Xavier Binu, Vaithilingan Sasi, Avudaiappan Seethalakshmi, Periasamy Panneerselvam
Department of Medical Surgical Nursing, Vinayaka Missions Research Foundation (Deemed to be University), Salem, IND.
Department of Child Health Nursing, Vinayaka Mission's College of Nursing, Puducherry, IND.
Cureus. 2024 Dec 18;16(12):e75980. doi: 10.7759/cureus.75980. eCollection 2024 Dec.
According to the World Health Organization (WHO), early mobilization is a critical component of healthcare that significantly impacts patient recovery and outcomes. Despite evidence supporting the benefits of early mobilization for abdominal surgery patients, standardized protocols remain scarce across many healthcare environments.
This study evaluates the feasibility and impact of an early mobility protocol (EMP) on improvement in mobility and patient satisfaction in abdominal surgery patients.
This feasibility study, conducted in the surgical intensive care unit at Health World Hospital in West Bengal, involved 20 participants who underwent abdominal surgery. Data were collected via demographic questionnaires, the Modified Johns Hopkins Highest Level of Mobility scale, and a patient satisfaction scale. Statistical analysis was performed using IBM Statistical Package for the Social Sciences Statistics, version 28.0, Armonk, NY.
The EMP significantly enhanced recovery outcomes among patients undergoing abdominal surgery. By day 6, six out of 10 participants in the experimental group (EG; 60%) achieved independence in mobility, compared to five out of 10 participants (50%) in the control group. Additionally, the protocol led to substantially higher mobility scores (p = 0.0001) and patient satisfaction levels, with the EG reporting an average satisfaction score of 4.40, markedly higher than the 0.70 observed in the control group (p < 0.05), thus underscoring the protocol's effectiveness.
This study demonstrates that an EMP significantly enhances recovery outcomes for abdominal surgery patients, with 60% (six out of 10) of the EG achieving independence by day 6. However, the lack of standardized early mobilization protocols in healthcare settings remains a critical gap. These results align with the WHO's recommendations, underscoring early mobilization as a cornerstone of postoperative recovery and emphasizing the need for standardized approaches to optimize patient outcomes.
根据世界卫生组织（WHO）的说法，早期活动是医疗保健的关键组成部分，对患者的康复和治疗结果有重大影响。尽管有证据支持早期活动对腹部手术患者有益，但在许多医疗环境中，标准化方案仍然稀缺。
本研究评估早期活动方案（EMP）对腹部手术患者活动能力改善和患者满意度的可行性和影响。
这项可行性研究在西孟加拉邦健康世界医院的外科重症监护病房进行，涉及20名接受腹部手术的参与者。通过人口统计学问卷、改良的约翰霍普金斯最高活动水平量表和患者满意度量表收集数据。使用纽约州阿蒙克市IBM社会科学统计软件包第28.0版进行统计分析。
EMP显著提高了腹部手术患者的康复效果。到第6天，实验组（EG）的10名参与者中有6名（60%）实现了活动独立，而对照组的10名参与者中有5名（50%）实现了活动独立。此外，该方案导致活动得分（p = 0.0001）和患者满意度大幅提高，EG组的平均满意度得分为4.40，明显高于对照组的0.70（p < 0.05），从而突出了该方案的有效性。
本研究表明，EMP显著提高了腹部手术患者的康复效果，到第6天，EG组的60%（10名中有6名）实现了独立。然而，医疗环境中缺乏标准化的早期活动方案仍然是一个关键差距。这些结果与WHO的建议一致，强调早期活动是术后康复的基石，并强调需要采用标准化方法来优化患者治疗结果。
