperative mobilization process of both groups.

In this study, the researchers aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being 18 years of age or older
• Agreeing to participate in the study
• Being able to understand, speak Turkish or have no obstacle to communication
• Having undergone open gastrointestinal surgery
• Having an American Society of Anesthesiologists (ASA) score <IV
• Being fully independent according to the Modified Barthel Index during the pre-operative period
• Staying in the hospital for at least 48 hours after the surgery
• Having a phone
• Agreeing to download the 'StepsApp Pedometer' application to their phone
• Agreeing to carry the phone with them during the post-operative mobilization processes

Exclusion criteria

• Being taken into emergency surgery
• Having had major gastrointestinal surgery before
• Having a diagnosis that may restrict mobilization (neurological, cardiovascular, respiratory and musculoskeletal comorbidities)
• High risk of falling in the preoperative period
• Using medication that may affect mobilization
• Having a diagnosis of any psychiatric disease
• Having a Nutritional Risk Score score of ≥3
• Being in contact isolation
• Being morbidly obese
• Being in intensive care for more than 24 hours during the postoperative period
• Having an intubation period of more than 24 hours during the postoperative period
• Developing a complication that may prevent mobilization after surgery
• Withdrawing from participating in the study,

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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100 participants in 2 patient groups

Mobilization Performed in Routine Clinic Group

No Intervention group

Description:

Participants undergoing gastrointestinal surgery will receive routine clinic mobilization. The investigator will not perform any interventions.

Early Mobilization Protocol Created in Enhanced Recovery After Surgery (ERAS) Guidelines Group

Experimental group

Description:

Participants undergoing gastrointestinal surgery will watch a video 1 day before surgery that includes information about the importance of mobilization and the process. The participant will be applied a mobilization protocol created in line with the postoperative mobilization eras (enhanced recovery after surgery) guidelines.

Treatment:

Procedure: Enhanced Recovery After Surgery (ERAS) Early Mobilization Protocol